Suppr超能文献

使用条形码标识手术海绵以提高安全性:一项随机对照试验

Bar-coding surgical sponges to improve safety: a randomized controlled trial.

作者信息

Greenberg Caprice C, Diaz-Flores Rafael, Lipsitz Stuart R, Regenbogen Scott E, Mulholland Lynn, Mearn Francine, Rao Shilpa, Toidze Tamara, Gawande Atul A

机构信息

Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA 02115, USA.

出版信息

Ann Surg. 2008 Apr;247(4):612-6. doi: 10.1097/SLA.0b013e3181656cd5.

Abstract

OBJECTIVE

A randomized, controlled trial was performed to evaluate a computer-assisted method for counting sponges using a bar-code system.

BACKGROUND

Retained sponges are a rare and preventable problem but persist in surgery despite standardized protocols for counting. Technology that improves detection of counting errors could reduce risk to surgical patients.

METHODS

We performed a randomized controlled trial comparing a bar-coded sponge system with a traditional counting protocol in 300 general surgery operations. Observers monitored sponge and instrument counts and recorded all incidents of miscounted or misplaced sponges. Surgeons and operating room staff completed postoperative and end-of-study surveys evaluating the bar-code system.

RESULTS

The bar-code system detected significantly more counting discrepancies than the traditional protocol (32 vs.13 discrepancies, P = 0.007). These discrepancies involved both misplaced sponges (21 vs. 12 sponges, P = 0.17) and miscounted sponges (11 vs. 1 sponge, P = 0.007). The system introduced new technical difficulties (2.04 per 1000 sponges) and increased the time spent counting sponges (5.3 vs. 2.4 minutes, P < 0.0001). In postoperative surveys, there was no difference in surgical teams' confidence that all sponges were accounted for, but they rated the counting process and team performance lower in operations randomized to the bar-code arm. By the end of the study, however, most providers found the system easy to use, felt confident in its ability to track sponges, and reported a positive effect on the counting process.

CONCLUSIONS

Use of automated counting using bar-coded surgical sponges improved detection of miscounted and misplaced sponges and was well tolerated by surgical staff members.

摘要

目的

进行一项随机对照试验,以评估使用条形码系统计数海绵的计算机辅助方法。

背景

遗留海绵是一个罕见且可预防的问题,尽管有标准化的计数方案,但在手术中仍然存在。能够提高计数错误检测的技术可以降低手术患者的风险。

方法

我们进行了一项随机对照试验,在300例普通外科手术中比较条形码海绵系统与传统计数方案。观察人员监测海绵和器械计数,并记录所有海绵计数错误或放置错误的事件。外科医生和手术室工作人员完成术后及研究结束时的调查,评估条形码系统。

结果

条形码系统检测到的计数差异明显多于传统方案(32处差异对13处差异,P = 0.007)。这些差异既包括放置错误的海绵(21块对12块海绵,P = 0.17),也包括计数错误的海绵(11块对1块海绵,P = 0.007)。该系统带来了新的技术难题(每1000块海绵出现2.04次),并增加了海绵计数所花费的时间(5.3分钟对2.4分钟,P < 0.0001)。在术后调查中,手术团队对所有海绵均已清点的信心没有差异,但他们对随机分配到条形码组的手术中的计数过程和团队表现评价较低。然而,到研究结束时,大多数提供者发现该系统易于使用,对其跟踪海绵的能力有信心,并报告了对计数过程的积极影响。

结论

使用带条形码的手术海绵进行自动计数可改善对计数错误和放置错误海绵的检测,并且手术工作人员对其耐受性良好。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验