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Oscillating saw injuries during removal of plaster
M Z Ansari1, S Swarup, R Ghani
1Alexandra Healthcare NHS Trust, Redditch, Worcestershire, UK.
Summary
Oscillating circular saws used for plaster cast removal can cause patient injuries like abrasions and burns. Inexperienced users and blunt blades were identified as key causes, prompting new safety protocols at Alexandra Hospital.
Area of Science:
- Orthopedics
- Patient Safety
- Medical Device Safety
Background:
- Plaster cast removal using oscillating circular saws is a common procedure.
- Recent trends indicated an increase in patient injuries, including abrasions and burns, associated with this procedure.
- Patient compensation claims highlighted the need for a formal investigation into injury incidence.
Purpose of the Study:
- To determine the incidence of injuries during plaster cast removal by oscillating circular saw at Alexandra Hospital.
- To identify the causes of these injuries.
- To recommend measures for preventing future patient harm and potential litigation.
Main Methods:
- A retrospective review of patient records from the plaster room was conducted.
- Data collection spanned a 12-month period (1995-96).
- The study analyzed the number of plaster casts removed and the types and frequency of injuries sustained.
Main Results:
- A total of 3875 plaster casts were removed over the 12-month study period.
- 28 patients (0.72%) experienced skin injuries, primarily abrasions or burns.
- Identified causes included operator inexperience and the use of blunt saw blades.
Conclusions:
- The incidence of oscillating saw injuries during plaster cast removal necessitates strict safety protocols.
- Implementing protocols for user training and saw maintenance is crucial for patient safety.
- Established protocols aim to minimize patient injury and reduce hospital liability.
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