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Related Experiment Videos

Double gloving and practice attitudes among surgeons.

Ronald L St Germaine1, John Hanson, Christopher J de Gara

  • 1Department of Surgery, Division of General Surgery, University of Alberta, Edmonton, Alberta, Canada.

American Journal of Surgery
|February 1, 2003
PubMed
Summary

Most surgeons do not practice double gloving, a key safety measure against blood exposure. Providing evidence of efficacy rarely changes their behavior, highlighting a gap in adopting safety protocols.

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Area of Science:

  • Medical Safety
  • Surgical Practices
  • Infectious Disease Prevention

Background:

  • Surgeons face risks from blood and body fluid exposure during operations.
  • Double gloving is a recommended safety measure to mitigate these risks.
  • A significant number of surgeons do not consistently use double gloving.

Purpose of the Study:

  • To evaluate the current double gloving practices among surgeons.
  • To assess surgeons' hepatitis B immunization status.
  • To determine the impact of safety evidence on adoption of double gloving.

Main Methods:

  • A questionnaire was distributed to consultant surgeons and residents in the Capital Health region.
  • A follow-up questionnaire was sent to non-double gloving general surgeons to assess practice change after receiving safety information.

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  • Response rate for the initial survey was 63.4%.

    • Main Results:

    • 57% of respondents reported not double gloving, with significant variation by specialty (e.g., 0% of urologists vs. 87% of orthopedic surgeons).
    • Decreased manual dexterity was the most common reason cited for not double gloving (46%).
    • While 97% are immunized for hepatitis B, only 23% of general surgeons who received safety evidence indicated they would change their practice.

    Conclusions:

    • The majority of surgeons and residents do not adhere to double gloving recommendations.
    • Providing evidence on the efficacy of safety measures has a limited impact on surgeons' adoption of double gloving practices.