Research Article
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Year 2018, Volume: 26 Issue: 3, 169 - 178, 26.10.2018

Abstract

References

  • Andsoy, I., Güngör, T., & Nabel E. (2014). Ameliyathane hemşirelerinin yangın güvenliğine karşı aldığı önlemlerin belirlenmesi: Karabuk ili örneği [Determination of measures that the operating nurses take for the fire safety: example of Karabük]. Journal of Contemporary Medicine, 2(2), 87–94.
  • Apfelbaum, J. L., Caplan, R. A., Barker, S. J., Connis, R. T., Cowles, C., Ehrenwerth, J., & Wolf, M. D. (2013). Practice advisory for the prevention and management of operating room fires: An updated report by the American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology, 118(2), 271–290.
  • Association of peri Operative Registered Nurses (AORN). (2005). AORN guidance statement: Fire prevention in the operating room. AORN Journal, 81(5), 1067–1075. http://dx.doi.org/10.1016/S0001-2092(06)60475-4
  • Balık, G., & Beceren, K. (2015). Hastane binalarının tasarımında yangın güvenliği. In A. Kılıç (Ed.), Fire safety symposium and exhibition- accommodation and healthcare (pp.1–6). İstanbul, Turkey: Türkiye Yangından Korunma ve Eğitim Vakfı.
  • Choudhry, A. J., Haddad, N. N., Khasawneh, M. A., Cullinane, D. C., & Zielinski, M. D. (2017). Surgical fire and operative burns: Less learned from a 33-year review of medical litigation. The American Journal of Surgery, 213(3), 558–564. http://dx.doi.org/10.1016/j.amjsurg.2016.12.006
  • Christiana Care Health System. (2017, March 20). Fire safety and fire risk assessment. Retrieved from https://christianacare.org/documents/firesafety/FireSafetyProcedure0510%20-%20firesafety.pdf
  • Coletto, K. D. (2016). Anesthesia providers’ knowledge and attitudes on fire risk assessment during time-out in the operating room (Doctoral dissertation, Depaul University, Chicago). Retrieved from http://via.library.depaul.edu/csh_etd/156
  • Crumière, P. P., Albaladejo, R., De Saint Maurice, G., Trabold, F., Mc Nelis, U., Boileau, S., & Bouaziz, H. (2012). Patient associated fire in theatre: Wre we ready to prevent and/or manage it? Assessment of the anaesthetist’s knowledge in Lorraine. Annales Françaises d’Anesthésie et de Réanimation, 31(10), 773–777. http://dx.doi.org/10.1016/j.annfar.2012.04.026
  • Davoodiantalab, A., Zadeh, F. A., Moshkani, M., Ahmad, S. P., Afshin, A., & Mofidi, A. (2012). Evaluation of awareness concerning fire prevention and control methods among personnel of operating room in a hospital. Journal of Health and Safety at Work, 2(2), 69–78.
  • Emergency Care Research Institute (ECRI). (2009). New clinical guide to surgical fire prevention. Patients can catch fire--here’s how to keep them safer. Health Devices, 38(10), 314–332.
  • Emergency Care Research Institute (ECRI). (2012). The top 10 health technology hazards for 2013. Health Devices, 41(11), 22–23.
  • Feldman, L. S., Fuchshuber, P., Jones, D. B., Mischna, J., & Schwaitzberg, S. D. (2012). Surgeons don’t know what they don’t know about the safe use of energy in surgery. Surgical Endoscopy, 26(10), 2735–2739. http://dx.doi.org/10.1007/s00464-012-2263-y.
  • Fisher, M. (2015). Prevention of surgical fires: A certification course for healthcare providers. American Association of Nurse Anesthetists Journal, 83(4), 271–274.
  • Guglielmi, C. L., Flowers, J., Dagi, T. F., Constantine, R. H., McKibban, T., Greenier, E. … Groah, L. K. (2014). Empowering providers to eliminate surgical fires. American Association of Nurse Anesthetists Journal, 100(4), 412–428. http://dx.doi.org/10.1016/j.aorn.2014.08.003
  • Hempel, S., Maggard-Gibbons, M., Nguyen, D. K., Dawes, A. J., Miake-Lye, I., … Shekelleet, P. G. (2015). Wrong-site surgery, retained surgical items, and surgical fires a systematic review of surgical never events. JAMA Surgery, 150(8), 796–805. http://dx.doi.org/10.1001/jamasurg.2015.0301
  • Hughes, A. B. (2013). Implementing AORN recommended practices for a safe environment of care. American Association of Nurse Anesthetists Journal, 98(2), 153–166. http://dx.doi.org/10.1016/j.aorn.2013.06.007
  • Jalali, H., Asl, E. B., Mehr, A. M., Pourafzali, S. M., & Ghasemi, M. (2016). Prevention and control of operating room fires: Knowledge of staff employed by selected hospitals of Isfahan University of Medical Sciences. Digital Medicine, 2(2), 52–56. http://dx.doi.org/10.4103/2226-8561.189506
  • Jones, S. B., Munro, M. G., Feldman, L. S., Robinson, T. N., Brunt, L. M., … Fuchshuber, R. P. (2017). Fundamental use of surgical energy (FUSE): An essential educational program for operating room safety. The Permanete Journal, 21, 16-50.
  • Kaye, A. D., Kolinsky, D., & Urman, R. D. (2014). Management of a fire in the operating room. J Anesth. , 28(2), 279–287. http://dx.doi.org/10.1007/s00540-013-1705-6
  • Kılıç, A. (2009). Hastanelerde yangın önlemleri ve hasta tahliyesi [Fire prevention and evacuation of patients in hospitals]. Yangın ve Güvenlik, 127, 8–12.
  • Mehta, S. P., Bhananker, S. M., Posner, K. L., & Domino, K. B. (2013). Operating room fires: A closed claims analysis. Anesthesiology, 118(5), 1133–1139. http://dx.doi.org/10.1097/ALN.0b013e31828afa7b
  • Mousavi, M. H., Dargahi, H., Hasibi, M., Mokhtari, Z., & Shaham, G. (2011). Evaluation of safety standards in operating rooms of Tehran University of Medical Sciences (TUMS) Hospitals in 2010. Journal of Payavard Salamat, 5(2), 10–17.
  • Pollock, G. S. (2004). Eliminating surgical fires: A team approach. American Association of Nurse Anesthetists Journal, 72(4), 293–298.
  • Rinder, C. S. (2008). Fire safety in the operating room. Current Opinion in Anesthesiology, 21(6), 790–795. http://dx.doi.org/10.1097/ACO.0b013e328318693a
  • Sarp, N., & İşlek, E. (2006). Hastane personelinin yangın konusunda bilgi düzeyinin saptanması [Determination of the level of knowledge of the hospital staff on fire]. Ulusal Afet Dergisi, 1(2), 97–102.
  • Şimşek, Z., Sezer, F. Ş. & Akıncıtürk, N. (2015). Sağlık yapılarında yangın güvenliği: Bursa örneği. Tesisat Mühendisliği, 150, 29–35.
  • Spruce, L. (2016). Back to basics: Preventing surgical fires. AORN Journal, 104(3), 217–224. http://dx.doi.org/10.1016/j.aorn.2016.07.002
  • The Joint Comission (TJC). (2003). Sentinel event alert, issue 29: Preventing surgical fires. Retrieved from https://www.jointcommission.org/assets/1/18/SEA_29.PDF
  • Türk Standartları Enstitüsü. (2015). TSE ISO/TS 11602-2 Yangından korunma taşınabilir ve tekerlekli yangın söndürücüler [Fire protection - Portable and wheeled fire extinguishers]. Ankara, Turkey: Author.
  • Umar, D. Ç. (2014). Ameliyathanede yangın güvenliği. In R. Öztürk, M. Günaydın, Ş. Esen, D. Perçin, T. Özbayır & D. Zenciroğlu (Eds.), 2. Ulusal Sterilizasyon Ameliyathane Dezenfeksiyon Kongresi kongre kitabı (pp. 228–234) Antalya, Turkey: Gülmat Matbaacılık.
  • Usta, E. (2013). Ameliyathanedeki cerrahi yangınlar ve yanıklarla başa çıkma yöntemleri [The methods of overcoming surgery fires and burns in operating room]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 29(3), 51–58.

Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals

Year 2018, Volume: 26 Issue: 3, 169 - 178, 26.10.2018

Abstract

Aim: The present study aimed to investigate surgical fires as well as the precautions taken in the prevention of fire in four training and research hospitals in the Western Black Sea Region and Eastern Marmara Region.

Method: The descriptive study was conducted with the participation of 148 nurses working in operating rooms. A questionnaire structured by the researchers was used as the data collection tool. The data was analyzed using the statistical program SPSS 21.0. Statistical comparisons were made using Kruskall Wallis, Mann Whitney U, Student t, Pearson Correlation and Chi-square tests. The confidence interval was predetermined to be <0.05.

Results: Of the nurses, the mean age was 35.00±5.88 years. Only one of the nurses had dealt with a surgical fire, but nearly half of the nurses (46.3%) referenced burns which their patients were exposed to during surgery. Regarding the prevalence of burns, 86.4% of the nurses who had faced burns defined it as a very rare situation.The mean score that the nurses obtained from the list of measures taken for the prevention of surgical fire and burns was 51.45±16.06 (min.-max.: 20-88) and their knowledge was determined to be moderate. 

Conclusions: The present study determined that most operating room nurses take some precautions for fire safety, but these are insufficient and lacking.

References

  • Andsoy, I., Güngör, T., & Nabel E. (2014). Ameliyathane hemşirelerinin yangın güvenliğine karşı aldığı önlemlerin belirlenmesi: Karabuk ili örneği [Determination of measures that the operating nurses take for the fire safety: example of Karabük]. Journal of Contemporary Medicine, 2(2), 87–94.
  • Apfelbaum, J. L., Caplan, R. A., Barker, S. J., Connis, R. T., Cowles, C., Ehrenwerth, J., & Wolf, M. D. (2013). Practice advisory for the prevention and management of operating room fires: An updated report by the American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology, 118(2), 271–290.
  • Association of peri Operative Registered Nurses (AORN). (2005). AORN guidance statement: Fire prevention in the operating room. AORN Journal, 81(5), 1067–1075. http://dx.doi.org/10.1016/S0001-2092(06)60475-4
  • Balık, G., & Beceren, K. (2015). Hastane binalarının tasarımında yangın güvenliği. In A. Kılıç (Ed.), Fire safety symposium and exhibition- accommodation and healthcare (pp.1–6). İstanbul, Turkey: Türkiye Yangından Korunma ve Eğitim Vakfı.
  • Choudhry, A. J., Haddad, N. N., Khasawneh, M. A., Cullinane, D. C., & Zielinski, M. D. (2017). Surgical fire and operative burns: Less learned from a 33-year review of medical litigation. The American Journal of Surgery, 213(3), 558–564. http://dx.doi.org/10.1016/j.amjsurg.2016.12.006
  • Christiana Care Health System. (2017, March 20). Fire safety and fire risk assessment. Retrieved from https://christianacare.org/documents/firesafety/FireSafetyProcedure0510%20-%20firesafety.pdf
  • Coletto, K. D. (2016). Anesthesia providers’ knowledge and attitudes on fire risk assessment during time-out in the operating room (Doctoral dissertation, Depaul University, Chicago). Retrieved from http://via.library.depaul.edu/csh_etd/156
  • Crumière, P. P., Albaladejo, R., De Saint Maurice, G., Trabold, F., Mc Nelis, U., Boileau, S., & Bouaziz, H. (2012). Patient associated fire in theatre: Wre we ready to prevent and/or manage it? Assessment of the anaesthetist’s knowledge in Lorraine. Annales Françaises d’Anesthésie et de Réanimation, 31(10), 773–777. http://dx.doi.org/10.1016/j.annfar.2012.04.026
  • Davoodiantalab, A., Zadeh, F. A., Moshkani, M., Ahmad, S. P., Afshin, A., & Mofidi, A. (2012). Evaluation of awareness concerning fire prevention and control methods among personnel of operating room in a hospital. Journal of Health and Safety at Work, 2(2), 69–78.
  • Emergency Care Research Institute (ECRI). (2009). New clinical guide to surgical fire prevention. Patients can catch fire--here’s how to keep them safer. Health Devices, 38(10), 314–332.
  • Emergency Care Research Institute (ECRI). (2012). The top 10 health technology hazards for 2013. Health Devices, 41(11), 22–23.
  • Feldman, L. S., Fuchshuber, P., Jones, D. B., Mischna, J., & Schwaitzberg, S. D. (2012). Surgeons don’t know what they don’t know about the safe use of energy in surgery. Surgical Endoscopy, 26(10), 2735–2739. http://dx.doi.org/10.1007/s00464-012-2263-y.
  • Fisher, M. (2015). Prevention of surgical fires: A certification course for healthcare providers. American Association of Nurse Anesthetists Journal, 83(4), 271–274.
  • Guglielmi, C. L., Flowers, J., Dagi, T. F., Constantine, R. H., McKibban, T., Greenier, E. … Groah, L. K. (2014). Empowering providers to eliminate surgical fires. American Association of Nurse Anesthetists Journal, 100(4), 412–428. http://dx.doi.org/10.1016/j.aorn.2014.08.003
  • Hempel, S., Maggard-Gibbons, M., Nguyen, D. K., Dawes, A. J., Miake-Lye, I., … Shekelleet, P. G. (2015). Wrong-site surgery, retained surgical items, and surgical fires a systematic review of surgical never events. JAMA Surgery, 150(8), 796–805. http://dx.doi.org/10.1001/jamasurg.2015.0301
  • Hughes, A. B. (2013). Implementing AORN recommended practices for a safe environment of care. American Association of Nurse Anesthetists Journal, 98(2), 153–166. http://dx.doi.org/10.1016/j.aorn.2013.06.007
  • Jalali, H., Asl, E. B., Mehr, A. M., Pourafzali, S. M., & Ghasemi, M. (2016). Prevention and control of operating room fires: Knowledge of staff employed by selected hospitals of Isfahan University of Medical Sciences. Digital Medicine, 2(2), 52–56. http://dx.doi.org/10.4103/2226-8561.189506
  • Jones, S. B., Munro, M. G., Feldman, L. S., Robinson, T. N., Brunt, L. M., … Fuchshuber, R. P. (2017). Fundamental use of surgical energy (FUSE): An essential educational program for operating room safety. The Permanete Journal, 21, 16-50.
  • Kaye, A. D., Kolinsky, D., & Urman, R. D. (2014). Management of a fire in the operating room. J Anesth. , 28(2), 279–287. http://dx.doi.org/10.1007/s00540-013-1705-6
  • Kılıç, A. (2009). Hastanelerde yangın önlemleri ve hasta tahliyesi [Fire prevention and evacuation of patients in hospitals]. Yangın ve Güvenlik, 127, 8–12.
  • Mehta, S. P., Bhananker, S. M., Posner, K. L., & Domino, K. B. (2013). Operating room fires: A closed claims analysis. Anesthesiology, 118(5), 1133–1139. http://dx.doi.org/10.1097/ALN.0b013e31828afa7b
  • Mousavi, M. H., Dargahi, H., Hasibi, M., Mokhtari, Z., & Shaham, G. (2011). Evaluation of safety standards in operating rooms of Tehran University of Medical Sciences (TUMS) Hospitals in 2010. Journal of Payavard Salamat, 5(2), 10–17.
  • Pollock, G. S. (2004). Eliminating surgical fires: A team approach. American Association of Nurse Anesthetists Journal, 72(4), 293–298.
  • Rinder, C. S. (2008). Fire safety in the operating room. Current Opinion in Anesthesiology, 21(6), 790–795. http://dx.doi.org/10.1097/ACO.0b013e328318693a
  • Sarp, N., & İşlek, E. (2006). Hastane personelinin yangın konusunda bilgi düzeyinin saptanması [Determination of the level of knowledge of the hospital staff on fire]. Ulusal Afet Dergisi, 1(2), 97–102.
  • Şimşek, Z., Sezer, F. Ş. & Akıncıtürk, N. (2015). Sağlık yapılarında yangın güvenliği: Bursa örneği. Tesisat Mühendisliği, 150, 29–35.
  • Spruce, L. (2016). Back to basics: Preventing surgical fires. AORN Journal, 104(3), 217–224. http://dx.doi.org/10.1016/j.aorn.2016.07.002
  • The Joint Comission (TJC). (2003). Sentinel event alert, issue 29: Preventing surgical fires. Retrieved from https://www.jointcommission.org/assets/1/18/SEA_29.PDF
  • Türk Standartları Enstitüsü. (2015). TSE ISO/TS 11602-2 Yangından korunma taşınabilir ve tekerlekli yangın söndürücüler [Fire protection - Portable and wheeled fire extinguishers]. Ankara, Turkey: Author.
  • Umar, D. Ç. (2014). Ameliyathanede yangın güvenliği. In R. Öztürk, M. Günaydın, Ş. Esen, D. Perçin, T. Özbayır & D. Zenciroğlu (Eds.), 2. Ulusal Sterilizasyon Ameliyathane Dezenfeksiyon Kongresi kongre kitabı (pp. 228–234) Antalya, Turkey: Gülmat Matbaacılık.
  • Usta, E. (2013). Ameliyathanedeki cerrahi yangınlar ve yanıklarla başa çıkma yöntemleri [The methods of overcoming surgery fires and burns in operating room]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 29(3), 51–58.
There are 31 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Dilek Aygin

Esra Usta

Havva Bozdemir

Nursen Uçar This is me

Publication Date October 26, 2018
Published in Issue Year 2018 Volume: 26 Issue: 3

Cite

APA Aygin, D., Usta, E., Bozdemir, H., Uçar, N. (2018). Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals. Florence Nightingale Journal of Nursing, 26(3), 169-178.
AMA Aygin D, Usta E, Bozdemir H, Uçar N. Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals. Florence Nightingale Journal of Nursing. October 2018;26(3):169-178.
Chicago Aygin, Dilek, Esra Usta, Havva Bozdemir, and Nursen Uçar. “Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals”. Florence Nightingale Journal of Nursing 26, no. 3 (October 2018): 169-78.
EndNote Aygin D, Usta E, Bozdemir H, Uçar N (October 1, 2018) Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals. Florence Nightingale Journal of Nursing 26 3 169–178.
IEEE D. Aygin, E. Usta, H. Bozdemir, and N. Uçar, “Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals”, Florence Nightingale Journal of Nursing, vol. 26, no. 3, pp. 169–178, 2018.
ISNAD Aygin, Dilek et al. “Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals”. Florence Nightingale Journal of Nursing 26/3 (October 2018), 169-178.
JAMA Aygin D, Usta E, Bozdemir H, Uçar N. Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals. Florence Nightingale Journal of Nursing. 2018;26:169–178.
MLA Aygin, Dilek et al. “Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals”. Florence Nightingale Journal of Nursing, vol. 26, no. 3, 2018, pp. 169-78.
Vancouver Aygin D, Usta E, Bozdemir H, Uçar N. Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals. Florence Nightingale Journal of Nursing. 2018;26(3):169-78.