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Background: The quality of surgical instrument cleaning can affect patient safety. Pre-treatment is a key step in cleaning. This study investigated the effect of quality control circle (QCC) activities on reducing the failure rate of surgical instrument pre-treatment.
Methods: A QCC with a topic of reducing the failure rate of surgical instrument pre-treatment was established within the central sterile supply department of our hospital in January 2023. The failure rates of surgical instrument pre-treatment before and after the QCC activities were compared after problem investigation, target setting, critical factor analysis, root cause validation, and development and implementation of countermeasures.
Results: The failure rate of surgical instrument pre-treatment decreased significantly from 2.9% (46/1568) to 1.1% (11/989) after the implementation of QCC activities, with a statistically significant difference (χ = 2157, < 0.001).
Conclusion: QCC activities provide a structured approach to analyzing the root causes of failures in surgical instrument pre-treatment and develop countermeasures, thereby improving the quality of instrument cleaning and ensuring patient safety. QCC activities could also improve team cohesion and develop staff's problem-solving skills.
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http://dx.doi.org/10.2147/RMHP.S520770 | DOI Listing |
Orv Hetil
September 2025
2 Szemészeti Klinika, Stadtspital Zürich Birmensdorferstrasse 497, CH-8063 Zürich Schweiz.
Acta Neurochir (Wien)
September 2025
Department of Neurosurgery, Kurume University School of Medicine 67, Asahimachi Kurume City, Fukuoka, 830-0011, Japan.
We report a 64-year-old woman who developed symptomatic vasospasm on postoperative day 7 after clipping of an unruptured right middle cerebral artery (MCA) aneurysm. Imaging revealed right MCA vasospasm, which resolved with oral antiplatelets and intravenous vasodilators. She was discharged without neurological deficits.
View Article and Find Full Text PDFMinerva Dent Oral Sci
September 2025
Division of Implant Prosthodontics, Department of Surgical Sciences, University of Genoa, Genoa, Italy.
Background: The purpose of the study is to evaluate the use of a magnetodynamic instrument (Magnetic Mallet, Metaergonomica, Turbigo, Milan, Italy) to perform a horizontal bone expansion in edentulous sites that need to be rehabilitated with a dental implant.
Methods: A sample of 15 patients, 11 men and 4 women, age between 39 and 78 years, was analyzed. A total of 18 conical-shaped implants with a diameter of 3.
JTCVS Open
August 2025
Division of Thoracic Surgery, Department of Surgery, Tufts Medical Center, Boston, Mass.
Objective: Current evaluation of robotic surgeon proficiency relies on subjective assessment. The robotic platform collects highly granular kinematic data on surgeon activity, known as objective performance indicators (OPIs). We sought to compare surgeon proficiency during lobectomies across training levels using OPIs.
View Article and Find Full Text PDFAnn Gastroenterol Surg
September 2025
Aim: The reasons behind the high prevalence of poorly differentiated gastric cancer in young females remain unclear. Therefore, this study aimed to conduct a comprehensive genetic analysis to investigate the factors responsible for the high prevalence of poorly differentiated gastric cancer in young females.
Methods: We analyzed 299 patients who underwent gastric cancer surgery at the Gunma University Hospital between April 2015 and December 2020.