Evidence map›Paper›PMID 40197374›Full record

ArticleBMC surgery2025

Analysis of the implementation effect of the operating room nursing safety management model based on Heinrich's law.

Yanru Wu, Mengmin Jing, Haiqin Yang, Juan Liu, Tiantian Zhang, Hui Zhu, Yajuan Yang, Chunyan Gao

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Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yanru Wu *Department of Anesthesiology, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Mengmin Jing *Department of ophthalmology, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Haiqin Yang *Department of Anesthesiology, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Juan LiuDepartment of Anesthesiology, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Tiantian ZhangDepartment of Anesthesiology, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Hui ZhuDepartment of Anesthesiology, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Yajuan YangNursing Department, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Chunyan GaoDepartment of Anesthesiology, Changzheng Hospital, Affiliated to Naval Military Medical University, 415 Fengyang Road, Shanghai, 200003, China. Gaochunyan2404@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study evaluates the clinical value of the operating room nursing safety management model based on Heinrich's law.

methodsA quasi-experimental design with a historical control group was conducted at Changzheng Hospital. A total of 240 surgical patients (pre-intervention: n = 120, December 2021-2022; post-intervention: n = 120, January-December 2023) were recruited via convenience sampling. The intervention included standardized protocols, mobile nursing systems, electronic specimen labeling, and equipment management. Quantitative outcomes were analyzed using χ² tests (adverse events), independent t-tests (nursing competency scores), and logistic regression (risk factors). Patient satisfaction was assessed via a validated self-report questionnaire.

resultsThe results showed a significant reduction in the incidence of operating room nursing safety accidents and a significant improvement in the specific nursing, identification, management of specimens, health education, safety awareness and operational skills of the nursing staff after the implementation of the operating room nursing safety management model based on Heinrich's law (P < 0.05).The management model implemented in the operating room had a positive impact on nursing safety, as evidenced by the significant improvement in patient satisfaction (P < 0.05). Logistic multifactorial regression analysis identified several key factors that affect nursing care safety in the operating room, including the nursing staff's business ability, legal awareness, the operating room environment, and the management system.

conclusionThe Heinrich's law-based model effectively enhances perioperative safety by reducing errors, improving nursing competency, and increasing patient satisfaction. Clinically, we recommend integrating standardized protocols with mobile alert systems, prioritizing staff training on legal and technical skills, and optimizing equipment workflows. Future studies should validate these findings in multicenter trials and assess long-term cost-effectiveness.

Indexed as

Operating Room NursingOperating RoomsPatient SafetySafety ManagementAdultAgedFemaleHumansMaleMiddle AgedPatient SatisfactionHeinrich's lawNursing safety managementNursing service qualityOperating room

Identifiers

PMID40197374
PMCPMC11974061

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.