Table 5.
Member of the team or entity involved in MSI
| Factor | Attributable | Prevent | ||||
|---|---|---|---|---|---|---|
| N | Percent | p value | N | Percent | p value | |
| Surgeon | 102 | 70.34% | < 0.001* | 16 | 11.03% | < 0.001* |
| Nurse | 24 | 16.55% | 0.469 | 96 | 66.21% | < 0.001* |
| Device company | 7 | 4.83% | 0.002* | 0 | 0% | – |
| Hosp. Adm | 7 | 4.83% | 0.002* | 0 | 0% | – |
| Technician | 1 | 0.69% | < 0.001* | 0 | 0% | – |
| Patient/family | 2 | 1.38% | < 0.001* | 3 | 2.07% | < 0.001* |
| Undetermined | 2 | 1.38% | < 0.001* | 30 | 20.69% | 0.278 |
In 70.34% of MSIs cases, the responsibility falls on the attending surgeon, such as breaking a suture needle and leaving it abandoned in the tissues or breaking a drill in the bone. In 24% of MSIs cases, the responsibility is attributable to the scrub nurse, such as the erroneous count of elements. An instrument that does not work properly can be attributed to the company that produces it or to the hospital administration in case of poor maintenance. Likewise, according to each case, it is possible to verify the member of the involved team that prevented a case of MSI from occurring, in these cases 66.21% is attributable to the scrub nurse or circulating nurse
N Number, Hosp. Admin. hospital administration, MSI missed surgical items
*t test significant for differences between MSI-preventing and attributable team members p ≤ 0.05