Thornburn A
Br J Theatre Nurs. 1995 Aug;5(5):15-7.
Having worked in and visited a number of neurosurgical theatres, I was surprised at how greatly the practice of accounting for swabs, patties and other such items differs from one hospital to another. I intended to revise the swab policy within my own theatre, and felt that it was necessary to establish what safety measures were being taken in other neurosurgical theatres throughout the country. This small study was not intended as a formal piece of research but to assist in identifying safe practices common to neurosurgical theatres. The results show that practices in many neurosurgical theatres are varied, and fall short of the safeguards laid down by our nursing and medical professional bodies. This is particularly worrying when claims involving retained swabs and instruments are brought more often than for any other surgical damage. Guidelines and recommendations for safe practices in the operating room have been widely accepted for decades and are often referred to in a court of law when a case for damages is brought. This small study looks at the practice of accounting for swabs, needles and other 'countable' items in neurosurgical theatres throughout England, Scotland and Wales.
在多个神经外科手术室工作并参观过之后，我惊讶地发现，不同医院在清点拭子、纱布块及其他类似物品方面的做法差异极大。我打算修订自己所在手术室的拭子政策，并认为有必要了解全国其他神经外科手术室正在采取哪些安全措施。这项小型研究并非正式的研究项目，而是旨在协助确定神经外科手术室普遍采用的安全做法。结果表明，许多神经外科手术室的做法各不相同，且未达到我们护理和医学专业机构规定的保障标准。当涉及遗留拭子和器械的索赔比其他任何手术损伤索赔更为频繁时，这尤其令人担忧。手术室安全操作的指南和建议几十年来已被广泛接受，在提出损害赔偿诉讼时，法庭常常会参考这些指南和建议。这项小型研究考察了英格兰、苏格兰和威尔士各地神经外科手术室在清点拭子、针头及其他“可计数”物品方面的做法。
