Esra USTA, Dilek AYGİN, Havva BOZDEMİR, Nursen UÇAR

Investigation of Preventive Practices for Surgical Fires and Burns in the Operating Rooms of Four Tertiary Hospitals Dilek Aygin1 , Esra Usta2 , Havva Bozdemir3 , Nursen Uçar4

Aim: The present study aimed to investigate surgical fires as well as the precautions taken in theprevention of fire in four training and research hospitals in the Western Black Sea Region and EasternMarmara Region.Method: The descriptive study was conducted with the participation of 148 nurses working in operatingrooms. A questionnaire structured by the researchers was used as the data collection tool. The datawas analyzed using the statistical program SPSS 21.0. Statistical comparisons were made using KruskallWallis, Mann Whitney U, Student t, Pearson Correlation and Chi-square tests. The confidence interval waspredetermined to be

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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.