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https://hdl.handle.net/2440/56909
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Type: | Journal article |
Title: | Scalpel safety in the operative setting: A systematic review |
Author: | Watt, A. Patkin, M. Sinnott, M. Black, R. Maddern, G. |
Citation: | Surgery, 2010; 147(1):98-106 |
Publisher: | Mosby Inc |
Issue Date: | 2010 |
ISSN: | 0039-6060 1532-7361 |
Statement of Responsibility: | Amber M. Watt, Michael Patkin, Michael J. Sinnott, Robert J. Black and Guy J. Maddern |
Abstract: | <h4>Background</h4>The complex environment of the operative setting provides multiple opportunities for health care workers to sustain scalpel injuries; scalpels are the second most frequent source of sharps injuries in this setting. Little evidence has been published detailing the effectiveness of proposed safety procedures and devices.<h4>Methods</h4>A systematic search strategy was used to identify relevant studies. Studies were included based on the application of a predetermined protocol, an independent assessment by 2 reviewers, and a consensus decision. Nineteen articles formed the evidence base for this review.<h4>Results</h4>Little high-level evidence was available. The results of studies reporting on 5 different devices/procedures were identified: the use of cut-resistant gloves/liners decreased the number of glove perforations in comparison with double latex gloves alone but lessened the wearer's dexterity and tactile sensation; the benefit derived from the use of the hands-free passing technique seemed equivocal; "sharpless surgery" was found to be feasible; a single-handed blade remover prevented at least as many injuries as a safety scalpel; and some shoe materials provided superior foot protection.<h4>Conclusion</h4>The lack of available evidence highlights the need for the generation of a methodologically rigorous, clinically relevant, and statistically valid body of primary research in this area to support appropriate and effective safety interventions. |
Keywords: | Humans Protective Devices Surgical Instruments Accidents, Occupational Operating Rooms |
Rights: | © 2010 Mosby, Inc. All rights reserved. |
DOI: | 10.1016/j.surg.2009.08.001 |
Published version: | http://dx.doi.org/10.1016/j.surg.2009.08.001 |
Appears in Collections: | Aurora harvest Surgery publications |
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