Abstract Issue

Volume 12 Issue 2 ( April- June) 2023

Original Articles

Effects of poor-quality surgical instruments on patient safety and surgeons mental health
Dr. Yamini S. Sorate, Dr. Ameya Wagh, Dr. Harshal A. Chohatkar, Dr. Shridhar Radhakrishnan, Dr. Anuja Redkar

Background: Surgical decisions, particularly those involving patient health, have been re-examined in light of the recent rise in malpractice lawsuits in India and elsewhere. The first step in figuring out the frequency and pattern of these issues is to collect data on commonly occurring incidences of instrument breakdown or malfunction during operations, as these occurrences are commonly under-reported and unappreciated concerns. So, this present study was conducted with an aim to assess the effects of poor-quality surgical instruments on patient safety and surgeon's mental health. Methods: The present study was web-based cross-sectional study conducted in the Department of General Surgery at a Tertiary care hospital of North Maharashtra, over a period of 1 month. A pre-tested questionnaire was used with both open and close ended questions to capture the surgeon’s responses. The surgeons were approached and recruited through social networking websites (Facebook, Twitter and Whatsapp). The participants were given a week’s time to voluntarily complete the questionnaire and those does not respond back to the questionnaire with in defined time and reminders were declared as drop outs and were not included in the data analysis. Results: In our study, a total of 476 completely filled responses was received. Most of the surgeons in our study were General surgeons (38.4%), Orthopaedic surgeons (14.2%) and Superspecialists (26.1%). The working experience among 42.7% of surgeons was <5 years and 23.1% surgeons were having work experience between 5-10 years. The surgeons were also asked about the issues they face due to dysfunctional surgical instruments. It was observed that fatigue (Mental and physical) was reported by 71.2% of surgeons, Irritation and loss of concentration was seen in 92.0% and 56.1% of surgeons respectively. To improve the quality of surgical instruments the surgeons suggested use of personal set of instruments (38.2%), Preventive maintenance audits (64.3%), Gentle and careful handling (58.0%), Feedback to manufacturers and dealers (42.5%), and increasing the supply of instruments (50.5%). Conclusion: Poor surgical instruments quality control results in the use of subpar instruments that malfunction and break. Although using such tools was associated with a low frequency of severe damage, the results can be disastrous.

 
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