Suture Needle Injuries During Wound Closure: Examining Sources of Distraction in the OR
- 28 May 2021
- journal article
- research article
- Published by Wiley in AORN Journal
- Vol. 113 (6), 586-594
- https://doi.org/10.1002/aorn.13400
Abstract
Despite focus on prevention of needlestick injuries, intraoperative injuries involving suture needles have increased in the past two decades. When interruptions occur during surgery, a practitioner’s focus is disengaged, creating an “error space;” re-engagement of the practitioner takes exponentially longer as each subsequent interruption occurs during the procedure. Human factors studies focus on the interaction between individuals and the environment in which they work (eg, processes, equipment). Researchers use a human factors approach to understand distractions during surgery. Using this methodology, wound closure is viewed as a standalone process and the effect of distractions and interruptions on suture needle injuries is examined. Competing priorities combined with interruptions present opportunities for altered situational awareness, which can lead to injury. This article redefines wound closure as a vulnerable time with great potential for error—a time during which distractions and interruptions can lead to suture needle injuries and other unexpected outcomes.Keywords
This publication has 13 references indexed in Scilit:
- Identifying workflow disruptions in the cardiovascular operating roomAnaesthesia, 2016
- Understanding the hospital sharps injury reporting pathwayAmerican Journal of Industrial Medicine, 2014
- Implementing AORN Recommended Practices for Sharps SafetyAORN Journal, 2013
- Blunt versus sharp suture needles for preventing percutaneous exposure incidents in surgical staffEmergencias, 2011
- Increase in Sharps Injuries in Surgical Settings Versus Nonsurgical Settings After Passage of National Needlestick LegislationAORN Journal, 2011
- Underreporting of blood and body fluid exposures among health care students and trainees in the acute care setting: A 2007 surveyAmerican Journal of Infection Control, 2011
- Fatigue Increases the Risk of Injury From Sharp Devices in Medical Trainees Results From a Case-Crossover StudyInfection Control & Hospital Epidemiology, 2007
- AORN Guidance Statement: Sharps Injury Prevention in the Perioperative SettingAORN Journal, 2005
- Preventing sharps injuries in the operating room1Journal of the American College of Surgeons, 2004
- A Study of Patterns and Prevention of Blood Exposures in OR PersonnelAORN Journal, 1998