Division of Surgery and Surgical Oncology, Singapore General Hospital, Singapore.
Nursing Division, Singapore General Hospital, Singapore, Singapore.
J Clin Nurs. 2023 Jul;32(13-14):3315-3327. doi: 10.1111/jocn.16447. Epub 2022 Jul 11.
To synthesise evidence on the effectiveness of radiofrequency (RF) scanning technology as an adjunct to manual counting protocols in preventing retained surgical items (RSIs) in the operating room.
Despite the implementation of rigorous manual counting protocols, RSIs remain one of the most common reported sentinel events in operating theatres that lead to adverse patient outcomes.
An integrative review.
This review was guided by the Whittemore and Knafl (2005) framework. A literature search using CINAHL, MEDLINE, ProQuest, PubMed, and Scopus with key search terms related to RSIs and RF was applied to select English articles from January 2011 till August 2021. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was utilised for study quality assessment while reporting of review was guided using the PRISMA checklist.
A total of 15 peer-reviewed articles were included, enabling the knowledge on the RF scanning technology to be grouped into four themes, namely: detection accuracy of RF scanning technology, real-time detection of surgical items using RF identification, the impact of the RF scanning technology for detecting RSIs on patient safety, and cost-analysis of integrating the RF scanning technology in operating theatres.
Radiofrequency scanning technology is effective in preventing RSIs with significant cost-savings. Perioperative leaders should develop a multidisciplinary process to evaluate and select the most appropriate RF scanning technology as part of their patient safety programs. However, future studies with a larger sample size and robust research design, such as randomised controlled trial, should be considered to enhance the generalisability and rigour of evidence.
This review contributes to perioperative personnel's education/training of staff on using RF scanning technology to prevent RSIs. The cost-effectiveness analysis enables the healthcare leaders to decide on the selection of appropriate RF technology.
综合射频 (RF) 扫描技术作为手术室中手动计数协议的辅助手段，以预防手术器械遗留 (RSI) 的有效性证据。
尽管实施了严格的手动计数协议，但 RSI 仍然是手术室中最常见的报告性事件之一，导致患者不良后果。
综合回顾。
本综述以 Whittemore 和 Knafl（2005）框架为指导。使用 CINAHL、MEDLINE、ProQuest、PubMed 和 Scopus 进行文献检索，使用与 RSI 和 RF 相关的关键搜索词，选择 2011 年 1 月至 2021 年 8 月的英文文章。使用 Joanna Briggs 研究所 (JBI) 批判性评估清单评估研究质量，同时使用 PRISMA 清单指导综述报告。
共纳入 15 篇同行评议文章，将 RF 扫描技术的知识分为四个主题：RF 扫描技术的检测准确性、使用 RF 识别实时检测手术器械、RF 扫描技术对患者安全检测 RSI 的影响以及手术室中集成 RF 扫描技术的成本分析。
射频扫描技术可有效预防 RSI，具有显著的成本节约。围手术期领导者应制定多学科流程，评估和选择最合适的 RF 扫描技术，作为其患者安全计划的一部分。然而，应考虑进行具有更大样本量和稳健研究设计的未来研究，例如随机对照试验，以提高证据的普遍性和严谨性。
本综述有助于围手术期人员对员工进行有关使用 RF 扫描技术预防 RSI 的教育/培训。成本效益分析使医疗保健领导者能够决定选择合适的 RF 技术。
