Print Email Facebook Twitter Where are my instruments? Hazards in delivery of surgical instruments Title Where are my instruments? Hazards in delivery of surgical instruments Author Guédon, A.C.P. Wauben, L.S.G.L. Van der Eijk, A.C. Vernooij, A.S.N. Meeuwsen, F.C. Van der Elst, M. Hoeijmans, V. Dankelman, J. Van den Dobbelsteen, J.J. Faculty Mechanical, Maritime and Materials Engineering Department Biomechanical Engineering Date 2015-10-20 Abstract Background Unavailability of instruments is recognised to cause delays and stress in the operating room, which can lead to additional risks for the patients. The aim was to provide an overview of the hazards in the entire delivery process of surgical instruments and to provide insight into how Information Technology (IT) could support this process in terms of information availability and exchange. Methods The process of delivery was described according to the Healthcare Failure Mode and Effects Analysis methodology for two hospitals. The different means of information exchange and availability were listed. Then, hazards were identified and further analysed for each step of the process. Results For the first hospital, 172 hazards were identified, and 23 of hazards were classified as high risk. Only one hazard was considered as ‘controlled’ (when actions were taken to remove the hazard later in the process). Twenty-two hazards were ‘tolerated’ (when no actions were taken, and it was therefore accepted that adverse events may occur). For the second hospital, 158 hazards were identified, and 49 of hazards were classified as high risk. Eight hazards were ‘controlled’ and 41 were ‘tolerated’. The means for information exchange and information systems were numerous for both cases, while there was not one system that provided an overview of all relevant information. Conclusions The majority of the high-risk hazards are expected to be controlled by the use of IT support. Centralised information and information availability for different parties reduce risks related to unavailability of instruments in the operating room. Subject surgical instrumentssafetyrisk analysisinformation technologylogistics To reference this document use: http://resolver.tudelft.nl/uuid:e54b829b-95d7-426d-8c7b-07d834b5edd5 Publisher Springer ISSN 0930-2794 Source https://doi.org/10.1007/s00464-015-4537-7 Source Surgical Endoscopy, 2015 Part of collection Institutional Repository Document type journal article Rights (c) 2015 The Author(s)This article is published with open access at Springerlink.com Files PDF Guedon_2015.pdf 637.25 KB Close viewer /islandora/object/uuid:e54b829b-95d7-426d-8c7b-07d834b5edd5/datastream/OBJ/view