Impact of staff turnover during cardiac surgical procedures.

Published on Nov 30, 2019in The Journal of Thoracic and Cardiovascular Surgery5.261
· DOI :10.1016/j.jtcvs.2019.11.051
Jordan P. Bloom4
Estimated H-index: 4
(Harvard University),
Philicia Moonsamy3
Estimated H-index: 3
(Harvard University)
+ 7 AuthorsDavid A. D'Alessandro19
Estimated H-index: 19
(Harvard University)
Abstract Objective The impact of staff turnover during cardiac procedures is unknown. Accurate inventory of sharps (needles/blades) requires attention by surgical teams and sharp count errors (SCEs) result in delays, can lead to retained foreign objects and may signify communication breakdown. We hypothesized that increased team turnover raises the likelihood of SCEs and may negatively affect patient outcomes. Methods All cardiac operations performed at our institution from May 2011 to March 2016 were reviewed for SCEs from a prospectively maintained database. Univariate and multivariable analyses were performed. Results Among 7,264 consecutive cardiac operations, SCEs occurred in 723 (10%) cases. There were no retained sharps detected by x-ray in our series. SCE rates were lower on first start cases (7.7% vs. 10.7%, p Conclusion SCEs are more prevalent with increased team turnover and during non-first start cases or weekends. SCEs may be a surrogate marker for other errors and thus increased mortality. Reducing intraoperative team turnover or optimizing handoffs may reduce SCEs.
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