Journal article 1611 views
The systems approach to error reduction: factors influencing inoculation injury reporting in the operating theatre
Journal of Nursing Management, Volume: 21, Issue: 8, Pages: 989 - 1000
Swansea University Authors:
Jayne Cutter, Sue Jordan
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DOI (Published version): 10.1111/j.1365-2834.2012.01435.x
Abstract
Aim To examine the frequency of, and factors influencing, reporting of mucocutaneous and percutaneous injuries in operating theatres. Background: the risk of acquiring a blood-borne viral infection during exposure prone procedures has been estimated as 0.3% for HIV, 3% for hepatitis C virus and appr...
| Published in: | Journal of Nursing Management |
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| ISSN: | 09660429 |
| Published: |
Blackwell Publishing
2013
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa10810 |
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| Abstract: |
Aim To examine the frequency of, and factors influencing, reporting of mucocutaneous and percutaneous injuries in operating theatres. Background: the risk of acquiring a blood-borne viral infection during exposure prone procedures has been estimated as 0.3% for HIV, 3% for hepatitis C virus and approximately 30% for hepatitis B virus (HBV) among non-vaccinated personnel Appropriate floow up including first-aid and prophylactic treatment after an injury can reduce the risk of infection. However, injuries are often under-reported. The systems approach to error reduction relies on reporting incidents and near misses. Failure to report will compromise safety.Method A multi-site, cross sectional survey of all surgeons and peri-operative nurses engaged in exposure prone procedures in nine Welsh hospitals (n=315), semi-structured interviews with selected participants (n=16) and telephone interviews with Infection Control Nurses (n=6).Results The response rate was 51.47% (315/612). Most respondents reported one or more percutaneous (183/315, 58.1%) and/or mucocutaneous injuries (68/315, 21.6%) in the 5 years preceding the study. However, reporting was inconsistent with only 54.9% of respondents (112/204) reporting all injuries. 70/133 of surgeons (52.6%) vs 65/71 nurses (91.5%)reported all or >50% of their injuries.Conclusions Injuries are frequently under-reported, possibly compromising safety in operating theatres. Understanding the factors that influence under-reporting can underpin measures to improve reporting and ultimately improve safety. |
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| Item Description: |
Published on line 16/06/12 |
| Keywords: |
Error reduction, injury reporting, peri-operative nurses, surgeons, |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Issue: |
8 |
| Start Page: |
989 |
| End Page: |
1000 |