Outpatient Surgery Magazine

Back To Work - June 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1259627

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Page 71 of 116

occur in the OR, with suture needle inci- dents the most com- mon injuries in surgi- cal settings. A review of 2018 data at my facility reflected the same trends: 70 percu- taneous injuries occurred in the OR, with 73% sustained from curved suture needles and 66% occurring during wound closure. In early 2013, our facility established a program known as Job Safety Behavioral Observation (JSBO) to review and understand employee injuries, with sharps and suture needle injuries being cen- tral to this work. We seemed to be doing everything right in terms of sharps safety practices, but the numbers didn't lie. No one on our staff intended to get stuck with a sharp, or stick someone else, but it still happened far too frequently. Was there a missing variable in our sharps safety equation? Identifying the risk factors Early work of the JSBO and ongoing trends in suture needle injuries provided a foundation for structuring an academic quality improve- ment project that was approved through the internal review board process at our hospital. The aim of the project became to further understand if sharps injuries occur because people are distracted, hur- ried, interrupted, overwhelmed or tired. On initial review, research was lacking on distractions and cognitive fatigue as factors for sharps injuries. The aviation industry and its 7 2 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 2 0 POINT TAKEN Suture needle sticks account for most sharps injuries in the OR.

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