ArticleBMC health services research2019
Errors in packaging surgical instruments based on a surgical instrument tracking system: an observational study.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Evaluating the Ability of Multimodal Artificial Intelligence to Identify Endodontic Instruments: A Comparative Study of ChatGPT-4o and Gemini 3 Flash.Journal of clinical medicine · 2026Article
- Application of the quality control circle model to reduce non-conforming surgical instrument packaging and hospital-acquired infection risk: a pilot study.Frontiers in cellular and infection microbiology · 2026Article
- Evaluation of the Application Effectiveness of Defect Management Improvement Models in the Cleaning, Disinfection, and Packaging Management of Surgical Instruments in Central Sterile Supply Departments: A Before-After Study.Risk management and healthcare policy · 2026Article
- Effect of hazard analysis critical control points system in the assembly of reusable medical devices.Scientific reports · 2025Article
- Improving precision instrument cleaning with a quality control module: implementation and outcomes.Frontiers in public health · 2025Article
- Implementing '6S' Nursing Management in Sterilization and Supply Centers: Enhancing Surgical Instrument Quality and Work Efficiency.Risk management and healthcare policy · 2025Article
- Using the Task-Oriented Quality Control Circle to Build the Central Sterile Supply Department Quality Control System for Foreign Objects Remaining in Sterile Packages.Risk management and healthcare policy · 2025Article
- Article
- Application study of surgical instruments information management system in sports medicine specialty.Scientific reports · 2024Article
- Incidence of Adverse Events in Central Sterile Supply Department: A Single-Center Retrospective Study.Risk management and healthcare policy · 2023Article
- Optimising Complex Surgical Trays Based on PDSA Cycles.Journal of multidisciplinary healthcare · 2023Article
- Factors associated with deficiencies in packaging of surgical instrument by staff at a single center in China.BMC health services research · 2022Article
- The use of preoperative planning to decrease costs and increase efficiency in the OR.JSES international · 2022Article
- Measuring intraoperative surgical instrument use with radio-frequency identification.JAMIA open · 2022Article
- Research on the Factors Damaging Hydrogen Peroxide Low-Temperature Plasma Sterile Packaging Bags and the Control of Link Quality.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- The Perception of Nursing Professionals Working in a Central Sterile Supplies Department regarding Health Conditions, Workload, Ergonomic Risks, and Functional Readaptation.Advances in preventive medicine · 2022Article
- [Implementation of a quality management system in a central sterilization unit: experience in the Hospital Tahar Sfar, Mahdia, Tunisia].The Pan African medical journal · 2021Article
- Streamlining workflows and redesigning job roles in the theatre sterile surgical unit.BMJ open quality · 2019Article
- Establishing Nursing-Sensitive Quality Indicators for the Central Sterile Supply Department: A Modified Delphi Study.Quality management in health careArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundSurgical instrument processing is important for improving the safety of surgical care in hospitals. However, it has been rarely studied to date. Errors in surgical instrument processing may increase operative times and costs, and increase the risk of surgical infections and perioperative morbidity. We aimed to investigate the errors occurred in packaging surgical instruments.
methodsSurgical instrument tracking system in a central sterile supply department (CSSD) was used to collect the packaging data during January-August 2016 in the First Affiliated Hospital of Soochow University, Suzhou City, China.
resultsData on 33,839 surgical instrument packages were collected. A total of 398 (1.18%) errors occurred, including incomplete packages (n = 70), instrument missing (n = 77), instrument malfunction (n = 27), instrument in wrong specification (n = 175), wrong packaging tag (n = 8), box and cover mismatched (n = 14), wrong packing material (n = 15), indicator card missing (n = 6), and wrong count of instruments (n = 6). The highest error rates were observed among least experienced nurses (N1 level) and during the 16:00-20:00 time period (both p < 0.05). A relatively high error rate was detected in the Department of Orthopedics as well as in the Department of Gynecology and Obstetrics.
conclusionWrong instrument specifications were the primary packing error identified in the current study. Further effort is needed to standardize the packing procedure for instruments under the same category and more effort is required to reduce the error rate during high risk times, or in the surgery department.
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