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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
Statement of
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.
RMID: 0020093676
DOI: 10.1016/j.surg.2009.08.001
Appears in Collections:Surgery publications

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