Evidence for the clinical standards
- Reason J. Safety in the operating theatre – Part 2: Human error and organisational failure. BMJ Qual Saf 2005:14;56–60 [cited 2017 September]. Available from: PMCID: PMC1743973
- NSW Health. PD2013_054. Management of instruments, accountable items and other items used for surgery or procedures [Internet]. Sydney: NSW Health Department; 2013 [cited 2017 September]. Available from: www1.health.nsw.gov.au/pds/ ActivePDSDocuments/PD2013_054.pdf
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National Safety and Quality Health Service Standards. 2nd ed. Sydney: ACSQHC; 2017. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards
- Staunton P, Chiarella M. Nursing and the law. 5th ed. Sydney: Churchill Livingstone; 2003.
- Denholm B. Clinical issues: Counting miscellaneous items, counting during organ procurement, counting for sequential procedures; influenza vaccine; reprocessing. AORN J 2006;83(1):231–239 [cited 2007 November 12]. Formerly available from: www.aorn.org/ journal/2006/janci.htm
- Kaiser CW, Friedman S, Spurling KP, Slowick T, Kaiser HA. The retained surgical sponge. Ann Surg 1996;224(1):79– 84. DOI: 10.1097/00000658-199607000-00012
- Victorian Surgical Consultative Council (VSCC). Fatigue during long operations: VSCC guidelines [Internet]. Melbourne: VSCC; 2005 [cited 2007 November 12]. Formerly available from: www.health.vic.gov.au/vscc/ downloads/immediate-counselling-surgeons.pdf
- Standards Australia. AS 4369.1: 1996 (withdrawn). Surgical dressings. Part 1: Single use x-ray detectable abdominal sponges. Sydney: Standards Australia; 1996.
- Standards Australia. AS 4369.2:1996 (withdrawn). Surgical dressings. Part 2: General purpose single use woven gauze swabs. Sydney: Standards Australia; 1996.
- Knepil GJ, Blackburn CW. Retained throat packs: Results of a national survey and the application of an organisational accident model. Br J Oral Maxillofac Surg 2008;46(6);473–476. DOI: 10.1016/j.bjoms.2008.02.005
- World Alliance for Patient Safety. Implementation manual surgical safety checklist. 1st ed. Geneva: World Health Organization; 2008 [cited 2020 March 11]. Available from: www.who.int/ patientsafety/safesurgery/tools_resources/ SSSL_Manual_finalJun08.pdf
- Najjar MF, Kimpson J. A method for preventing throat pack retention. Anesth Analg 1995;80(1):208–209. DOI: 10.1097/00000539-199501000-00041
- Stone JP, Collyer J. Aide-memoir to pharyngeal pack removal. Anesth Analg 2003;96(1):304. DOI: 10.1097/00000539-200301000-0006
- Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003;348(3):229–235. DOI: 10.1056/NEJMsa021721
- Norton EK, Martin C, Micheli AJ. Patients count on it: An initiative to reduce incorrect counts and prevent retained surgical items. AORN J 2012;95(1):109–121. DOI: 10.1016/j.aorn.2011.06.007
- Occupational Health and Safety Administration (OHSA). Anaesthetic gases: Guidelines for workplace exposure [Internet]. Washington DC: OHSA; 2000 [cited 2020 March 1]. Available from: www.osha.gov/dts/osta/ anestheticgases
- Barker JP, Abdelatti MO. Anaesthetic pollution: Potential sources, their identification and control. Anaesthesia 1997;52(11):1077–1083. DOI: 10.1111/j.1365-2044.1007.224-az0359.x
- Safe Work Australia. Guidance on the interpretation of workplace exposure standards for airborne contaminants. [Internet]. Canberra: Safe Work Australia; 2013 [cited 2020 March 1]. Available from: www.safeworkaustralia.gov.au/system/files/ documents/1705/guidance-interpretation-workplace-exposure-standards-airborne-contaminants-v2.pdf
- Australian and New Zealand College of Anaesthetists (ANZCA). PS31 Guidelines on checking anaesthesia delivery systems [Internet]. Melbourne: ANZCA; 2014 [cited 2020 March 1]. Available from: www.anzca.edu. au/documents/ps31-2014-guidelines-on-checking-anaesthesia-deliv.pdf
- Morgan GE, Mikhail MS, Murray, MJ. Clinical Anaesthesiology. 4th ed. New York: Lange/McGraw-Hill; 2005.
- Standards Australia. AS 1668 Set-2016 The use of ventilation and air conditioning in buildings Set. Sydney: Standards Australia; 2016.
- Standards Australia. AS/NZS 1668.1:2015/Amdt 1:2018 The use of ventilation and air conditioning in buildings Fire and smoke control in buildings. Sydney: Standards Australia; 2018.
- Australian and New Zealand College of Anaesthetists (ANZCA). PS55 Recommendations on minimum facilities for safe adminsitration of anaesthesia in operating suites and other anaesthetising locations [Internet]. Melbourne: ANZCA; 2012 [cited 2020 March 1]. Available from: www.anzca.edu.au/ documents/ps55- 2012-recommendations-on-minimum-facilities-fo.pdf
- Australian and New Zealand College of Anaesthetists (ANZCA). PS8 Statement on the assistant for the anaesthetist [Internet]. Melbourne: ANZCA; 2016 [cited 2020 March 1]. Available from: www.anzca.edu.au/ documents/ps08-2015-statement-on-the-assistant-for-the-anaes.pdf
- Safety data sheets (SDSs). Available from: www.safeworkaustralia.gov.au/sds
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Antimicrobial stewardship in Australian health care [Internet]. Sydney: ACSQHC; 2018 [cited 2020 February 6] Available from: www.safetyandquality. gov.au/sites/default/files/migrated/AMS-Cover- Contents-and-Acknowledgements-Antimicrobial- Stewardship-in-Australian-Health-Care-2018.pdf
- Wilcock M, Powell N, Underwood F. Antimicrobial stewardship and the hospital nurse and midwife: How do they perceive their role? Eur J Hosp Pharm 2019;26(2):89–92. DOI: 10.1136/ejhpharm-2017-001312
- Olans RN, Olans, RD, DeMaria A Jr. The critical role of the staff nurse in antimicrobial stewardship-unrecognized, but already there. Clin Infect Dis 2016;62(1):84–89. DOI: 10.1093/cid/civ697
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Antimicrobial stewardship clinical care standard [Internet]. Sydney: ACSQHC; 2014 [cited 2020 March 6]. Available from: www.safetyandquality.gov. au/our-work/clinical-care-standards/antimicrobial-stewardship-clinical-care-standard
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards. Sydney: ACQSHC; 2017. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare. Canberra: NHMRC; 2019. Available from: https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Centers for Disease Control and Prevention (CDC). Antibiotic/antimicrobial resistance: Biggest threats [Internet]. Atlanta: CDC; 2019 [cited 2020 February 6]. Available from: www.cdc.gov/drugresistance/biggest_ threats.html
- International Council of Nurses (ICN). Position statement: Antimicrobial resistance. [Internet]. Geneva: ICN; 2017 [cited 2020 February 6]. Available from: www.icn.ch/sites/default/files/inline-files/ICN_PS_ Antimicrobial_resistance.pdf
- South Australian Expert Advisory Group on Antimicrobial Resistance (SAAGAR) for SA Health. Surgical antimicrobial prophylaxis clinical guideline policy no.: CG269. Version 2. [Internet]. Adelaide: SAAGAR; 2017 [cited 2020 February 6]. Available from: www.sahealth.sa.gov.au/wps/wcm/ connect/6bb523804358edbd883b9ef2cadc00ab/ Surgical+Antimicrobial+Prophylaxis_v2.0_23112017. pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE- 6bb523804358edbd883b9ef2cadc00ab-mMHP6uy
- World Health Organization (WHO). Antibiotic resistance [Internet]. Geneva: WHO; 2018 [cited 2020 March 5]. Available from: www.who.int/ antimicrobial-resistance/en/
- World Health Organization (WHO). Antimicrobial resistance global report on surveillance [Internet]. Geneva: World Health Organization; 2014 [cited 2020 February 6]. Available from: https://www.who.int/antimicrobial-resistance/publications/surveillancereport/en/
- Communicable Diseases Network of Australia. Towards a nationally consistent public health response to multi-drug resistant organisms. A communicable diseases network of Australia discussion paper. [Internet]. Australian Group on Antimicrobial Resistance; 2019 [cited 2020 February 6]. Available from: http://agargroup.org.au/wp-content/uploads/2017/09/July-2017-21.4.2.-CDNA-MRO-discussion-Paper-for-consultation.pdf
- Government of the United Kingdom. Tackling drug-resistant infections globally: Final report and recommendations [Internet]. London: Government of UK; 2016 [cited 2020 February 6]. Available from: http://researchbriefings.files.parliament.uk/documents/LLN-2016-0044/LLN-2016-0044.pdf
- Mitchell BG, Shaban RZ, MacBeth D, Wood CJ, Russo PL. The burden of healthcare-associated infection in Australian hospitals: A systematic review of the literature. Infect Dis Health 2017;22(3):117–128. DOI: 10.1016/j.idh.2017.07.001
- Russo PL, Stewardson AJ, Cheng AC, Bucknall T, Mitchell BG. The prevalence of healthcare associated infections among adult inpatients at nineteen large Australian acute-care public hospitals: A point prevalence survey. Antimicrob Resist Infect Control 2019;8(1):114 DOI: 10.1186/s13756-019-0570-y
- Australian Commission on Safety and Quality in Health Care (ACSQHC). AURA 2016: First Australian report on antimicrobial use and resistance in human health [Internet]. Sydney: ACSQHC; 2016 [cited 2020 February 6]. Available from: https://www.safetyandquality.gov.au/publications-and-resources/resource-library/aura-2016-first-australian-report-antimicrobial-use-and-resistance-human-health-summary-report
- American Nurses Association (ANA) and Centers for Disease Control and Prevention (CDC). Redefining the antibiotic stewardship team: Recommendations from the American Nurses Association/Centers for Disease Control and Prevention Workgroup on the role of registered nurses in hospital antibiotic stewardship practices. Silver Spring, MD: ANA; 2017
- Therapeutic Guidelines Ltd. Antibiotic. North Melbourne: Therapeutic Guidelines Ltd; 2019
- Antonioli P, Formaglio A, Gamberoni D, Bertoni L, Perrone P. Stefanati A et al. Hospital discharge in patients at risk of surgical site infection: Antimicrobial stewardship at Ferrara University hospital, Italy. J Prev Med Hyg 2018;59(2):E139–E144
- Department of Health. Responding to the threat of antimicrobial resistance: Australia’s first national antimicrobial resistance strategy 2015–2019 [Internet]. Canberra: Department of Health; 2015 [cited 2020 February 6]. Available from: www.amr.gov.au/ resources/national-amr-strategy
- European Centre for Disease Prevention and Control. EU guidelines for the prudent use of antimicrobials in human health [Internet]. Brussels: European Commission; 2017 [cited 2020 February 6]. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:52017XC0701(01)
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Preventing and controlling healthcare-associated infection standard [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 20]. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Medication safety standard [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 20]. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards/medication-safety-standard
- Australian Commission on Safety and Quality in Health Care (ACSQHC). AURA 2019: Third Australian report on antimicrobial use and resistance in human health [Internet]. Sydney: ACSQHC; 2019 [cited 2020 March 6]. Available from: https://www.safetyandquality.gov.au/sites/default/files/2019-06/AURA-2019-Report.pdf
- Association of periOperative Registered Nurses (AORN). AORN guidelines for perioperative practice 2019. Denver, CO: AORN Inc; 2019.
- Wood A. Updates to the AORN evidence rating model. AORN J 2019;110(1):5–8. DOI: 10.1002/aorn.12744
- Campbell TJ, Decloe M, Gill S, Ho G, McCready J, Powis J. Every antibiotic, every day: Maximizing the impact of prospective audit and feedback on total antibiotic use. E Plos One 2017;12(5):e0178434. DOI: 10.1371/journal.pone.0178434
- Zukowski CM. Antimicrobial stewardship and patient safety. AORN J 2016;104(4):354–356. DOI: 10.1016/j.aorn.2016.08.002
- Edwards R, Drumright L, Holmes A, Kiernan M. Covering more territory to fight resistance: Considering nurses’ role in antimicrobial stewardship. J Infect Prev 2011;12(1):6–10. DOI: 10.1177/1757177410389627
- De Jonge SW, Gans SL, Atema JJ, Solomkin JS, Dellinger PE, Boermeester MA. Timing of preoperative antibiotic prophylaxis in 54,552 patients and the risk of surgical site infection: A systematic review and meta-analysis. Medicine 2017;96(29):e6903. DOI: 10.1097/MD.0000000000006903
- Carter EJ, Greendyke WG, Furuya EY, Srinivasan A, Shelley AN, Bothra A et al. Exploring the nurses’ role in antibiotic stewardship: A multisite qualitative study of nurses and infection preventionists. Am J Infect Control 2018;46(5):492–497. DOI: 10.1016/j.ajic.2017.12.016
- National Health and Medical Research Council (NHMRC). Australian Guidelines for the Prevention and Control of Infection in Healthcare [Internet]. Commonwealth of Australia; 2019 [cited 2020 February 18]. Available from https://nhmrc.govcms. gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Russo PL, Stewardson AJ, Cheng AC, Bucknall T, Mitchell BG. The prevalence of healthcare associated infections among adult inpatients at nineteen large Australian acute-care public hospitals: A point prevalence survey. Antimicrob Resist Infect Control 2019;8(1):114. DOI: 10.1186/s13756-019-0570-y
- Owens CD, Stoessel K. Surgical site infections: Epidemiology, microbiology and prevention. J Hosp Infect 2008;70(Suppl 2):3–10. DOI: 10.1016/S0195-6701(08)60017-1
- Cooper RA (2013). Surgical site infections: epidemiology and microbiological aspects in trauma and orthopaedic surgery. Int Wound J 2013;10(Suppl 1):3–8. DOI: 10.1111/iwj.12179
- MacFie J. Surgical sepsis. Br J Surg 2013;100(9):1119– 1122. DOI: 10.1002/bjs.9155_1
- Saito Y, Kobayashi H, Uetera Y, Yasuhara H, Kajiura T, Okubo T. Microbial contamination of surgical instruments used for laparotomy. Am J Infect Control 2014;42(1):43–47. DOI: 10.1016/j.ajic.2013.06.022
- Thompson SM, Middleton M, Farook M, Cameron- Smith A, Bone S, Hassan A. The effect of sterile versus non-sterile tourniquets on microbiological colonisation in lower limb surgery. Ann R Coll Surg Engl 2011;93(8):589– 590. DOI: 10.1308/147870811X13137608455334
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National Safety and Quality Health Service Standards, Standard 1 Governance for Safety and Quality in Health Service Organisations [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 1]. Available from https://www.safetyandquality.gov.au/our-work/clinical-governance/clinical-governance-standard
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National Safety and Quality Health Service Standards, Standard 3 Preventing and Controlling Healthcare Associated Infections [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 1]. Available from https://www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard
- Rowley S, Clare S, Macqueen S, Molyneaux R. ANTT v2: An updated practice framework for aseptic technique. Br J Nurs (Intravenous Suppl) 2010;19(5):S5–S11. Available from: https://doi.org/10.12968/bjon.2010.19.Sup1.47079
- Von Woedtke T, Kramer A. The limits of sterility assurance. GMS Krankenhhyg Interdiszip 2008;3(3):Doc 19. PMCID: PMC2831250
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National Safety and Quality Health Service Standards [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 1]. Available from: www.safetyandquality.gov.au/standards/nsqhs-standards
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Aseptic technique risk matrix [Internet]. Sydney: ACSQHC; 2018 [cited 2020 March 1]. Available from: www.safetyandquality.gov.au/publications-and-resources/resource-library/nsqhs-standards-aseptic-technique-risk-matrix
- Clark RP, DeCalcina-Goff ML. Some aspects of the airborne transmission of infection. J R Soc Interface 2009;6(Suppl 6):S767–S782. DOI: 10.1098/rsif.2009.0236.focus
- Standards Australia. AS 3789.3:1994. Textiles for health care facilities and institutions – apparel for operating theatre staff. Canberra: Standards Australia; 1994 [cited 2014 February 18]. Available from: https://www.standards.org.au/standards-catalogue/sa-snz/manufacturing/tx-015/as--3789-dot-3-1994
- Harder EE, Gaies MG, Yu S, Donohue JE, Hanauer DA, Goldberg CS et al. Risk factors for surgical site infection in pediatric cardiac surgery patients undergoing delayed sternal closure. J Thorac Cardiovasc Surg 2013;146(2):326–333. doi: 10.1016/j.jtcvs.2012.09.062
- Bonnevialle N, Geiss L, Cavali L, Ibnoulkhatib A, Verdeil X, Bonnevialle P. Skin preparation before hip replacement in emergency setting versus elective scheduled arthroplasty: Bacteriological comparative analysis. Orthop Traumatol Surg Res 2013;99(6):659–665. DOI: 10.1016/j.otsr.2013.04.004
- Beldame J, Lagrave B, Lievain L, Lefebvre B, Frebourg N, Dujardin F. Surgical glove bacterial contamination and perforation during total hip arthroplasty implantation: When gloves should be changed. Orthop Traumatol Surg Res 2012;98(4):432–440. DOI: 10.1016/j.otsr.2011.10.015
- Alrabaa S. Early identification and control of carbapenemase-producing Klebsiella pneumoniae, originating from contaminated endoscopic equipment. Am J Infect Control 2013;41(9):850. DOI: 10.1016/j.ajic.2013.03.001
- Kovaleva J, Peters FTM, Van der Mei HC, Degener JE. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Rev 2013;26(2):231–254. DOI: 10.1128/CMR.00085-12
- Wixtrom RN, Stutman RL, Burke RM, Mahoney AK, Codner MA. Risk of breast implant bacterial contamination from endogenous breast flora, prevention with nipple shields, and implications for biofilm formation. Aesthet Surg J 2012;32(8):956–963. DOI: 10.1177/1090820X12456841
- Adams JS, Korniewicz DM, El-Masri MM. A descriptive study exploring the principles of asepsis techniques among perioperative personnel during surgery. Can Oper Room Nurs J 2011;29(4):6–8,14–6,21–4.
- Yang TY, Henry L, Dellinger M, Yonish K, Emerson B, Seifert PC. The circulating nurse’s role in error recovery in the cardiovascular OR. AORN J 2012;95(6):755–762. DOI:10.1016/j.aorn.2011.09.022.
- Standards Australia. AS/NZS 4187:2014 Reprocessing of reusable medical devices in health service organisations. Canberra: Standards Australia; 2014.
- Gandham S, McNicholas M. Maintaining the sterility of the mobile C-arm during intramedullary nailing. Oper Tech Orthop 2014;29(2):99–101. doi: 10.1097/BTO.0b013e318290874f
- Rutala WA, Weber DJ. Disinfectants used for environmental disinfection and new room decontamination technology. Am J Infect Control 2013;41(5 Suppl):S36–41. doi: 10.1016/j.ajic.2012.11.006.
- Otter JA, Yezli S, Salkeld JAG, French GL. Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings. Am J Infect Control 2013;41(5 Suppl):S6–S11. DOI: 10.1016/j.ajic.2012.12.004
- Friedman Z, Siddiqui N, Mahmoud S, Davies S. Video-assisted structured teaching to improve aseptic technique during neuraxial block. Br J Anaesth 2013;111(3):483–487. DOI: 10.1093/bja/aet062
- Parra AP, Menarguez MC, Granda MJP, Torney MJ, Padilla B, Bouza E. A simple educational intervention to decrease incidence of central line-associated bloodstream infection (CLABSI) in intensive care units with low baseline incidence of CLABSI. Infect Control Hosp Epidemiol 2010;31(9):964–967. DOI: 10.1086/655841
- Radcliff KE, Rasouli MR, Neusner A, Kepler CK, Albert TJ, Rihn JA et al. Preoperative delay of more than 1 hour increases the risk of surgical site infection. Spine 2013;38(15):1318–1323. DOI: 10.1097/BRS.0b013e31828f1f0b
- Singh S, Kumar RK, Sundaram KR, Kanjilal B, Nair P. Improving outcomes and reducing costs by modular training in infection control in a resource-limited setting. Int J Qual Health Care 2012;24(6):641–648. DOI: 10.1093/intqhc/mzs059
- Parkes AW, Harper N, Herwadkar A, Pumphrey R. Anaphylaxis to the chlorhexidine component of Instillagel: A case series. Br J Anaesth 2009;102(1):65–68. DOI: 10.1093/bja/aen324
- Abdallah C. Perioperative chlorhexidine allergy: Is it serious? J Anaesthesiol Clin Pharmacol 2015;31(2):152– 154. DOI: 10.4103/0970-9185.155140
- Therapeutic Goods Administration (TGA). Australian register of therapeutic goods (ARTG) [Internet]. Canberra: TGA; 2019 [cited 2020 February 20]. Available from: www.ebs.tga.gov.au
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 February 20]. Available from: https://nhmrc.govcms. gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Opstrup MS, Jemec GBE, Garvey LH. Chlorhexidine allergy: On the rise and often overlooked. Curr Allergy Asthma Rep 2019;19(5):23. DOI: 10.1007/s11882-019-0858-2
- Rutkowski K, Wagner A. Chlorhexidine: A new latex? Eur Urol 2015;68(3):345–347. DOI: 10.1016/j.eururo.2015.04.040
- Mertes PM, Ebo DG, Garcez T, Rose M, Sabato V, Takazawa T et al. Comparative epidemiology of suspected perioperative hypersensitivity reactions. Br J Anaesth 2019;123(1):e16–e28. DOI: 10.1016/j.bja.2019.01.027
- Rose MA, Garcez T, Savic S, Garvey LH. Chlorhexidine allergy in the perioperative setting: A narrative review. Br J Anaesth 2019;123(1):e95–e103. DOI: 10.1016/j.bja.2019.01.033
- Evans D, Jayasekara R, Price K. What is the impact of chlorhexidine use on the incidence of anaphylaxis? Review Team: 2017.
- Volcheck GW, Hepner DL. Identification and management of perioperative anaphylaxis. J Allergy Clin Immunol Pract 2019;7(7):2134–2142. DOI: 10.1016/j.jaip.2019.05.033
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards. Sydney: ACSQHC; 2017. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards
- Therapeutic Goods (Charges) Act 1989.
- Therapeutic Goods (Medical Devices) Regulations 2002.
- Therapeutic Goods Administration (TGA). Therapeutic goods (standard for disinfectants and sanitary products) (TGO 104) order 2019. Canberra: TGA; 2019.
- Therapeutic Goods Administration (TGA). Australian register of therapeutic goods. Canberra: TGA; 2019.
- Wood A. Updates to the AORN evidence rating model. AORN J 2019;110(1):5–8. DOI: 10.1002/aorn.12744
- Association of periOperative Registered Nurses (AORN). AORN guidelines for perioperative practice 2019. Denver: AORN; 2019.
- Garvey LH, Dewachter P, Hepner DL, Mertes PM, Voltolini S, Clarke R et al. Management of suspected immediate perioperative allergic reactions: An international overview and consensus recommendations. Br J Anaesth 2019;123(1):e50–e64. DOI: 10.1016/j.bja.2019.04.044
- Dardeer A, Shallik N. Perioperative anaphylaxis: A new visit to an old topic. Trends Anaesth Crit Care 2019;26– 27(1–10). Available from: https://doi.org/10.1016/j.tacc.2019.04.005
- Moka E, Argyra E, Siafaka I, Vadalouca A. Chlorhexidine: Hypersensitivity and anaphylactic reactions in the perioperative setting. J Anaesthesiol Clin Pharmacol 2015;31(2):145–148. DOI: 10.4103/0970-9185.155138
- Australian and New Zealand College of Anaesthetists (ANZCA). Guidelines on the perioperative management of patients with suspected or proven hypersensitivity to chlorhexidine. Melbourne: ANZCA; 2016.
- Scolaro RJ, Crilly HM, Maycock EJ, McAleer PT, Nicholls KA, Rose MA et al. Australian and New Zealand anaesthetic allergy group perioperative anaphylaxis investigation guidelines. Anaesth Intensive Care 2017;45(5):543–555. DOI: 10.1177/0310057X1704500504
- Australasian Society of Clinical Immunology and Allergy (ASCIA) and Australia and New Zealand Anaesthetic Allergy Group (ANZAAG). Chlorhexidine allergy [Internet]. Brookvale NSW: ASCIA; 2019 [updated 2019 April, cited 2020 February 20]. Available from: www.allergy.org.au/patients/drug-allergy/ chlorhexidine-allergy
- Teixeira de Abreu AP, Ribeiro de Oliveira LR, Teixeira de Abreu AF, Ribeiro de Oliveira E, Santos de Melo Ireno M, Aarestrup FM et al. Perioperative anaphylaxis to chlorhexidine during surgery and septoplasty. Case Rep Otolaryngol 2017;2017:9605804. DOI: 10.1155/2017/9605804
- Takazawa T, Sabato V, Ebo DG. In vitro diagnostic tests for perioperative hypersensitivity, a narrative review: Potential, limitations, and perspectives. Br J Anaesth 2019;123(1):e117–e125. DOI: 10.1016/j.bja.2019.01.002
- Ebo DG, Van Gasse AL, Decuyper, II, Uyttebroek A, Sermeus LA, Elst J et al. Acute management, diagnosis, and follow-up of suspected perioperative hypersensitivity reactions in Flanders 2001–2018. J Allergy Clin Immunol Pract 2019;7(7):2194–2204.e2197. DOI: 10.1016/j.jaip.2019.02.031
- Provinciael S, Saldien V, Hans G, Vercauteren M. Perioperative allergy and anaphylaxis in children: A review. Acta Anaesthesiologica Belgica 2018;69(1):13–24.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 3]. Available from: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards. Sydney: ACSQHC; 2017.
- Therapeutic Goods (Charges) Act 1989.
- Therapeutic Goods (Medical Devices) Regulations 2002.
- Therapeutic Goods Administration (TGA). Therapeutic goods (standard for disinfectants and sanitary products) (TGO 104) order 2019. Canberra: TGA; 2019.
- Therapeutic Goods Administration (TGA). Guidelines for the evaluation of sterilants and disinfectants [Internet]. Canberra: TGA;1998 [cited 2020 February 5]. Available from: www.tga.gov.au/publication/guidelines-evaluation-sterilants-and-disinfectants
- Therapeutic Goods Administration (TGA). Australian register of therapeutic goods. Canberra: TGA; 2019.
- Phillips NH. Berry and Kohn’s Operating Room Technique. 11th ed. St. Louis: Mosby; 2006.
- Rothrock JC. Alexander’s Care of the Patient in Surgery. 15th ed. St Louis: Mosby; 2014.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Healthcare associated infection [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 3]. Available from: www.safetyandquality.gov.au/our-work/ healthcare-associated-infection
- Nelson J, Bivans A, Shinnn A, Wanzer L, Kasper C. Microbial flora on operating room telephones. AORN J 2006;83(3)607-611,613-617,619-620. DOI: 10.1016/s0001-2092(06)60190-7
- Licensing Standards and Review Unit. Licensing standards for the arrangements for management, staffing and equipment, Private Hospitals. East Perth: Department of Health; 2006, pp. 7-17.
- Visvanathan AG, Gibb AP, Brady R. Increasing clinical presence of mobile communication technology: Avoiding the pitfalls. Telemed J E Health 2011;17(8):656– 661. DOI: 10.1089/tmj.2011.0018
- Standing Committee on Law and Justice. Remedies for the serious invasion of privacy in New South Wales. Sydney: Standing Committee on Law and Justice; 2016.
- Australian Medical Association (AMA). Clinical images and the use of personal mobile devices: A guide for medical students and doctors [Internet]. Canberra: AMA; 2014.
- Calianno CA, Martin-Boyan A. When is it appropriate to photograph a patient’s wound? Adv Skin Wound Care 2006;19(6):304–306. DOI: 10.1097/00129334-200607000-00008
- Lakdawala NFK, Fontanella D, Grant-Kels JM. Ethical considerations in dermatologic photography. Clin Dermatol 2012;30(5):486–491. DOI: 10.1016/j.clindermatol.2011.06.017
- Jonas M, Malpas P, Kersey K, Merry A, Bagg W. Applying ethical and legal principles to new technology: The University of Auckland Faculty of Medical and Health Sciences’ policy ‘Taking and sharing images of patients’. NZ Med J 2017;130(1449):30–38.
- Adeyemo WL, Mofikoya BO, Akadiri OA, James O, Fashina AA. Acceptance and perception of Nigerian patients to medical photography. Dev World Bioeth 2013;13(3):105–110. DOI: 10.1111/j.1471-8847.2012.00328.x
- Mahar PD, Foley PA, Scheed-Finck A, Baker CS. Legal considerations of consent and privacy in the context of clinical photography in Australian medical practice. Med J Aust 2013;198(1):48–49. DOI: 10.5694/mja12.11086
- Palacios-Gonzalez C. The ethics of clinical photography and social media. Med Health Care Philos 2015;18(1):63– 70. DOI: 10.1007/s11019-014-9580-y
- Stevenson PF, Finnane RA, Soyer HP. Teledermatology and clinical photography: Safeguarding patient privacy and mitigating medico-legal risk. Med J Aust 2016;204(5):198–200e1. DOI: 10.5694/mja15.00996
- Turnbull AM, Elmsley ES. Video recording of ophthalmic surgery – ethical and legal considerations. Surv Ophthalmol 2014;59(5):553–558. DOI: 10.1016/j.survophthal.2014.01.006
- Lau CK, Schumacher HH, Irwin MS. Patients’ perception of medical photography. J Plast Reconstr Aesthet Surg 2010;63(6):e507–511. DOI: 10.1016/j.bjps.2009.11.005
- Engelstad ME, McClellan M, Jacko JA, Melton GB. Deidentification of facial images using composites. J Oral Maxillofac Surg 2011;69(12):3026–3031. DOI: 10.1016/j.joms.2011.01.011
- Harting MT, DeWees JM, Khirallah RT. Medical photography: Current technology, evolving issues and legal perspectives. Int J Clin Pract 2015;69(4):401–409. DOI: 10.1111/ijcp.12627
- Privacy Act 1988.
- NSW Health. Privacy manual for health information [Internet]. Sydney: NSW Health; 2015 [cited 2020 March 3]. Available from: www.health.nsw.gov.au/ policies/manuals/Documents/privacy-manual-for-health-information.pdf
- Medicare Australia, Submission PR 534, 21 December 2007 in Australian Government. Australian Law Reform Commission (ALRC). For your information: Australian privacy law and practice (ALRC report 108). ALRC: Canberra; 2008 [cited 2020 March 3]. Available from: www.alrc.gov.au/publications/report-108
- Office of the Australian Information Commissioner (OAIC). Privacy fact sheet 17: Australian privacy principles [Internet]. Canberra: OAIC; 2019 [cited 2019 November 12]. Available from: www.oaic.gov.au/ individuals/privacy-fact-sheets/general/privacy-fact-sheet-17-australian-privacy-principles
- Quail MT. Technology in health care: Forensic implications. Crit Care Nurs Q 2015;38(1):49–80. DOI: 10.1097/CNQ.0000000000000049
- Petrini C. Ethical issues in videorecording patients lacking capacity to consent. Ann Ist Super Sanita 2011;47(3):247–252. DOI: 10.4415/ANN_11_03_02
- Archibald DJ, Carlson ML, Friedman O. Pitfalls of nonstandardized photography. Facial Plast Surg Clin North Am 2010;18(2):253–266. DOI: 10.1016/j.fsc.2010.01.005
- Nursing and Midwifery Board of Australia (NMBA). Code of conduct for nurses [Internet]. Canberra: NMBA; 2018 [cited 2019 November 12]. Available from: www. nursingmidwiferyboard.gov.au/Codes-Guidelines- Statements/Professional-standards.aspx
- Nursing and Midwifery Board of Australia (NMBA). Code of conduct for midwives [Internet]. Canberra: NMBA; 2018 [cited 2019 November 12]. Available from: www. nursingmidwiferyboard.gov.au/Codes-Guidelines- Statements/Professional-standards.aspx
- Nursing and Midwifery Board of Australia (NMBA). Registered nurse standards for practice [Internet]. Canberra: NMBA; 2016 [cited 2018 February 15]. Available from: www.nursingmidwiferyboard.gov.au/ Codes-Guidelines-Statements/Professional-standards. aspx.
- Nursing and Midwifery Board of Australia (NMBA). Enrolled nurse standards for practice [Internet]. Canberra: NMBA; 2016 [cited 2019 November 12]. Available from: www.nursingmidwiferyboard.gov.au/ Codes-Guidelines-Statements/Professional-standards.aspx
- Nursing and Midwifery Board of Australia (NMBA). Nurse practitioner standards for practice [Internet]. Canberra: NMBA; 2014 [cited 2019 November 12]. Available from: www.nursingmidwiferyboard.gov.au/ Codes-Guidelines-Statements/Professional-standards.aspx
- Nursing and Midwifery Board of Australia (NMBA). Midwifery standards for practice [Internet]. Canberra: NMBA; 2006 [cited 2019 November 12]. Available from: www.nursingmidwiferyboard.gov.au/Codes-Guidelines- Statements/Professional-standards.aspx
- Fehring KA, De Martino I, McLawhorn AS, Sculco PK. Social media: Physicians-to-physicians education and communication. Curr Rev Musculoskelet Med 2017;10(2):275–277. DOI: 10.1007/s12178-017-9411-x
- Thomairy NA, Mummaneni M, Alsalamah S, Moussa N, Coustasse A. Use of smartphones in hospitals. Health Care Manage 2015;34(4):297–307. DOI: 10.1097/HCM.0000000000000080
- Australian Health Practitioner Regulation Agency (AHPRA). Social media policy [Internet]. Melbourne: AHPRA; 2014 [updated 2019 November 11, cited 2020 March 3]. Available from www.nursingmidwiferyboard. gov.au/News/2019-11-11-Social-media-guide.aspx
- Crane GM, Gardner JM. Pathology image-sharing on social media: Recommendations for protecting privacy while motivating education. AMA J Ethics 2016;18(8):817–825.DOI: 10.1001/journalofethics.2016.18.8.stas1-1608
- Health Practitioner Regulation National Law Act 2009.
- Ellaway R, Cameron H, Ross M with contributions from Laurie G, Maxwell M and Pratt R. Clinical recordings for academic non-clinical settings. CHERRI Project Report [Internet]. Edinburgh, UK: CHERRI Project 2006 [cited 2018 March 20]. Available from: www.archive.mvm.ed.ac. uk/cherri-pie/
- General Medical Council (GMC). Making and using visual and audio recordings of patients. London: GMC; 2013.
- Payne KF, Tahim A, Goodson AM, Delaney M. Fan K. A review of current clinical photography guidelines in relation to smartphone publishing of medical images. J Vis Commun Med 2012;35 (4):188–92. DOI:10.3109/174530 54.2012.747174.
- Taylor K, Mayell A, VanDenberg S, Blanchard N, Parshuram CS. Prevalence and indications for video recording in the health care setting in North American and British paediatric hospitals. Paediatr Child Health 2011;16(7):e57–e60. DOI: 10.1093/pch/16.7.e57
- Berle I. Clinical photography and patient rights: The need for orthopraxy. J Med Ethics 2008;34(2):89–92. DOI: 10.1136/jme.2006.019166
- Department of Health (UK). Good practice in consent implementation guide: Consent to examination or treatment. London: Department of Health (UK); 2001.
- Caires B, Lopes M, Okuno M, Vancine-Campanhora C, Batista R. Knowledge of healthcare professionals about rights of patient’s images. Einstein 2015;13(2):255–259. DOI: 10.1590/S1679-45082015AO3207
- Privacy and Personal Information Protection Act 1998 (NSW) No. 133.
- Gonzalez DR. An open source toolkit for medical imaging de-identification. Eur Radiol 2010;20(8):1896– 1904. DOI: 10.1007/s00330-010-1745-3
- Moore SM, Maffitt DR, Smith KE, Kirby JS, Clark KW, Freymann JB et al. De-identification of medical images with retention of scientific research value. Radiographics 2015;35(3):727–735. DOI: 10.1148/rg.2015140244
- Allen KG, Eleftheriou P, Ferguson J. A thousand words in the palm of your hand: Management of clinical photography on personal mobile devices. Med J Aust 2016;205(11):499–500. DOI: 10.5694/mja16.00520
- Kornhaber RB, Betihavas V, Baber RJ. Ethical implications of digital images for teaching and learning purposes: An integrative review. J Multidiscip Healthc 2015;8:299–305. DOI: 10.2147/JMDH.S84488
- Burns K, Belton S. Clinicians and their cameras: Policy, ethics and practice in an Australian tertiary hospital. Aust Health Rev 2013;37(4):437–441. DOI: 10.1071/AH12039
- Clover AJ, Fitzpatrick E, Healy C. Analysis of methods of providing anonymity in facial photographs: A randomised controlled study. Ir Med J 2010;103(8):243– 245.
- Dysmorphology Subcommittee of the Clinical Practice Committee, American College of Medical Genetics, Cunniff C, Byrne JLB, Hudgins LM, Moeschler JB et al. Informed consent for medical photographs. Genet Med 2000;2(6):353–355. DOI: 10.1097/00125817-200011000-00010
- Janke T. Pathways & Protocols: A Filmmaker’s Guide to Working with Indigenous People, Culture and Concepts. Ultimo, NSW: Screen Australia; 2009.
- Wehbe-Alamah H. Bridging generic and professional care practices for Muslim patients through use of Leininger’s culture care modes. Contemp Nurse 2008;28(1–2): 83–97. DOI: 10.5172/conu.673.28.1-2.83
- Balmer CG, Griffiths F, Dunn J. A review of the issues and challenges involved in using participant-produced photographs in nursing research. J Adv Nurs 2015;71(7):1726–1737. DOI: 10.1111/jan.12627
- Koch CA, Larrabee W. Patient privacy, photographs and publication. JAMA Facial Plast Surg 2013;15(5):335–336. DOI: 10.1001/jamafacial.2013.1411
- Archer AC, Campbell L, Crocker J, Dinh AK, Kogan E, Miller J et al. Managing nontext media in healthcare practices. J AHIMA 2011;82(11):54–58.
- Prigoff JG, Sherwin M, Devinio C. Ethical recommendations for video recording in the operating room. Ann Surg 2016;264(1):34–35. DOI: 10.1097/SLA.0000000000001652
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards (2nd ed.) Standard 1: Clinical governance. Sydney: ACSQHC; 2017 [cited 2020 March 3]. Available from: www.safetyandquality.gov.au/our-work/ clinical-governance/clinical-governance-standard
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards (2nd ed.) Standard 7: Communicating for safety. Sydney: ACSQHC; 2017 [cited 2020 March 3]. Available from: www.safetyandquality. gov.au/standards/nsqhs-standards/communicating-safety-standard
- Althubaiti G, Buntic R, Brooks D. The utility of multimedia in the diagnosis and management of acute and subacute problems in hand surgery. Ann Plast Surg 2012;68(4):389–390. DOI: 10.1097/SAP.0b013e318242e114
- Detterbeck AM. Electronic transfer of sensitive patient data. Int J Comput Dent 2015;18(1):45–57.
- Barber H. Smartphone and mobile phone security for the clinician. Br J Hosp Med 2016;77(8):467–470. DOI: 10.12968/hmed.2016.77.8.467
- Matharu J, Hale B, Anmar M, Brennan PA. Short message service (SMS) texting as a method of communication during on call: Prevalence and experience of medical staff in a large acute NHS Trust in the UK. Br J Oral Maxillofac Surg 2016;54(8):863–867. DOI: 10.1016/j.bjoms.2016.05.034
- Standards Australia. AS/NZS 4187:2014 Reprocessing of reusable medical devices in health service organisations. Canberra: Standards Australia; 2014.
- Standards Australia. AS ISO 8828:2015 Implants for surgery - Guidance on care and handling of orthopaedic implants. Sydney: Standards Australia; 2015.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Healthcare Associated Infection [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 3]. Available from www.safetyandquality.gov. au/standards/nsqhs-standards/preventing-and-controlling- healthcare-associated-infection-standard
- Standards Australia. AS 3816:2018 Management of clinical and related wastes. Sydney: Standards Australia; 2018.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 February 20]. Available from: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Lawrence A. Presumed consent organ donation under Australian law. Paper prepared for the Australian Medical Association and the Australian National University law internship program. 2004.
- Dewer S, Boddington P. Returning to the Alder Hey report and its reporting: Addressing confusions and improving inquiries. J Med Ethics 2004;30(5):463–469. DOI: 10.1136/jme.2002.002774
- Human Tissue and Transplant Act 1982 (WA).
- Environmental Protection Act 1994 (Qld).
- National Health and Medical Research Council (NHMRC). National statement on ethical conduct in human research: Chapter 2.2 General requirements for consent [Internet]. Canberra: NHMRC; 2018 [updated 2018; cited 2019 November 12]. Available from: www.nhmrc.gov.au/about-us/publications/national-statement-ethical-conduct-human-research-2007- updated-2018
- Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs 2015;24(13–14):1874– 1884. [VA] DOI: 10.1111/jocn.12809
- Bigony L. Charting the course with the PNDS. OR Nurse. 2010;4(6):15–21. [VC]
- New South Wales Nurses and Midwives’ Association. Guidelines on documentation and electronic documentation [Internet]. Sydney: NSW Nurses and Midwives’ Association; 2010 [cited 2020 March 3]. Available from: www.nswnma.asn.au/wp-content/ uploads/2013/07/Guidelines-on-Electronic- Documentation-and-Documentation.pdf. [IVA]
- Echhard MB, Martin D. Roles of the perioperative nurse and informaticist and implications for practice, education and administration. Perioperative Nursing Clinics 7 2012:267–282. [VA] doi:10.1016/j.cpen.2012.02.003
- Parwaiz H, Perera R, Creamer J, Macdonald H, Hunter I. Improving documentation in surgical operation notes. Br J Hosp Med (Lond) 2017;78(2):104–107. [IIIA] DOI: 10.12968/hmed.2017.78.2.104
- Pirie S. Documentation and record keeping. J Perioper Pract 2011;21(1):22–27. [VA] DOI: 10.1177/175045891102100103
- Ridout J, Aucoin J, Browning A, Piedra K, Weeks S. Does perioperative documentation transfer reliably? Comput Inform Nurs 2014;32(1):37–42. [VA] DOI: 10.1097/CIN.0000000000000017
- Staunton P, Chiarella M. Nursing and the law. 6th ed. Sydney: Churchill Livingstone Elsevier; 2008. [VA]
- Adeleke IT, Adekanye AO, Onawola KA, Okuku AG, Adefemi SA, Erinle SA et al. Data quality assessment in healthcare: A 365-day chart review of inpatients’ health records at a Nigerian tertiary hospital. J Am Med Inform Assoc 2012;19(6):1039–1042. [IIIA] DOI: 10.1097/CIN.0000000000000017
- Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway: A literature review. Int J Nurs Stud 2011;48(8):1024–1038. [VA] DOI: 10.1016/j.ijnurstu.2011.05.009
- St Jacques P, Rothman B. Enhancing point of care vigilance using computers. Anesthesiol Clin 2011;29(3):505–519. [VB] DOI: 10.1016/j.anclin.2011.05.008
- Phillips NF. Berry and Kohn’s Operating Room Technique. 13th ed. St. Louis: Mosby; 2017. [VA]
- Stallard J, Bhat W, Teoh V, Smith IM. Improving patient care in plastic surgery: With structured documentation. J Plast Reconstr Aesthet Surg 2015;68(5):749–750. [IIIV] DOI: 10.1016/j.bjps.2015.01.003
- New South Wales Health. Health care records – documentation and management [Internet]. Sydney: New South Wales Health; 2012 [cited 2020 March 3]. Available from: www1.health.nsw.gov.au/pds/ ActivePDSDocuments/PD2012_069.pdf. [IVA]
- Crosson JA. Keeping patients safe: The importance of collaboration. AORN J 2015;101(2):279–281. [VA] DOI: 10.1016/j.aorn.2014.11.006
- Tiusanen TS, Junttila K, Leinonen T, Salantera S. The validation of AORN recommended practices in Finnish perioperative nursing documentation. AORN J 2010;91(2):236–247. [IIIB] DOI: 10.1016/j.aorn.2009.06.027
- Coates T. The view from the operating table. J Perioper Pract. 2014;24(1–2):6. [VB] DOI: 10.1177/1750458916024001-201
- Cartwright SMI, Edney LA. Ambulatory perianesthesia electronic documentation – a two-part series. Part 1: From paper to point and click. J Perianesth Nurs 2012;27(4):267–270. [VB] DOI: 10.1016/j.jopan.2012.05.008
- The Joint Commission. Sentinel event data: Root causes by event type 2004–2015 [Internet]. Chicago: The Joint Commission; 2016 [cited 2019 January]. Formerly available from: www.tsigconsulting.com/ tolcam/wp-content/uploads/2015/04/TJC-Sentinel- Event-Root_ Causes_by_Event_Type_2004-2014.pdf. [VA]
- De Marinis MG, Piredda M, Pascarella MC, Vincenzi B, Spiga F, Tartaglini D et al. ‘If it is not recorded, it has not been done!’? consistency between nursing records and observed nursing care in an Italian hospital. J Clin Nurs 2010;19(11–12):1544–1552. [VC] DOI: 10.1111/j.1365-2702.2009.03012.x
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Communication for safety standard [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 3].Available from: www.safetyandquality.gov.au/ standards/nsqhs-standards/communicating-safety-standard. #Vol2
- Fencl JL. Guideline implementation: Patient information management. AORN J 2016;104(6):566–577. [VA] DOI: 10.1016/j.aorn.2016.09.020
- Ghani Y, Thakrar R, Kosuge D, Bates P. ‘Smart’ electronic operation notes in surgery: An innovative way to improve patient care. Int J Surg 2014;12(5):30– 32. [VA] DOI: 10.1016/j.ijsu.2013.10.017
- Melton GB, Wang Y, Arsoniadis E, Pakhomov SV, Adam TJ, Kwaan MR et al. Analyzing operative note structure in development of a section header resource. Stud Health Technol Inform 2015;216:821–826. [IIIA] PMCID: PMC4781788
- Nursing and Midwifery Board of Australia (NMBA). Code of conduct for nurses [Internet]. Canberra: NMBA; 2018 [cited 2019 January]. Available from: www.nursingmidwiferyboard.gov.au/Codes- Guidelines-Statements/Professional-standards.aspx. [IVA]
- Australian College of Perioperative Nurses (ACORN). Standards for Perioperative Nursing in Australia. 15th ed. Adelaide, South Australia: ACORN; 2018. [IVB]
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards [Internet]. Sydney: ACSQHC; 2012 [cited 2020 March 18]. Available from: www. safetyandquality.gov.au/standards/nsqhs-standards. [IVB]
- Arnold P. Rising with accurate documentation to shine in the justice system: A nurse’s experience. ACORN J 2015;28(2):16–19. [VA]
- The Association of periOperative Registered Nurses (AORN). Guidelines at a glance: Information management. AORN J 2017;106(3):272–274. [IV]
- Nursing and Midwifery Board of Australia (NMBA) [Internet]. Registration standards 2017 [cited 2019 January]. Available from: www.nursingmidwiferyboard. gov.au/Registration-Standards.aspx. [NA]
- Hoffmann T, Bennett S, Del Mar C. Evidence-based practice across the health professions. 3rd ed. Chatswood NSW: Elsevier Australia; 2017. [VA]
- Sondergaard SF, Lorentzen V, Sorensen EE, Frederiksen K. The documentation practice of perioperative nurses: A literature review. J Clin Nurs 2017;26(13–14):1757–1769. [VA] DOI: 10.1111/jocn.13445
- Shaw T, Hines M, Kielly-Carroll C. Impact of digital health on the safety and quality of health care [Internet]. Sydney: Australian Commission on Safety and Quality in Health Care; 2017 [cited 2019 January]. Available from: www.safetyandquality.gov.au// publications/the-impact-of-digital-health-on-safety-and-quality-of-healthcare/. [IVC]
- Furukawa MF, Raghu TS, Shao BB. Electronic medical records and cost efficiency in hospital medical-surgical units. Inquiry. 2010;47(2):110–123. [VA] DOI: 10.5034/inquiryjrnl_47.02.110
- Golob JF Jr, Como JJ, Claridge JA. The painful truth: The documentation burden of a trauma surgeon. J Trauma Acute Care Surg 2016;80(5):742–747. [IIIB] DOI: 10.1097/TA.0000000000000986
- Stanton C. Connections: Managing health information. AORN J 2011;94(2):C1–C9. [VA] https://doi.org/10.1016/S0001-2092(11)00680-6
- Clarke JR. Quarterly update in wrong-site surgery: Electronic records can help prevent harm but are not harmless. Pennsylvania Patient Safety Advisory 2014;11(4):172–175. [VB]
- Baier AW, Snyder DJ, Leahy IC, Patak LS, Brustowicz RM. A shared opportunity for improving electronic medical record data. Anesth Analg 2017;125(3):952–957. [IIIA] DOI: 10.1213/ANE.0000000000002134
- Rebello E, Kee S, Kowalski A, Harun N, Guindani M, Goravanchi F. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Health Informatics J. 2016;22(4):1055–1062. [VIII] DOI: 10.1177/1460458215608901
- Sondergaard S, Lorentzen V, Sorensen EE, Frederikson K. Danish perioperative nurses’ documentation: A complex multifaceted practice connected with unit culture and nursing leadership. AORN J 2017;106(1):31– 41. [VC] DOI: 10.1016/j.aorn.2017.05.003
- Beach MJ, Sions JA. Surviving OR computerization. AORN J 2011;93(2):226–241. [VA] DOI: 10.1016/j.aorn.2010.05.031
- Sanders DS, Read-Brown S, Tu DC, Lambert WE, Choi D, Almario BM et al. Impact of an electronic health record operating room management system in ophthalmology on documentation time, surgical volume, and staffing. JAMA Ophthalmol 2014;132(5):586–592. [VA] DOI: 10.1001/jamaophthalmol.2013.8196
- Sweeney P. The effects of information technology on perioperative nursing. AORN J 2010;92(5):528–540. [VC] DOI: 10.1016/j.aorn.2010.02.016
- Australian and New Zealand College of Anaesthetists (ANZCA). The anaesthetic record: Recommendations on the recording of an episode of anaesthesia care [Interne]. Melbourne: ANZCA; 2006 [cited 2019 January]. Formerly available from: www.anzca.edu.au/documents/ps06- 2006-the-anaesthesia-record-recommendations-o. pdf. [IVB] Replaced by PS06 Guideline on the Anaesthesia Record (Pilot)
- Spruce L, Braswell ML. Implementing AORN recommended practices for electrosurgery. AORN J 2012;95(3):373–387. DOI: 10.1016/j.aorn.2011.12.018
- Rey JF, Beilenhoff U, Neumann CS, Dumonceau JM. European Society of Gastrointestinal Endoscopy (ESGE) guideline: The use of electrosurgical units. Endoscopy 2010;42(9):764–772. DOI: 10.1055/s-0030-1255594
- Association of Surgical Technologists (AST). AST standards for practice for use of electrosurgery. Denver: AST; 2012 [cited 2020 March 3]. Available from: www.ast.org/uploadedFiles/MainSite/Content/ AboutUs/Standard%20Electrosurgery.pdf.
- Gallagher K, Dhinsa B, Miles J. Electrosurgery. Surgery 2010;29(2):70–72. https://doi.org/10.1016/j.mpsur.2010.11.009
- Potty A, Khan W, Tailor H. Diathermy in perioperative practice. J Periop Pract 2010;20(11):402–405. DOI: 10.1177/175045891002001103
- Bifulco P, Massa R, Cesarelli M, Romano M, Fratini A, Gargiulo G et al. Investigating the role of capacitive coupling between the operating table and the return electrode of an electrosurgery unit in the modification of the current density distribution within the patients’ body. Biomed Eng Online 2013;12(80):1–12. DOI:10.1186/1475-925X-12-80.
- Emergency Care Research Institute (ECRI). Electrosurgical safety. Conducting a safety audit. Health Devices 2005;34(12):414–420. PMID: 16483127
- Brill AI. Electrosurgery: Principles and practices to reduce risk and maximise efficacy. Obstet Gynecol Clin North Am 2011;38(4):687–702. DOI: 10.1016/j.ogc.2011.09.005
- Covidien. Principles of electrosurgery [cited 2020 March 3]. Boulder: Covidien; 2008. Available from: www.asit.org/assets/documents/Prinicpalsin electrosurgery.pdf.
- Steelman V, Graling P. Top ten patient safety issues: What more can we do? AORN J 2013;97(6):679–701. DOI: 10.1016/j.aorn.2013.04.012
- La Chapelle CF, Bemelman WA, Bongers MY, Van Barneveld TA, Jansen FW. A multidisciplinary evidence-based guideline for minimally invasive surgery: Part 2 – Laparoscopic port instruments, trocar site closure, and electrosurgical techniques. Gynecol Surg 2013;10(1):11– 23. https://doi.org/10.1007/s10397-012-0776-y
- Alkatout I, Schollmeyer T, Hawaldar NA, Sharma N, Mettler L. Principles and safety measures of electrosurgery in laparoscopy. JSLS 2012;16(1):130–139. DOI: 10.4293/108680812X13291597716348
- Sobolewski CJ. Electrosurgery the newest energy-based devices. Contemporary OB/GYN. 2013 Oct 1;58(10):T13.
- Emergency Care Research Institute (ECRI). Evaluation Megadyne mega 2000 return electrode. Health Devices 2000;29(12):445–460.
- Voutslath M, Bickakjian C, Pelosi F, Blum D, Johnson T, Farrehi P. Electrosurgery and implantable electronic devices: Review and implications for office-based procedures. Dermatol Surg 2011;37(7):889–899. DOI: 10.1111/j.1524-4725.2011.02006.x
- Montero PN, Robinson, TN, Weaver JS, Stiegmann GV. Insulation failure in laparoscopic instruments. Surg Endosc 2010;24(2):462–465. DOI: 10.1007/s00464-009-0601-5
- National Institute for Health and Clinical Excellence (NICE). Mega soft patient return electrode for use during monopolar electrosurgery NICE. Medical Technology Guidance 11. London: NICE; 2012.
- Ethicon Endosurgery. Ultracision harmonic scalpel: Generator 300 system service manual. Cincinatti: Ethicon Endosurgery; n.d.
- King C. Clinical endoscopy – Endoscopic electrosurgery – An overview. Gastrointestinal Nurs 2011;9(4):28–33. https://doi.org/10.12968/gasn.2011.9.4.28
- Megadyne. About Megadyne [Internet]. Salt Lake City: Megadyne; 2013 [cited 2020 March 3]. Available from: www.jnjmedicaldevices.com/en-US/product-family/ energy-sealing-dissecting?utm_campaign=ethicon-altdomain-redirect&utm_source=megadyne.com&utm_ medium=referral.
- Marsh A. Pacemakers: Some of the risks and complications you are not warned about. J Periop Pract 2008;18(10):443–448. DOI: 10.1177/175045890801801004
- Yazdani A, Krause H. Laparoscopic instrument insulation failure: The hidden hazard. J Minim Invasive Gynecol 2013;14(2):228–232. (C) DOI: 10.1016/j.jmig.2006.10.009
- Nursing and Midwifery Board of Australia (NMBA). Registered nurse standards [Internet]. Canberra: NMBA; 2016 [cited 2020 March 3]. Available from: www.nursingmidwiferyboard. gov.au/Codes-Guidelines- Statements/Professional-standards.aspx.
- Wormer BA, Augenstein Townend W, Cheeseman CR. Guidelines for the evaluation and assessment of the sustainable use of resources and of wastes management at healthcare facilities. Waste Manag Res 2005;23(5):398–408. DOI: 10.1177/0734242X05057764
- Tudor T, Barr S, Gilg A. Strategies for improving recycling behaviour within the Cornwall National Health Service in the UK. Waste Manag Res 2007;25(6):510–516. DOI: 10.1177/0734242X07082030
- VA, Carpenter CL, Burton PV, Yokeley WT, Prabhu AS et al. The green operating room: Simple changes to reduce cost and our carbon footprint. Am Surg 2013;79(7):666–671.
- World Health Organization. Safe management of wastes from healthcare activities 2nd ed. [Internet]. Geneva: World Health Organization; 2014 [cited 2020 March 03]. Available from: www.who.int/iris/ bitstream/10665/85349/1/9789241548564_eng.pdf?ua=1.
- Jang J-C, Lee C, Yoon O-S, Kim H. Medical waste management in Korea. J Environ Manage 2006;80(2):107–115. DOI: 10.1016/j.jenvman.2005.08.018
- Kagoma Y, Stall N, Rubinstein E, Naudie D. People, planet and profits: The case for greening operating rooms. CMAJ 2012;184(17):1905–1911 DOI: 10.1503/cmaj.112139
- Kaplan S, Sadler B, Little K, Franz C, Orris P. Can sustainable hospitals help bend the health care cost curve? Issue Brief (Commonw Fund) 2012;29:1–14.
- Lee RJ, Mears SC. Greening of orthopedic surgery. Orthopedics 2012;35(6):e940–944. DOI: 10.3928/01477447-20120525-39
- Lee RJ, Mears SC. Reducing and recycling in joint arthroplasty. J Arthroplasty 2012;27(10):1757–1760. DOI: 10.1016/j.arth.2012.04.020
- Lee BK, Ellenbecker MJ, Moure-Eraso R. Alternatives for treatment and disposal of regulated medical wastes. Waste Manage 2004;24(2):143–151. DOI: 10.1016/j.wasman.2003.10.008
- Sattler B. The greening of health care: Environmental policy and advocacy in the health care industry. Policy Politics Nurs Pract 2003;4(6):6–13 https://doi.org/10.1177/1527154402239449
- Ciplak N, Barton JR. A system dynamics approach for healthcare waste management: A case study in Istanbul metropolitan city, Turkey. Waste Manag Res 2012;30(6):576–586. https://doi.org/10.1177/0734242X12443405
- Kwakye G, Brat GA, Makary MA. Green surgical practices for health care. Arch Surg 2011;146(2):131–136. DOI: 10.1001/archsurg.2010.343
- Reale E. Nurses key to success of waste segregation program. Aust Nurs J 2009;17(3):7.
- Riedel L. Environmental and financial impact of a hospital recycling program. AANA J 2011;79(4):S8–S14.
- Stonemetz J, Pham JC, Necochea AJ, McGready J, Hody RE, Martinez EA. Reduction of regulated medical waste using lean sigma results in financial gains for hospital. Anesthesiol Clin 2011;29(1):145–152. DOI: 10.1016/j.anclin.2010.11.007
- Laustsen G. Reduce–recycle–reuse: Guidelines for promoting perioperative waste management. AORN J 2007;85(4):717–728. DOI: 10.1016/S0001-2092(07)60146-X
- Laustsen G. Greening in healthcare. Nurse Manage 2010;41(11):26–31. DOI: 10.1097/01.NUMA.0000389012.82998.5d
- Conrardy J, Hillanbrand M, Myers S, Nussbaum GF. Reducing medical waste. AORN J 2010;91(6):711–721. DOI: 10.1016/j.aorn.2009.12.029
- Practice Greenhealth. Greening the OR; Guidance documents. Washington DC: Practice Greenhealth; 2011–2013.
- Southorn T, Norrish AR, Gardner K, Baxandall R. Reducing the carbon footprint of the operating theatre: A multicentre quality improvement program. J Perioper Pract 2013;23(6)144–146. DOI: 10.1177/175045891302300605
- Penn E, Yasso SF, Wei JL. Reducing disposable equipment waste for tonsillectomies and adenotonsillectomy cases. Otolaryngol Head Neck Surg 2012;147(4):615–618. DOI: 10.1177/0194599812450681
- Hutchings D, White S. Coming round to recycling. BMJ 2009;338:746–748. DOI: 10.1136/bmj.b609
- Lee B-K, Ellenbecker MJ, Moure-Eraso R. Analysis of the recycling potential of medical plastic wastes. Waste Manag 2002(5);22:461–470. DOI: 10.1016/s0956-053x(02)00006-5
- Nussbaum GF. Alternative waste management strategies. Perioperative Nurs Clin 2008;3(1):63–72. doi: 10.1016/j.cpen.2007.11.009
- Kaiser B, Eagan PD, Shaner H. Solutions to healthcare waste: Life-cycle thinking and ‘green’ purchasing. Environ Health Perspect 2001;109(3):205–207. DOI: 10.1289/ehp.01109205
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 18]. Available from: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Standards Australia. AS 3816:2018 Management of clinical and related wastes. Sydney: 2018; Standards Australia.
- Australian and New Zealand Clinical Waste Management Industry Group (ANZCWMIG). Industry code of practice for the management of clinical and related waste [Internet]. 5th ed. WMAA; 2007[cited 2014 February 18]. Formerly available from: www.wmaa.asn.au.
- Biohazardous Waste Industry (BWI). Industry code of practice for management of clinical and related waste 6th ed. [Internet]. Sydney: BWI; 2010 [cited 2014 April 23]. Formerly available from: www.epa.sa.gov.au/xstd_ files/Waste/Code%20of%20practice/Code%20of%20 Practice%206th%20Edition.pdf.
- Lauer M. Reducing health care’s ecological footprint. How nurses can slow the flow of health care waste. AJN 2009;109(2):56–58.DOI: 10.1097/01.NAJ.0000345439.68228.a0
- Saver C. Staff spearheads an OR’s green effort. OR Manager 2009;25(1):24–25.
- McGain F, White S, Mossenson S, Kayak E, Story D. A survey of anesthesiologists’ views of operating room recycling. Anesth Analg 2012 May;114(5):1049–1054. DOI: 10.1213/ANE.0b013e31824d273d
- Overcash M. A comparison of re-usable and disposable perioperative textiles: Sustainability state-of-the-art 2012. Anesth Analg 2012;114(5):1055–1066. DOI: 10.1213/ANE.0b013e31824d9cc3
- Fritz J, Braun R. Environmental impacts of biobased/ biodegradable packaging. Starch 2001;53(3–4):105–109. https://doi.org/10.1002/1521-379X(200104)53:3/4<105::AID-STAR105>3.0.CO;2-I
- Safe Work Australia. Guide for managing the risk of fatigue at work [Internet]. Canberra: Safe Work Australia; 2013 [cited 2020 March 4]. Available from: www.safeworkaustralia.gov.au/search/site/Guide%20 for%20managing%20the%20risk%20of%20fatigue%20 at%20work.
- Warren A, Tart RC. Fatigue and charting errors: The benefit of a reduced call schedule. AORN J 2008;88(1):88–95. DOI: 10.1016/j.aorn.2008.03.016
- Dawson D, Reid K. Fatigue, alcohol and performance impairment. Nature 1997; 388(6639):235–237.DOI: 10.1038/40775
- Rogers AE. The working hours of hospital staff nurses and patient safety. Health Aff (Milwood) 2004; 23(4):202–212. DOI: 10.1377/hlthaff.23.4.202
- Registered Nurses’ Association of Ontario (RNAO). Preventing and mitigating nurse fatigue in health care [Internet]. Toronto: RNAO; 2011 [cited 2020 March 4]. Available from: www.rnao.ca/bpg/guidelines/preventing-and-mitigating-nurse-fatigue-health-care.
- Hughes NL, Nelson A, Matz MW, Lloyd J. AORN ergonomic tool 4: Solutions for prolonged standing in perioperative settings. AORN J 2011;93(6):767–774. DOI: 10.1016/j.aorn.2010.08.029
- Kenyon TAG, Gluesing RE, White KY, Dunkel WL, Burlingame BL. On call: Alert or unsafe? A report of the AORN on-call electronic task force. AORN J 2007;86(4):630–639. DOI: 10.1016/j.aorn.2007.06.020
- Drake DA, Luna M, Georges JM, Steege LM. Hospital nurse force theory: A perspective of nurse fatigue and patient harm. Adv Nurs Sci 2012;35(4):305–314. DOI: 10.1097/ANS.0b013e318271d104
- Dorrian J, Lamond N, van den Heuvel C, Pincombe J, Rogers AE, Dawson D. A pilot study of the safety implications of Australian nurses’ sleep and work hours. Chronobiol Int 2006;23(6):1149–1163. DOI: 10.1080/07420520601059615
- Association of periOperative Registered Nurses. AORN guidance statement: Safe on-call practices in perioperative practice settings. In: Perioperative standards and recommended practices. Denver: AORN; 2013, 549–552.
- Paterson-Brown S. Improving patient safety in the operating room – everyone’s responsibility. Clin Risk 2010;16(1):6–9. DOI: 10.1258/cr.2009.090006
- Gaba DM, Howard SK. Patient safety: Fatigue among clinicians and the safety of patients. N Engl J Med 2002;347(16):1249–1255.DOI: 10.1056/NEJMsa020846
- Hazzard B, Johnson K, Dordunoo D, Klein T, Russell B, Walkowiak P. Work- and nonwork-related factors associated with PACU nurses’ fatigue. J Perianesth Nurs 2013;28(4):201–209.DOI: 10.1016/j.jopan.2012.06.010
- Reed K. Promoting healthy work hours for nurses. Nursing 2013;43(1):64–65.DOI: 10.1097/01.NURSE.0000422658.39909.37
- Australian Nursing Federation (ANF). Fatigue prevention policy [Internet]. Canberra: ANF; 2013 [cited 2020 March 4]. Available from: www.anmf.org.au/documents/ policies/P_Fatigue_prevention.pdf.
- The Joint Commission. Health care worker fatigue and patient safety. The Joint Commission Sentinel Event Alert December 2011; Issue 48 [cited 2014 December 09]. Formerly available from: www.jointcommission.org/assets/1/18/SEA_48.pdf.
- WorkCover Queensland. Managing fatigue [Internet]. Brisbane: Workcover Queensland; [updated 11 Nov 2014; cited 2020 March 4]. Available from: www.worksafe.qld.gov.au/injury-prevention-safety/ workplace-hazards/fatigue/managing-fatigue.
- Canadian Nurses Association and Registered Nurses’ Association of Ontario. Nurse fatigue and patient safety: Research report 2010 [Internet]. Ottawa: Canadian Nurses Association; 2010 [cited 2020 March 4]. Available from: www.cna-aiic.ca/en/on-the-issues/better-care/patient-safety/nurse-fatigue-and-patient-safety.
- WorkSafe Victoria. Fatigue prevention in the workplace [Internet] Melbourne: WorkSafe Victoria 2019 [cited 2020 March 4]. Available from: www.worksafe.vic.gov.au/ resources/fatigue-prevention-workplace-your-health-and-safety-guide.
- Canadian Nurses Association. Report on fatigue recommends actions at many levels. Can Nurse 2010;106(5):12–14.
- American Society of PeriAnesthesia Nurses (ASPAN). Position statement 7. A position statement on ‘On call/work schedule’ (last update 2011). In: 2012– 2014 Perianesthesia nursing standards, practice, recommendations and interpretive statements. Cherry Hill, New Jersey: ASPAN; 2014.
- Yuan SC, Chou MC, Chen CJ, Lin YJ, Chen MC, Liu HH et al. Influences of shift work on fatigue among nurses. J Nurs Manag 2011;19(3):339–345. DOI: 10.1111/j.1365-2834.2010.01173.x
- Bahr S, Buth C, Martin R, Peters N, Swanson K, Warhanek J et al. White paper: Nurse scheduling and fatigue in the acute 24 hour setting. Milwaukee: Wisconsin Organization of Nurse Executives; 2008 [cited 2020 March 4]. Available from: www.ena.org/docs/default-source/resource-library/ practice-resources/white-papers/nurse-fatigue.
- Olson L, Ambrogetti A. Working harder – Working dangerously. Fatigue and performance in hospitals. Med J Aust 1998;168(12):614–616. https://doi.org/10.5694/j.1326-5377.1998.tb141449.x
- Chen J, Davis KG, Daraiseh NM, Pan W, Davis LS. Fatigue and recovery in 12-hour dayshift hospital nurses. J Nurs Manag 2014; 22(5):593–603. DOI: 10.1111/jonm.12062
- Caruso CC, Hitchcock EM, Dick RB, Russo JM, Schmit JM. Overtime and extended work shifts: Recent findings on illnesses, injuries and health behaviours [Internet]. Ohio: US Department of Health and Human Services/ CDC/NIOSH; 2004 [cited 2020 March 4]. Available from: www.cdc.gov/niosh/docs/2004-143/pdfs/2004-143.pdf.
- Winwood PC, Lushington K. Disentangling the effects of psychological and physical work demands on sleep, recovery and maladaptive chronic stress outcomes within a large sample of Australian nurses. J Adv Nurs 2006;56(6):679–689. DOI: 10.1111/j.1365-2648.2006.04055.x
- Steege LM, Drake DA, Olivas M, Mazza G. Evaluation of physically and mentally fatiguing tasks and sources of fatigue as reported by registered nurses. J Nurs Manag 2015;23(2):179–189. DOI: 10.1111/jonm.12112
- Australian and New Zealand College of Anaesthetists (ANZCA). Guideline on fatigue risk management in anaesthesia practice [Internet]. Melbourne: ANZCA; 2019 [cited 2020 March 4]. Available from: www.anzca.edu.au/documents/ps43-2007-statement-on-fatigue-and-the-anaesthetis.pdf.
- Rosekind MR. Managing work schedules: An alertness and safety perspective [Internet]. San Jose: Northern California Business Aviation Association; 2005 [cited 2014 Dec 08]. Available from: www.norcalbaa.org/uploads/ NCBAA_ARTICLES_20110825_Alertness_Solutions_ Managing_Work_Schedules.pdf.
- Work, Health and Safety Act 2011, No. 137, 2011.
- Skinner N, Hutchinson C, Pocock B. Australian work and life index – the big squeeze: Work home and care in 2012 [Internet]. Adelaide: University of South Australia; 2012 [cited 2020 March 4]. Available from: https://pdfs.semanticscholar.org/ d7c6/2ddbdcc5fd38b37effdaa919d81f78874827.pdf.
- Beyea SC. Too tired to work safely? AORN J 2004;80(3):559–562.DOI: 10.1016/s0001-2092(06)60546-2
- Goldberg JL, Marshalkowski PL, Nissen RB. The importance of mandatory rest periods in OR environments. AORN J 2008;88(5):790–797. DOI: 10.1016/j.aorn.2008.04.018
- Monahan JJ. Culture of safety: Safe work hours in the OR. AORN J 2012;95(1):149–154.DOI: 10.1016/j.aorn.2011.11.003
- Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J 2008;87(6):1191–1192, 1194, 1196–1204.https://doi.org/10.1016/j.aorn.2008.01.022
- Cohoon B. Causes of near misses: Perceptions of perioperative nurses. AORN J 2011;93(5):551–565. DOI: 10.1016/j.aorn.2010.02.017
- Scott LD, Hofmeister N, Rogness N, Rogers AE. An interventional approach for patient and nurse safety: A fatigue countermeasures feasibility study. Nurs Res 2010;59(4):250–258.DOI: 10.1097/NNR.0b013e3181de9116
- Queensland Health. Fatigue risk management system: Resource pack. Brisbane: Queensland Government; 2009 [cited 2014 Dec 08]. Formerly available from: www.enhancingresponsibility.com/wp-content/ uploads/2014/01/Queensland-Health-Fatigue-Risk- Management-System-resource-pack-2009.pdf.
- World Health Organization (WHO). Human factors in patient safety: Review of topics and tools [Internet]. Geneva: WHO; 2009 [cited 2020 March 4]. Available from www.who.int/patientsafety/research/methods_measures/ human_factors/human_factors_review.pdf.
- Brewer K. How a ‘just culture’ can improve safety in health care. Am Nurse Today 2011;6.
- Bae S. Nurse overtime, working conditions, and the presence of mandatory nurse overtime regulations. Workplace Health Saf 2012; 60(5):205–214. DOI: 10.1177/216507991206000504
- Graves K, Simmons D. Reexamining fatigue: Implications for nursing practice. Crit Care Nurs Q 2009;32(2):112–115.DOI: 10.1097/01.CNQ.0000348198.16788.df
- Neft M, Greenier E. An update from the AANA Practice Committee: Application of the the evidence-based process. AANA J 2013;81(1):9–12. [D]
- NSW Department of Health. Policy directive PD2009_062: Fire safety in health care facilities – Guidelines. Sydney: NSW Health; 2009.
- Graling P. Fighting fire with fire safety. AORN J 2006;84(30):561–563. DOI: 10.1016/S0001-2092(06)63933-1
- Smith C. Surgical fires: Learn not to burn. AORN J 2006;80(1):23–40. DOI: 10.1016/s0001-2092(06)60840-5
- Salmon L. Fire in the OR: Prevention and preparedness. AORN J 2004; 80(1):41–60. DOI: 10.1016/s0001-2092(06)60842-9
- Rinder C. Fire safety in the operating room. Curr Opin Anesthesiol 2008;21:790–795. DOI: 10.1097/ACO.0b013e328318693a
- Best practices for fire prevention in perioperative settings. AORN J 2006;84(1):537–544. https://doi.org/10.1016/S0001-2092(06)60084-7
- Rothrock J. Alexander’s care of the patient in surgery. 15th ed. Mosby: St Louis; 2014.
- American Society of Anaesthesiologists. Taskforce on operating room fires: Practice advisory for the prevention and management of operating room fires. Anesthesiology 2008;108(5):786–801. DOI: 10.1097/01.anes.0000299343.87119.a9
- Retzlaff K. Fighting fire with preparation [Internet]. AORN: Denver; 2009 [cited 2009 October 12]. Formerly available from: www.aorn.org/news/october2009news/fire.
- Beyea S. Preventing fires in the OR. AORN J 2003;78(4):664–666. DOI: 10.1016/s0001-2092(06)60673-x
- Massachusetts Department of Public Health. Health care quality and safety alert: Preventing operating room fires during surgery. Boston: Department of Public Health; 2002.
- Surgicalfire.org. Surgical fires online resource [Internet]. Boonsboro: SurgicalFire.org; n.d. [cited 2017 September 20]. Available from: Previously available from www.surgicalfire.org
- Hamlin L, Richardson-Tench M, Davies M. Perioperative nursing: An introductory text. Sydney: Mosby; 2009, 61–62.
- McCarthy P, Gaucher K. Fire in the OR – Developing a fire safety plan. AORN J 2004;79(3):588–604. DOI: 10.1016/s0001-2092(06)60910-1
- ECRI Institute. Medical device safety report – The patient is on fire! A surgical fire primer [Internet]. Philadelphia: ECRI Institute; n.d. [cited 2017 September 20]. Available from: www.mdsr.ecri.org/summary/detail. aspx?doc_id=8197 id=8197.
- Tooher R, Maddern G. Surgical fires and alcohol-based skin preparations. ANZ J Surg 2004;74(5):382–385. DOI: 10.1111/j.1445-1433.2004.02997.x
- Sessler DI. Perioperative thermoregulation and heat balance. Lancet 2016;387(10038):2655–2664. DOI: 10.1016/S0140-6736(15)00981-2. DOI: 10.1016/S0140-6736(15)00981-2
- National Collaborating Centre for Nursing and Supportive Care. Clinical practice guideline. The management of inadvertent perioperative hypothermia in adults. London: National Institute for Clinical Health and Excellence; 2008 (updated 2016). NBK53797
- Hooven K. Preprocedure warming maintains normothermia throughout the perioperative period: A quality improvement project. J Perianesth Nurs 2011;26(1):9–14. DOI: 10.1016/j.jopan.2010.07.013
- Munday J, Hines S, Chang AM. Evidence utilisation project: Management of inadvertent perioperative hypothermia. The challenges of implementing best practice recommendations in the perioperative environment. Int J Evid Based Healthc 2013;11(4):305–311. DOI: 10.1111/1744-1609.12035
- Chakladar A, Harper C. Perioperative warming in caesarean sections: Guidance would be NICE. Anaesthesia 2010;65(2):212–213. DOI: 10.1111/j.1365-2044.2009.06218.x
- Rajagopalan S, Mascha E, Na J, Sessler DI. The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology 2008;108(1):71–77. DOI: 10.1097/01.anes.0000296719.73450.52
- Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med 1996;334(19):1209–1216. DOI: 10.1056/NEJM199605093341901
- Beilin B, Shavit Y, Razumovsky J, Wolloch Y, Zeidel A, Bessler H. Effects of mild perioperative hypothermia on cellular immune responses. Anesthesiology 1998;89(5):1133–1140. DOI: 10.1097/00000542-199811000-00013
- Heier T, Caldwell JE. Impact of hypothermia on the response to neuromuscular blocking drugs. Anesthesiology 2006;104(5):1070–1080. DOI: 10.1097/00000542-200605000-00025
- Mahoney CB, Odom M. Maintaining intraoperative normothermia: A meta-analysis of outcomes with costs. AANA J 1999;67(2):155–164. https://pubmed.ncbi.nlm.nih.gov/10488289/
- Madrid E, Urrútia G, Roqué i Figuls M, Pardo-Hernandez H, Campos JM, Paniagua P et al. Active body surface warming systems for preventing complications caused by inadvertent perioperative hypothermia in adults. Cochrane Database Syst Rev 2016(4):CD009016. DOI: 10.1002/14651858.CD009016.pub2
- Munday J, Hines S, Wallace K, Chang AM, Gibbons K, Yates P. A systematic review of the effectiveness of warming interventions for women undergoing cesarean section. Worldviews Evid Based Nurs 2014;11(6):383–393. DOI: 10.1111/wvn.12067
- Duff J, Walker K, Edward KL, Williams R, Sutherland- Fraser S. Incidence of perioperative inadvertent hypothermia and compliance with evidence-based recommendations at four Australian hospitals: A retrospective chart audit. ACORN J 2014;27(3):20–23.
- Alderson P, Campbell G, Smith AF, Wartigg S, Nicholson A, Lewis SR. Thermal insulation for preventing inadvertent perioperative hypothermia (review). Cochrane Database Syst Rev 2014(6):CD009908. DOI:10.1002/14651858.CD009908.pub2.
- Campbell G, Alderson P, Smith AF, Wartigg S. Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia (review). Cochrane Database Syst Rev 2015(4):CD009891. DOI: 10.1002/14651858.CD009908.pub2
- Connelly C, Cramer E, DeMott Q, Winfield C, Swanberg M. The optimal time and method for surgical prewarming: A comprehensive review of the literature. J Perianesth Nurs 2017;32(3):199–209. DOI: 10.1016/j.jopan.2015.11.010
- Association of periOperative Registered Nurses (AORN). ‘Guideline for prevention of unplanned patient hypothermia’ in Guidelines for perioperative practice 15th ed. Denver: AORN; 2015: pp. 479–490.
- Apfelbaum JL, Silverstein JH, Chung FF, Connis RT, Fillmore RB, Hunt SE et al. Practice guidelines for postanesthetic care: An updated report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology 2013;118(2):291–307. DOI: 10.1097/ALN.0b013e31827773e9
- Torossian A, Bräuer A, Höcker J, Bein B, Wulf H, Horn EP. Clinical practice guideline. Preventing inadvertent perioperative hypothermia. Dtsch Arztebl Int 2015;112(10),166–172. DOI: 10.3238/arztebl.2015.0166
- Shukry M, Matthews L, Armendi AJ, Kropp BP, Frimberger D, Cure JA. Does the covering of children during induction of anesthesia have an effect on body temperature at the end of surgery? J Clin Anesth 2012;24(2):116–120. DOI: 10.1016/j.jclinane.2011.06.017
- Australian and New Zealand College of Anaesthetists (ANZCA). PS18 BP 2017. Guidelines on monitoring during anaesthesia. Melbourne: ANZCA; 2017.
- Tekgul ZT, Pektas S, Yildirim U, Karaman Y, Cakmak M, Ozkarakas H, Gonullu M. A prospective randomized double-blind study on the effects of the temperature of irrigation solutions on thermoregulation and post-operative complications in percutaneous nephrolithotomy. J Anesth 2015;29(2):165–169. https://doi.org/10.1007/s00540-014-1888-5
- Australian Council on Healthcare Standards (ACHS). Australian Clinical Indicator Report 17th edition 2008–15. Sydney: ACHS; 2016.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standard 3: Preventing and controlling healthcare associated infections [Internet]. Sydney: ACSQHC; 2017 [cited 2019 November 14]. Available from: www.safetyandquality.gov.au/standards/nsqhs-standards.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in health care [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 18]. Available from: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019.
- Australian Government Department of Health. Infection Control Guidelines: Creutzfeldt–Jakob disease [Internet]. Australian Government:Canberra: 2013 [updated 2013 April15, cited 2020 March 20]. Available from: https://www1.health.gov.au/internet/main/ publishing.nsf/Content/icg-guidelines-index.htm.
- Standards Australia. AS/NZS 4187:2014 Reprocessing of reusable medical devices in health service organisations (incorporating Amendments No. 1 and 2). Sydney: Standards Australia; 2014.
- Driscoll T. Occupational exposures of Australian nurses (archived) [Internet]. Canberra: Australian Safety and Compensation Council (ASCC); 2008 [cited 2019 November 14]. Available from: https://www. safeworkaustralia.gov.au/doc/occupational-exposures-australian-nurses-methodology-report.
- Centers for Disease Control and Prevention (CDC). Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005. MMWR Morb Mortal Wkly Rep 2005;54(RR17):1–141 [cited 2019 November 14]. Available from: www.cdc.gov/ mmwr/preview/mmwrhtml/rr5417a1.htm.
- Centers for Disease Control and Prevention (CDC). Workbook for designing, implementing and evaluating a sharps injury prevention program [Internet]. Atlanta: CDC; 2008 [cited 2019 November 14]. Available from: https://www.cdc.gov/sharpssafety/pdf/sharpsworkbook_2008.pdf.
- Centers for Disease Control and Prevention (CDC). Hand hygiene in healthcare settings 2002; 51:RR–16 [Internet]. Atlanta: CDC; 2002 [cited 2019 November 14]. Available from: https://www.cdc.gov/infectioncontrol/guidelines/hand-hygiene/index.html.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standard 1: Clinical governance standard [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 18]. Available from: https://www.safetyandquality.gov.au/our-work/clinical-governance/clinical-governance-standard.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards [Internet]. Sydney: ACSQHC; 2012 [cited 2020 March 18]. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards.
- Association of periOperative Registered Nurses (AORN). Transmission-based precautions. In: AORN Guidelines for perioperative practice 2019. Denver: AORN; 2019; 1092–1120.
- Tanavusa Lene M. Improving infection control practices through staff link programmes. Australian Infection Control 2002;7(1):19–26. https://doi.org/10.1071/HI02019
- Tropea J, Brand C, Roberts C. A national stakeholder review of Australian infection control programs: The scope of practice of the infection control professional. Final draft report 24 October [Internet]. Sydney: Australian Commission on Safety and Quality in Health Care; 2008 [cited 2014 February 20]. Formerly available from: www.safetyandquality.gov.au/publications/ review-of-australian-infection-control-programs-the-scope-of-practice-of-the-infection-control-professionalpractition erconsultant-with-national-stakeholders.
- Cruickshank M, Murphy C. Reducing harm to patients from healthcare associated infection: An Australian infection prevention and control model for acute hospitals [Internet]. Sydney: Australian Commission on Safety and Quality in Healthcare; 2009 [cited 2014 February 20]. Formerly available from: www. safetyandquality.gov. au/mediareleases/reducing-harm-to-patients-from-healthcare-associated-infections.
- Osborne S. Perceptions that influence occupational exposure reporting. AORN J 2003;78(2):262–271. DOI: 10.1016/s0001-2092(06)60776-x
- Australian Commission on Safety and Quality in Health Care (ACSQHS). Patient-centred care: Improving quality and safety through partnerships with patients and consumers [Internet]. Sydney: ACSQHS; 2011 [cited 2020 March 18]. Available from: https://commission.safetyandquality.gov.au/publications/patient-centred-care-improving-quality-and-safety-through-partnerships-with-patients-and-consumers/
- Rowley S, Clare S. Improving standards of aseptic practice through an ANTT trust-wide implementation process: A matter of prioritisation and care. J Infect Prev 2009;10(1):18–23. https://doi.org/10.1177/1757177409342140
- Australian Government Department of Health. Immunise Australia program – National Immunisation Program [Internet]. Canberra: Department of Health; 2013 [cited 2020 March 18]. Available from: www. health.gov.au/iniatives-and-programs/national-immunisation-program.
- Occupational Safety and Health Administration (OSHA). Blood borne pathogens. Regulation 1910.1030 paragraph (d)(2)(ix) [Internet]. Washington: OSHA; 2012 [cited 2020 March 19]. Available from: https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1030
- Lynch RJ, Englesbe MJ, Sturm L, Bitar A, Budhiraj K, Kolla S et al. Measurement of foot traffic in the operating room: Implications for infection control. Am J Med Qual 2009;24(1):45–52. DOI: 10.1177/1062860608326419
- Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1999;20(4):250–278. DOI: 10.1086/501620
- Parikh SN, Grice SS, Schnell BM, Salisbury S. Operating room traffic: Is there any role of monitoring it? J Pediatr Orthop 2010;30(6):617–623. DOI: 10.1097/BPO.0b013e3181e4f3be
- Standards Australia / Standards New Zealand. AS/NZS 1668.2:2012 The use of ventilation and air conditioning in buildings – Part 2: Mechanical ventilation in buildings [Internet]. Sydney: Standards Australia; 2012 [cited 2020 March 18]. Available from: https://infostore.saiglobal.com/en-au/standards/as-1668-2-2012-120207_saig_as_as_251941/
- Workplace British Columbia. Occupational Health and Safety Regulation. Section 4.84 Eating areas (enacted 1 Jan 2005) [cited February 20, 2014]. Formerly available from: www2.worksafebc.com/Publications/ OHSRegulation/Home.asp.
- Work, Health and Safety Act 2011, No. 137.
- Pyrek KM. Breaking the chain of infection [Internet]. Phoenix: Infection Control Today; 2002 [cited 2020 March 18]. Available from: www.infectioncontroltoday. com/hand-hygiene/breaking-chain-infection.
- Kotsanas D, Scott C, Gillespie EE, Korman TM, Stuart RL. What’s hanging around your neck? Pathogenic bacteria on identity badges and lanyards. Med J Aust 2008;188(1):5–8. https://doi.org/10.5694/j.1326-5377.2008.tb01494.x
- Jarvis WR. The Lowbury Lecture. The United States approach to strategies in the battle against healthcare associated infections: Transitioning from benchmarking to zero tolerance and clinician accountability. J Hosp Infect 2007;65(S2):3–9. DOI: 10.1016/S0195-6701(07)60005-X
- Communicable Diseases Network of Australia (CDNA). Creutzfeldt–Jakob disease [Internet]. Canberra: CDNA; 2013 [cited 2020 March 18]. Available from: www.health. gov.au/internet/main/publishing.nsf/ Content/icg-guidelines-index.htm.
- New South Wales Health. Alcohol-based hand cleansers and fire. NSW Health Safety Information S1:001/07 [Internet]. Sydney: NSW Department of Health; 2007 [cited 2020 March 18]. Available from: www.health.nsw.gov.au/sabs/ Documents/2007-si-001. pdf
- Whitby M, Pessoa-Silva CL, McLaws M-L, Allegranzi B, Sax H, Larson E et al. Behavioural considerations for hand hygiene practices: The basic building blocks. J Hosp Infect 2007;65(1):1–8. DOI: 10.1016/j.jhin.2006.09.026
- Barie PS, Eachempati SR. Surgical site infections. Surg Clin North Am 2005;85(6):1115–1135. DOI: 10.1016/j.suc.2005.09.006
- Hand Hygiene Australia (HHA). Five moments for hand hygiene manual. Melbourne: HHA; 2013 [cited 2020 March 18]. Available from: www.hha.org.au/hand-hygiene/5-moments-for-hand-hygiene.
- World Health Organization (WHO). WHO guidelines on hand hygiene in health care. Geneva: WHO; 2009 [cited 2020 March 18]. Available from: www.who.int/ gpsc/5may/tools/9789241597906/en.
- Garbutt SJ. Hand hygiene in the OR: Using evidence-based practices. OR Nurse 2011;5(2):10–12.
- Patrick M, Van Wicklin S. Implementing AORN recommended practices for hand hygiene. AORN J 2012;95(94):492–507. DOI:10.1016/j.aorn.2012.01.019. DOI: 10.1016/j.aorn.2012.01.019
- New South Wales (NSW) Health. PD2017_013 Infection Prevention and Control Policy [Internet]. Sydney: NSW Department of Health; 2010 [cited 2019 November 14]. Available from: https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2017_013.pdf.
- New South Wales (NSW) Health. Infection Control Policy PD 2007036 (Rescinded) [Internet]. Sydney: NSW Department of Health; 2007 [cited 2014 February 20]. Formerly available from: www1.health.nsw.gov.au/PDS/ pages/doc. aspx?dn=PD2007036.
- Pittet D, Allegranzi B, Sax H, Dharan S, Pessoa-Silva CL, Donaldson L et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6(10):641– 652. DOI: 10.1016/S1473-3099(06)70600-4
- Spruce L. Back to basics: Hand hygiene and surgical hand antisepsis. AORN J 2013;98(5):449–460. DOI: 10.1016/j.aorn.2013.08.017
- Johnson PDR, Martin R, Burrell LJ, Grabsch EA, Kirsa SW, O’Keeffe J et al. Efficacy of an alcohol/chlorhexidine hand hygiene program in a hospital with high rates of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection. Med J Aust 2005;183(10):509– 514.
- Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet D. ‘My five moments for hand hygiene’: A user-centred design and approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007;67(1):9–21. DOI: 10.1016/j.jhin.2007.06.004
- Hand Hygiene Australia (HHA). Risk assessment for use of alcohol-based hand rubs in healthcare facilities [Internet]. Melbourne: HHA; 2009 [cited 2014 February 20]. Formerly available from: www.hha.org. au/UserFiles/ file/GenericAlcoholBasedHandRubRisk Assessmentv2.pdf.
- Queensland Health. Hand hygiene – fire and safety issues. Alcohol Based Hand Rub (ABHR) [Internet]. Queensland Health; 2013 [cited 2014 February 20]. Formerly available from: www.health.qld.gov.au/chrisp/ handhygiene/safety.pdf.
- Bellaard-Smith E. Gillespie E. Implementing hand hygiene strategies in the operating suite. Healthcare Infect 2012;17(1):33–37. DOI:https://doi.org/10.1071/HI12002
- Krediet A, Kalkman C, Bonten M, Gigengack A, Barach P. Hand-hygiene practices in the operating theatre: An observational study. Br J Anaesth 2011;104(7):553–558. DOI: 10.1093/bja/aer162
- Korniewicz D, El-Masri M. Exploring the benefits of double gloving during surgery. AORN J 2012;95(3):328– 336. DOI: 10.1016/j.aorn.2011.04.027
- Tanner J, Parkinson H. Double gloving to reduce surgical cross-infection. Cochrane Database Syst Rev 2006;(3). DOI: 10.1002/14651858.CD003087.pub2
- Association of periOperative Registered Nurses (AORN). Recommended practices for surgical attire. In: Perioperative Standards and Recommended Practices, pp. 57–72. Denver: AORN Inc; 2011.
- Rowley S, Clare S, Macqueen S, Molyneux R. ANTTv2: An updated practice framework for aseptic technique. Br J Nurs 2010;19(5):5–11. https://doi.org/10.12968/bjon.2010.19.Sup1.47079
- Pratt RJ, Pellowe CM, Wilson JA, Loveday HP, Harper PJ, Jones SR et al. epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect 2007;65S:S1–64. DOI: 10.1016/S0195-6701(07)60002-4
- Watt A, Patkin M, Sinnott MJ, Black RJ, Maddern G. Scalpel safety in the operative setting: A systematic review. Surgery 2010;147(1):98–106. DOI: 10.1016/j.surg.2009.08.001
- World Health Organization (WHO). WHO guidelines for safe surgery: Safe surgery saves lives [Internet]. Geneva: World Health Organization; 2009 [cited 2014 February 20]. Available from: www.who.int/patientsafety/safesurgery/tools resources/9789241598552/en.
- Standards Australia. AS/NZS 4187:2014 Reprocessing of reusable medical devices in health service organisations (incorporating Amendments No. 1 and 2). Sydney: Standards Australia; 2014.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Preventing and controlling healthcare associated infections [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 4]. Available from: www.safetyandquality.gov.au/ publications/national-safety-and-quality-health-service-standards.
- Anonymous. Central reprocessing: is it time to add instrument tracking? OR Manager 2007;23(8):14–15.
- Anonymous. 2005 surgical instruments guide: Cardinal rules on surgical instrument management. Healthcare Purchasing News 2005;29(4):24–30.
- Standards Australia / Standards New Zealand. AS/NZS 4173:2018 Safe use of lasers and intense light sources in health care. Sydney: Standards Australia; 2018.
- Mertes PM, Ebo DG, Garcez T, Rose M, Sabato V, Takazawa T et al. Comparative epidemiology of suspected perioperative hypersensitivity reactions. Br J Anaesth 2019;123(1):e16–e28. DOI: 10.1016/j.bja.2019.01.027
- Dardeer A, Shallik N. Perioperative anaphylaxis: A new visit to an old topic. Trends Anaesth Crit Care 2019;26– 27:(1–10). https://doi.org/10.1016/j.tacc.2019.04.005
- Di Leo E, Delle Donne P, Calogiuri GF, Macchia L, Nettis E. Focus on the agents most frequently responsible for perioperative anaphylaxis. Clin Mol Allergy 2018;16:16. DOI: 10.1186/s12948-018-0094-7
- Takazawa T, Sabato V, Ebo DG. In vitro diagnostic tests for perioperative hypersensitivity, a narrative review: Potential, limitations, and perspectives. Br J Anaesth 2019;123(1):e117–e125. https://doi.org/10.1016/j.bja.2019.01.002
- Ebo DG, Van Gasse AL, Decuyper II, Uyttebroek A, Sermeus LA, Elst J et al. Acute management, diagnosis, and follow-up of suspected perioperative hypersensitivity reactions in Flanders 2001–2018. J Allergy Clin Immunol Pract 2019;7(7): 2194–2204.e7. DOI: 10.1016/j.jaip.2019.02.031
- Volcheck GW, Hepner DL. Identification and management of perioperative anaphylaxis. J Allergy Clin Immunol Pract 2019;7(7): 2134–2142. DOI: 10.1016/j.jaip.2019.05.033
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 February 2]. Available from: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Australasian Society of Clinical Immunology and Allergy (ASCIA). Latex allergy [Internet]. Brookvale NSW: ASCIA; 2019 [cited 2020 February 2]. Available from: www.allergy.org.au/patients/other-allergy/latex-allergy
- Adriaensens I, Vercauteren M, Soetens F, Janssen L, Leysen J, Ebo D. Allergic reactions during labour analgesia and caesarean section anaesthesia. Int J Obstet Anesth 2013;22(3):231–242. DOI: 10.1016/j.ijoa.2013.04.010
- Association of periOperative Registered Nurses (AORN). Guidelines for perioperative practice: Environment of care. Denver CO: AORN; 2019.
- Péer L, Brezis ML, Shalit M, Carvalho B, Levin PD, Seri O et al. Evaluation of a prospectively administered written questionnaire to reduce the incidence of suspected latex anaphylaxis during elective cesarean delivery. Int J Obstet Anesth 2014;23(4):335–340. https://doi.org/10.1016/j.ijoa.2014.05.009
- Provinciael S, Saldien V, Hans G, Vercauteren M. Perioperative allergy and anaphylaxis in children: A review. Acta Anaesthesiologica Belgica 2018;69(1):13–24.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards. Sydney: ACSQHC; 2017.
- Therapeutic Goods (Charges) Act 1989.
- Therapeutic Goods (Medical Devices) Regulations 2002.
- Therapeutic Goods Administration (TGA). Therapeutic goods (standard for disinfectants and sanitary products) (TGO 104) order 2019. Canberra: TGA; 2019.
- Therapeutic Goods Administration (TGA). Guidelines for the evaluation of sterilants and disinfectants. Canberra: TGA; 1998.
- Therapeutic Goods Administration (TGA). Australian register of therapeutic goods. Canberra: TGA; 2019.
- Wood A. Updates to the AORN evidence rating model. AORN J 2019;110(1):5–8. DOI: 10.1002/aorn.12744
- Association of periOperative Registered Nurses (AORN). AORN guidelines for perioperative practice 2019. Denver: AORN; 2019.
- Katelaris CH. Latex allergy [Internet]. Sydney; Allergy and Anaphylaxis Australia; 2012 [updated 2017 January, cited 2020 February 2]. Available from: allergyfacts.org. au/images/pdf/latex.pdf
- American Association of Nurse Anesthetists (AANA). Latex allergy management [Internet]. Illinois: AANA; 2018 [cited 2020 February 2]. Available from: www.aana.com/docs/default-source/practice-aana-com-web-documents-(all)/latex-allergy-management. pdf?sfvrsn=9c0049b1_8
- Epling C, Duncan J, Archibong E, Østbye T, Pompeii LA, Dement J. Latex allergy symptoms among health care workers: Results from a university health and safety surveillance system. Int J Occup Environ Health 2011;17(1):17–23. DOI: 10.1179/107735211799031176
- Australian and New Zealand College of Anaesthetists (ANZCA). Guidelines on the perioperative management of patients with suspected or proven hypersensitivity to chlorhexidine. Melbourne: ANZCA; 2016.
- Scolaro RJ, Crilly HM, Maycock EJ, McAleer PT, Nicholls KA, Rose MA et al. Australian and New Zealand anaesthetic allergy group perioperative anaphylaxis investigation guidelines. Anaesth Intensive Care 2017;45(5):543–555. DOI: 10.1177/0310057X1704500504
- Garvey LH, Dewachter P, Hepner DL, Mertes PM, Voltolini S, Clarke R et al. Management of suspected immediate perioperative allergic reactions: An international overview and consensus recommendations. Br J Anaesth 2019;123(1):e50–e64. DOI: 10.1016/j.bja.2019.04.044
- Australian Nursing and Midwifery Federation (ANMF). Occupational health and safety [Internet]. Canberra: ANMF; 2018 [cited 2020 February 2]. Available from: http://anmf.org.au/documents/policies/P_ Occupational_health_and_safety.pdf
- Haas JP. Managing loaner instruments safely. OR Nurses Journal 2011;5(4):12–13.
- Huter-Kunish GG. Processing loaned instruments in an ambulatory surgery center. AORN J 2009;89(5):861–866. DOI: 10.1016/j.aorn.2009.02.002
- Queensland Health. Guidelines – Management of loan set instruments. Brisbane: Queensland Health; 2013.
- Seavey R. High-level disinfection, sterilization and antisepsis: Current issues on reprocessing medical and surgical instruments. Am J Infect Control 2013;41(5 Suppl):S111–S117. DOI: 10.1016/j.ajic.2012.09.030
- Seavey R. Reducing the risks associated with loaner instrumentation and implants. AORN J 2010;92(3):322–331. DOI: 10.1016/j.aorn.2009.12.032
- Seavey R. Getting a handle on loaner instrumentation [Internet]. Worthing UK: healthVIE.com Mar:71–89; 2011 [cited 2020 March 18]. Available from: http:// multimedia.3m.com/mws/media/788638O/getting-a-handle-on-loaner-instrumentation.pdf
- Duro M. New IAHCSMM loaner instrumentation position paper and policy template. AORN J 2011;94(3):287–289. DOI: 10.1016/j.aorn.2011.07.002
- Festa M, Young M. Working together: Manufacturers’ instructions crucial to sterilization. Biomed Instrum Technol 2011;45(4):302–304. DOI: 10.2345/0899-8205-45.4.302
- Standards Australia. AS/NZS 4187:2014 Reprocessing of reusable medical devices in health service organisations (incorporating Amendments No. 1 and 2). Sydney: Standards Australia; 2014.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards [Internet]. Sydney: ACSQHC; 2012 [cited 2020 March 18]. Available from: www. safetyandquality.gov.au/standards/nsqhs-standards.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 18]. Available from: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Ricupito G. Consignment trays and the hidden costs of sterilization. Mater Manag Health Care 2006;15(12):32– 36.
- Young M. Top 10 risks in sterile processing. Horizons 2012;Spring:15–19. DOI: 10.2345/0899-8205-12.1.15
- Alfa MJ. Monitoring and improving the effectiveness of cleaning medical and surgical devices. Am J Infect Control 2013;41(5 Suppl):S56–S59. DOI: 10.1016/j.ajic.2012.12.006
- WorkSafe Victoria. Guidance note: Orthopaedic surgical instrument sets – Reducing risks of musculoskeletal disorders. Melbourne: WorkSafe Victoria; 2005. Formerly available from: www.worksafe.vic.gov.au/ forms-and-publications/forms-and-publications/ orthopaedicsurgical-instrument-sets-reducing-risks-of-musculoskeletal-disorders.
- WorkCover New South Wales. Design and handling of surgical instrument transport cases. A guide on health and safety standards, 2011 [Internet]. Catalogue No. WC03046. Sydney: WorkCover NSW; 2011 [cited 2015 November 29]. Formerly available from: www.workcover. nsw.gov. au/data/assets/pdf_file/0003/15258/design_ handling_ surgical_instrument_transport_cases_3046. pdf.
- Standards Australia / Standards New Zealand. AS/ NZS 3551:2012 Management programs for medical equipment. Sydney: Standards Australia; 2012.
- Rutala WA, Weber DJ. Guideline for disinfection and sterilization of prion-contaminated medical instruments. Infect Control Hosp Epidemiol 2010;31(2):107–117. DOI: 10.1086/650197
- Communicable Diseases Network Australia (CDNA). Infection control guidelines Creutzfeldt-Jakob disease (CJD) [Internet]. Canberra: CDNA; 2013 [cited 2020 March 18]. Available from: https://www1.health.gov.au/internet/main/publishing.nsf/Content/3A968399995CFCE5CA257BF000211E32/$File/CJDInfectionControlGuidelinesJan2013.pdf.
- Australian Government Department of Health. Infection Control Guidelines: Creutzfeldt–Jakob disease [Internet]. Australian Government:Canberra: 2013 [updated 2013 April15, cited 2020 March 20]. Available from: www1.health.gov.au/internet/main/publishing. nsf/Content/icg-guidelines-index.htm
- World Health Organization. Practical guidelines for infection control in health care facilities. SEARO Regional Publication No. 41. New Delhi: World Health Organization, Regional Office for South-East Asia and Regional Office for Western Pacific; 2004. https://apps.who.int/iris/handle/10665/206946
- Ogg MJ. Introduction to the safe patient handling and movement series. AORN J 2001;93(3):331–333. DOI: 10.1016/j.aorn.2010.12.004
- Waters T, Baptiste A, Short M, Plante-Mallon L, Nelson. AORN ergonomic tool 1: Lateral transfer of a patient from a stretcher to an OR bed. AORN J 2011;93(3):2234– 2339. DOI: 10.1016/j.aorn.2010.08.025
- Waters T, Baptiste A, Short M, Plante-Mallon L, Nelson A. AORN ergonomic tool 2: Positioning and repositioning the supine patient on the OR bed. AORN J 2011;93(4):445–449. DOI: 10.1016/j.aorn.2010.08.027
- Waters T, Baptiste A, Short M, Plante-Mallon L, Nelson. AORN ergonomic tool 3: Lifting and holding the patient’s legs, arms, and head while prepping. AORN J 2011;93(5):589–592. DOI: 10.1016/j.aorn.2010.08.028
- Waters T, Baptiste A, Short M, Plante-Mallon L, Nelson A. AORN ergonomic tool 4: Solutions for prolonged standing in perioperative settings. AORN J 2011;93(6):767–764. DOI: 10.1016/j.aorn.2010.08.029
- Waters T, Baptiste A, Short M, Plante-Mallon L, Nelson AORN ergonomic tool 5: Tissue retraction in the perioperative setting. AORN J 2011;94(1):54–58. DOI: 10.1016/j.aorn.2010.08.031
- Waters T, Baptiste A, Short M, Plante-Mallon L, Nelson A. AORN ergonomic tool 6: Lifting and carrying supplies and equipment in the perioperative setting. AORN J 2011;94(2):173–179. DOI: 10.1016/j.aorn.2010.09.033
- Waters T, Lloyd JD, Hernandez A. AORN ergonomic tool 7: Pushing, pulling and moving equipment on wheels. AORN J 2011;94(3):254– 259. DOI: 10.1016/j.aorn.2010.09.035
- Dybec RB. Intraoperative positioning and care of the obese patient. Plast Surg Nurs 2004;24(3):118–122. DOI: 10.1097/00006527-200407000-00009
- Cowley SP, Leggett S. Manual handling risks associated with the care, treatment and transportation of bariatric patients and clients in Australia. Int J Nurs Pract 2010;16(3):262–267. DOI: 10.1111/j.1440-172X.2010.01839.x
- Hignett S, Griffiths P. Risk factors for moving and handling bariatric patients. Nurs Stand 2009; 24(11):40–48. DOI: 10.7748/ns2009.11.24.11.40.c7390
- Muir M, Heese GA, McLean D, Bodnar S, Rock BL. Handling of the bariatric patient in critical care: A case study of lessons learned. Crit Care Nurs Clin North Am 2007;19(2):223–224. DOI: 10.1016/j.ccell.2007.02.010
- Bennicoff G. Perioperative care of the morbidly obese patient in the lithotomy position. AORN J 2010;92(3):297– 309. DOI: 10.1016/j.aorn.2010.04.016
- Primiano M, Friend M, McClure C, Nardi S, Fix L, Schafer M et al. Pressure ulcer prevalence and risk factors during prolonged surgical procedures. AORN J 2011;94(6):555–566. DOI: 10.1016/j.aorn.2011.03.014
- Hignett S. Intervention strategies to reduce musculoskeletal injuries associated with handling patients: A systematic review. Occup Environ Med 2003;60:E6. DOI: 10.1136/oem.60.9.e6
- Rich DS. New JCAHO medication management standards for 2004. Am J Health Syst Pharm 2004;61:1349–1358. DOI: 10.1093/ajhp/61.13.1349
- Roughead EE, Semple SJ. Medication safety in acute care in Australia: Where are we now? Part 1: A review of the extent and causes of medication problems 2002–2008. Aust New Zealand Health Policy. 2009;6:18. DOI: 10.1186/1743-8462-6-18. DOI: 10.1186/1743-8462-6-18
- Semple SJ, Roughead EE. Medication safety in acute care in Australia: Where are we now? Part 2: A review of strategies and activities for improving medication safety 2002–2008. Aust New Zealand Health Policy. 2009 Sep 22;6:24. DOI: 10.1186/1743-8462-6-24. DOI: 10.1186/1743-8462-6-24
- Roughead EE, Semple SJ. Literature review: Medication safety in acute care in Australia. Australian Commission on Safety and Quality in Healthcare. 2008 July.
- Beyea SC, Hicks RW, Becker SC. (2003b). Medication errors in the OR – a secondary analysis of MEDMARX. AORN J 2003;77(1):122,125–129,132–134. DOI: 10.1016/s0001-2092(06)61382-3
- Hicks RW, Wanzer LJ, Goeckner B. Perioperative pharmacology: A framework for perioperative medication safety. AORN J 2011;93(1):136–142. DOI: 10.1016/j.aorn.2010.08.020
- Abeysekera A, Bergman IJ, Kluger MT, Short TG. Drug error in anaesthetic practice: A review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia 2005;60:220–227. DOI: 10.1111/j.1365-2044.2005.04123.x
- Hanna GM, Levine WC. Medication safety in the perioperative setting. Anaesthesiol Clin 2011;29(1):135–144. DOI: 10.1016/j.anclin.2010.11.009
- The Australian Commission on Safety and Quality in Health Care (ACSQHC). Medication safety standard [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 23]. Available from: www.safetyandquality.gov.au/ standards/nsqhs-standards/medication-safety-standard
- Goeckner B, Gladu M, Bradley J, Bibb SCG, Hicks RW. Differences in perioperative medication errors with regard to organization characteristics. AORN J 2006;83(2):351–368. DOI: 10.1016/s0001-2092(06)60167-1
- Roughead EE, Bedford G. Medication Safety: Will adverse drug events be reduced? [Internet]. Sydney: The Australian Commission on Safety and Quality in Health Care (ACSQHC); n.d. [cited 2011 December 22]. Formerly available from: www.safetyandquality. gov.au/internet/safety/publishing.nsf/Content/ D0DABD9912D44A14CA257516000FDABB/$File/NatRep- Windows.PDF
- Brown-Brumfield D, De-Leon A. Adherence to a medication safety protocol: Current practice for labelling medications and solutions on the sterile field. AORN J 2010;91(5):610–617. DOI: 10.1016/j.aorn.2010.03.002
- Eichhorn JH. APSF hosts medication safety conference: Consensus group defines challenges and opportunities for improved practice. APSF Newsletter 2010;25:1–20.
- Jensen LS, Merry AF, Webster CS, Weller j, Larsson L. Evidence-based strategies for preventing drug administration errors during anaesthesia. Anaesthesia 2004;59(5):493–504. DOI: 10.1111/j.1365-2044.2004.03670.x
- Fasting S, Gisvold SE. Adverse drug errors in anaesthesia, and the impact of coloured syringe labels. Can J Anesth 2000;47(11):1060–1067. DOI: 10.1007/BF03027956
- Shultz J, Davies JM, Caird J, Chisholm S, Ruggles K, Puls R. Standardising anaesthesia medication drawers using human factors and quality assurance methods. Can J Anesth 2010;57(5):490–499. DOI: 10.1007/s12630-010-9274-8
- Jennings J, Foster J. Medication safety: Just a label away. AORN J 2007;86(4):618– 625. DOI: 10.1016/j.aorn.2007.04.003
- Webster C, Merry A, Gander P, Mann N. A prospective, randomised clinical evaluation of a new safety-oriented injectable drug administration system in comparison with conventional methods. Anaesthesia 2004;59:80–87. https://doi.org/10.1111/j.1365-2044.2004.03457.x
- Paix AD, Bullock MF, Runciman WB, Williamson JA. Crisis management during anaesthesia: Problems associated with drug administration during anaesthesia. Qual Saf Health Care 2005;14(3):e15. DOI: 10.1136/qshc.2002.004119
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare. Canberra: NHMRC; 2019. www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Lacourciere A, Kumar O, Apold S. Implementing an OR contact precautions decision algorithm to promote interprofessional teamwork for infection prevention. AORN J 2019;109(5):597–611. DOI: 10.1002/aorn.12667
- Russo PL, Stewardson AJ, Cheng C, Bucknall T, Mitchell B. The prevalence of healthcare associated infections among adult inpatients at nineteen large Australian acute-care public hospitals: A point prevalence survey. Antimicrob Resist Infect Control 2019;8(114). DOI: 10.1186/s13756-019-0570-y
- Victorian Department of Health. Patient-centred risk management strategy for multi-resistant organisms [Internet]. Melbourne: Victorian Department of Health; 2011 [cited 2020 February 5]. Available from: www2.health.vic.gov.au/Api/ downloadmedia/%7BA890DE96-921E-482F-97C6- 8390AFCB2310%7D
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards. Sydney: ACSQHC; 2017.
- Australian Government. Therapeutic Goods (Charges) Act 1989. Canberra: Australian Government; 1989.
- Australian Government. Therapeutic Goods (Medical Devices) Regulations 2002. Canberra: Australian Government; 2002.
- Australian Government. Therapeutic Goods (Standard for Disinfectants and Sanitary Products) (TGO 104) Order 2019. Canberra: Australian Government; 2019.
- Therapeutic Goods Administration (TGA). Guidelines for the evaluation of sterilants and disinfectants [Internet]. Canberra: TGA;1998 [cited 2020 February 5].
- Therapeutic Goods Administration (TGA). Australian register of therapeutic goods. Canberra: TGA; 2019.
- Wood A. Updates to the AORN evidence rating model. AORN J 2019;110(1):5–8. DOI: 10.1002/aorn.12744
- Association of periOperative Registered Nurses (AORN). AORN guidelines for perioperative practice 2019. Denver, CO: AORN; 2019.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Recommendations for the control of carbapenemase-producing Enterobacteriaceae (CPE) – a guide for acute care health facilities [Internet]. Sydney: ACSQHC; 2017 [cited 2020 February 5]. Available from: www.safetyandquality.gov.au/our-work/ healthcare-associated-infection/cpe-guide
- Siegel J, Rhinehart E, Jackson M, Chiarello L, the Healthcare Infection Control Practices Advisory Committee. Management of multidrug-resistant organisms in healthcare settings, 2006 [Internet]. Atlanta, GA: Centers for Disease Control and Prevention; 2006 [updated 2017, cited 2020 February 5]. Available from: www.cdc.gov/mrsa/pdf/ mdroGuideline2006.pdf
- Ong CW, Chen SC, Clark JE, Halliday CL, Kidd SE, Marriott DJ et al. Diagnosis, management and prevention of Candida auris in hospitals: Position statement of the Australasian Society for Infectious Diseases. Intern Med J 2019;49(10):1229–1243. DOI: 10.1111/imj.14612
- New South Wales Health. Candida auris infection considerations for the transfer or repatriation of an overseas patient to a NSW hospital [Internet]. Sydney: NSW Health; 2018 [cited 2020 February 5]. Available from: www.health.nsw.gov.au/sabs/Documents/2018- si-003.pdf
- Queensland Health. Guideline – infection prevention and control of Candida auris [Internet]. Brisbane: Queensland Health; 2019 [cited 2020 February 5]. Available from: www.health.qld.gov.au/__data/assets/ pdf_file/0028/722827/Candida-auris-guideline.pdf
- South Australia Health. Candida auris [Internet]. Adelaide: SA Health; 2019 [cited 2020 February 5]. Available from: www.sahealth.sa.gov.au/wps/ wcm/connect/public+content/sa+health+internet/ clinical+resources/clinical+topics/ healthcare+associated+infections/multidrug-resistant+organisms+mro/candida+auris
- Victorian Department of Health and Human Services (DHHS). Victorian guideline on Candida auris for health services [Internet]. Melbourne: DHHS; 2019 [cited 2020 February 5]. Available from: www2.health.vic.gov.au/ Api/downloadmedia/%7BE72DE677-88A3-4AF4-8557- C20DEA78638F%7D
- Ho C, Lau A, Cimon K, Farrah K, Gardam M. Screening, isolation, and decolonization strategies for vancomycin-resistant enterococci or extended spectrum beta-lactamase producing organisms: A systematic review of the clinical evidence and health services impact [Internet]. Ottawa; Canadian Agency for Drugs and Technology in Health; 2012 [cited 2020 February 5]. Available from: www.cadth.ca/media/pdf/ htis/sept-2012/RE0028_VREReport_e.pdf
- O’Hara LM, Calfee DP, Miller LG, Pineles L, Magder LS, Johnson JK et al. Optimizing contact precautions to curb the spread of antibiotic-resistant bacteria in hospitals: A multicenter cohort study to identify patient characteristics and healthcare personnel interactions associated with transmission of methicillin-resistant staphylococcus aureus. Clin Infect Dis 2019;69(Supplement_3):S171–S177. DOI: 10.1093/cid/ciz621
- Santiano N, Caldwell J, Ryan E, Smuts A, Schmidt HM. Knowledge and understanding of patients and health care workers about multi-resistant organisms. Healthc Infect 2014;19(2):45–52. https://doi.org/10.1071/HI13027
- Link T. Guideline implementation: Transmission-based precautions. AORN J 2019;110(6):637–649. DOI: 10.1002/aorn.12867
- Croke L. Appropriate environmental cleaning helps address threats from multidrug-resistant organisms. AORN J 2019;110(6):P5. DOI: 10.1002/aorn.12901
- Rutala WA, Weber DJ. Best practices for disinfection of noncritical environmental surfaces and equipment in health care facilities: A bundle approach. Am J Infect Control 2019;47S(A96–A105). DOI: 10.1016/j.ajic.2019.01.014
- Department of Health Western Australia. Micro-alert codes utilised in Western Australian public healthcare facilities: Information for infection prevention and control staff [Internet]. Perth: Department of Health WA; 2019 [cited 2020 February 5]. Available from: https://ww2.health.wa.gov.au/~/media/Files/Corporate/general%20documents/Infectious%20diseases/PDF/HISWA/Microalert%20Codes%20Information%20for%20IPC%20Staff.pdf
- Public Health England. Guidance for the laboratory investigation, management and infection prevention and control for cases of Candida auris (C. auris) [Internet]. London: Public Health England; 2017 [cited February 5]. Available from: www.gov.uk/government/ publications/candida-auris-laboratory-investigation-management-and-infection-prevention-and-control
- National Institute for Communicable Diseases (NICD). Interim guidance for the management of Candida auris in South African hospitals [Internet]. Johannesburg: NICD; 2016 [cited 2020 February 5]. Available from: www.nicd.ac.za/wp-content/uploads/2017/03/2016- 12-22-InterimNICDRecommdtnsCAuris_NICDWebsite_ updated-header.pdf
- Toth DJA, Khader K, Beams A, Samore MH. Model-based assessment of the effect of contact precautions applied to surveillance-detected carriers of carbapenemase-producing enterobacteriaceae in long-term acute care hospitals. Clin Infect Dis 2019;69(Supplement_3):S206–S213. DOI: 10.1093/cid/ciz557
- Queensland Health. Management of multi-resistant organisms guideline. Brisbane: Queensland Government; 2017.
- Allen M, Hall L, Halton K, Graves N. Improving hospital environmental hygiene with the use of a targeted multi-modal bundle strategy. Infection, Disease & Health 2018;23(2):107–113. https://doi.org/10.1016/j.idh.2018.01.003
- Peters A, Otter J, Moldovan A, Parneix P, Voss A, Pittet D. Keeping hospitals clean and safe without breaking the bank; summary of the healthcare cleaning forum 2018. Antimicrob Resist Infect Control 2018;7(1):132. doi: 10.1186/s13756-018-0420-3
- Phan LT, Maita D, Mortiz DC, Bleasdale SC, Jones RM. Environmental contact and self-contact patterns of healthcare workers: Implications for infection prevention and control. Clin Infect Dis 2019;69(Supplement_3):S178–S184. DOI: 10.1093/cid/ciz558
- Mitchell BG, Farrington A, Allen M, Gardner A, Hall L, Barnett AG et al. Variation in hospital cleaning practice and process in Australian hospitals: A structured mapping exercise. Infection, Disease & Health 2017;22(4):195–202. DOI:https://doi.org/10.1016/j.idh.2017.08.001
- South Australia Health. Multi-resistant gram-negative micro-organisms: Infection prevention and control clinical guideline. Adelaide: SA Health; 2019.
- Maresca TA, Wikander N. Beyond testing and repairing instruments. Infection Control Today 2003 Apr [cited 2008 January 9]. Formerly available from: www.infectioncontroltoday.com/articles/341inside. html.
- Therapeutic Goods Amendment (2016 Measures No. 1) Act 2017.
- Burns L. Assessment of medical devices: How to conduct comparative technology evaluations of product performance. Int J Technol Assess Health Care 2007;23(4):455–463. DOI: 10.1017/S0266462307070547
- World Federation for Hospital Sterilisation Sciences (WFHSS). Recommendations by the quality task group: Deciding how to process a new medical device [Internet]. Luzern: WFHSS; 2006 [cited 2010 January 9]. Formerly available from: www.wfhss.com/html/educ/ qtg/qtg_0006_en.htm.
- Olsen S. Safety in surgery: First steps towards a systems approach. Clinical Risk 2005;11(5):190–194. https://doi.org/10.1258/1356262054825920
- O’Connor M. Selecting and implementing surgical services information systems. Surgical Services Management 2000;6(5):522–528.
- Davis JL, Knief S. A strategic approach to the introduction of new technology. Surgical Services Management 2003;9(4):426–429.
- Brogmus G. Best practices in OR suite layout and equipment choices to reduce slips, trips and falls. AORN J 2007;86(3):384–394. DOI: 10.1016/j.aorn.2007.06.003
- Matern U. Safety hazards and ergonomics in the operating room. Surg Endosc 2007;21(11):1965–1969. DOI: 10.1007/s00464-007-9396-4
- Rosenthal K. Monitoring vital signs in vital times: Technical update. Nurs Manage 2002;33(3):47–48. DOI: 10.1097/00006247-200203000-00020
- Adedeji R, Oragui E, Khan W, Maruthainar N. The importance of correct patient positioning in theatres and implications of mal-positioning. J Perioper Pract 2010;20(4):143–147. DOI: 10.1177/175045891002000403
- Bowers M. Prone positioning for surgery. J Perioper Pract 2012;22(5):157–162. DOI: 10.1177/175045891202200504
- Akhavan A, Gainburg DM, Stock JA. Complications associated with patient positioning in urologic surgery. Urology 2010;76(6):1309–1316. DOI: 10.1016/j.urology.2010.02.060
- Ciasulli K, Heering A. Patient positioning in surgery: Trendelenburg position. CINAHL Nursing Guide. Glendale: CINAHL Information System, 2016.
- Ellsworth WA, Basu CB, Iverson RE. Perioperative considerations for patient safety during cosmetic surgery – preventing complications. Can J Plast Surg 2009;17(1):9–16. PMID: 20190907
- Spruce L, Van Wicklin SA. Back to basics: Positioning the patient. AORN J 2014;100(3):298–305 DOI: 10.1016/j.aorn.2014.06.004
- Aust H, Koehler S, Kuehnert M, Wiesmann T. Guideline– recommended 15° left lateral table tilt during cesarean section in regional anesthesia – practical aspects: An observational study. J Clin Anesth 2016 32:47–53. DOI: 10.1016/j.jclinane.2015.12.041
- Harvey NL, Hodgson RL, Kinsella SM. Does body mass index influence the degree of pelvic tilt produced by the Crawford wedge? Int J Obstet Anesth 2013;22:129–132. DOI: 10.1016/j.ijoa.2012.11.002
- Cluver C, Novilova N, Hofmeyr GJ, Hall DR. Maternal position during caesarean section for preventing maternal and neonatal complications. Cochrane Database Syst Rev 2013;3(3):CD007623. DOI: 10.1002/14651858.CD007623.pub3
- Chen HL, Chen XY, Wu J. The incidence of pressure ulcers in surgical patients of the last 5 years: A systematic review. Wounds 2012 24(9):234–241.
- Connor T, Sledge JA, Bryant-Wiersema L, Stamm L, Potter P. Identification of pre-operative and intra-operative variables predictive of pressure ulcer development in patients undergoing urologic surgical procedures. Urol Nurs 2010;30(5):289–295.
- Codd RJ, Evans MD, Sagar PM, Williams GL. A systematic review of peripheral nerve injury following laparoscopic colorectal surgery. Colorectal Dis 2013;15(3):278–282. DOI: 10.1111/codi.12012
- O’Connor D, Radcliffe J. Patient positioning in anaesthesia. Anaesth Intensive Care Med 2015;16(11):543–547. https://doi.org/10.1016/j.mpaic.2015.08.008
- Denholm B. Clinical issues: Tucking patients’ arms and general positioning. AORN J 2009;89(4):755–757. DOI: 10.1016/j.aorn.2009.03.010
- The Australian Commission on Safety and Quality in Health Care (ACSQHC). Comprehensive care standard [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 23]. Available from: www.safetyandquality.gov.au/ standards/nsqhs-standards/comprehensive-care-standard.
- Chitlik A. Safe positioning for robotic- assisted laparoscopic prostatectomy. AORN J 2011 94(1):37–48. DOI: 10.1016/j.aorn.2011.02.012
- Bulfone G, Marzoli I, Quattrin R, Fabbro C, Palese A. A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres. J Perioper Pract 2012;22(2):50–56. DOI: 10.1177/175045891202200202
- Spruce L. Back to basics: Preventing perioperative pressure injuries. AORN J 2017;105(1):92–99. DOI: 10.1016/j.aorn.2016.10.018
- Bennicoff G. Perioperative care of the morbidly obese patient in the lithotomy position. AORN J 2010;92(3):297–309. DOI: 10.1016/j.aorn.2010.04.016
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards (second ed.) Sydney: ACSQHC; 2017. Available from: www. safetyandquality.gov.au/standards/nsqhs-standards.
- Crook C. Advocacy: How far would you go to protect your patient. AORN J 2016;103(5):522–526. DOI: 10.1016/j.aorn.2016.03.009
- Poore SO, Sillah NM, Mahajan AY, Gutowski KA. Patient safety in the operating room: 1. Preoperative. Plast Reconstr Surg 2012;130(5):1038–1047. DOI: 10.1097/PRS.0b013e31826945d6
- Association of periOperative Registered Nurses (AORN). Positioning at a glance: Basic principles of patient positioning. AORN J 2016;103(3):10–12. https://doi.org/10.1016/S0001-2092(16)00139-3
- Engels D, Austin M, McNichol L, Fencl J. Pressure ulcers: Factors contributing to their development in the OR. AORN J 2016;103(3:)271–281. DOI: 10.1016/j.aorn.2016.01.008
- Primiano M, Friend M, McClure C, Nardi S, Fix L, Schafer M et al. Pressure ulcer prevalence and risk factors during prolonged surgical procedures. AORN J 2011;94(6):555–566. DOI: 10.1016/j.aorn.2011.03.014
- Bedson R, Riccoboni A. Physiology of pregnancy: Clinical anaesthetic implications. Contin Educ Anaesth Crit Care Pain 2014;14(2):69–72. https://doi.org/10.1093/bjaceaccp/mkt036
- Vandse R, Cook M, Bergese S. Case report: Perioperative management of a pregnant poly trauma patient for spine fixation surgery. F1000Res 2015;4:171. doi: 10.12688/f1000research.6659.2
- World Health Organization (WHO). Obesity [Internet]. Geneva: WHO; 2017 [cited 2020 March 23]. Available from: www.who.int/topics/obesity/en.
- World Health Organization (WHO). Obesity and overweight fact sheet [Internet]. Geneva: WHO; 2016 [cited 2020 March 23]. Available from: www.who.int/ mediacentre/factsheets/fs311/en.
- Fencl JL, Walsh A. The bariatric patient: An overview of perioperative care. AORN J 2015;102(2):116–131. DOI: 10.1016/j.aorn.2015.05.007
- Wentzell J, Neff M. The weight is over: RN first assisting techniques for laparoscopic sleeve gastrectomy. AORN J 2015;102(2):162–180. DOI: 10.1016/j.aorn.2015.05.019
- Australian Institute of Health and Welfare (AIHW). Older Australia at a glance [Internet]. Canberra: AIHW; 2018 [cited 2020 March 23]. Available from: www.aihw.gov.au/ reports/older-people/older-australia-at-a-glance/ contents/health-and-functioning/health-and-disability-status.
- Oster KA, Oster CA. Special needs population: Care of the geriatric patient population in the perioperative setting. AORN J 2015;101(4):443–459. DOI: 10.1016/j.aorn.2014.10.022
- Hortman C, Chung S. Positioning considerations in robotic surgery. AORN J 2015;102(4):434–440. DOI: 10.1016/j.aorn.2015.07.008
- Sutton S, Link T, Makic MBF. A quality improvement project for safe and effective patient positioning during robot-assisted surgery. AORN J 2013;97(4):448–456. DOI: 10.1016/j.aorn.2013.01.014
- Ghomi A, Kramer C, Askari R, Chavan NR, Einarsson JI. Trendelenburg position in gynecologic robotic-assisted surgery. J Minim Invas Gynecol 2012;19(4):485–489. DOI: 10.1016/j.jmig.2012.03.019
- Mills JT, Burris MB, Warburton DJ, Conaway MR, Schenkman NS, Krupskit TL. Positioning injuries associated with robotic assisted urological surgery. J Urol 2013;190:580–584. DOI: 10.1016/j.juro.2013.02.3185
- Mangham M. Positioning of the anaesthetised patient during robotically assisted laparoscopic surgery: Perioperative staff experience. J Perioper Pract 2015;26(3):50–52. https://doi.org/10.1177/175045891602600305
- Klauschie J, Wechter ME, Jacob K, Zanagnolo V, Montero R, Magrina J et al. Use of anti-skid material and patient positioning to prevent patient shifting during robotic-assisted gynecologic procedures. J Minim Invas Gynecol 2010;17(4):504–507. DOI: 10.1016/j.jmig.2010.03.013
- DiPierro GB, Wirth JG, Ferrari M, Danuser H, Matteri A. Impact of a single-surgeon learning curve on complications, positioning injuries, and renal function in patients undergoing robot-assisted radical prostatectomy and extended pelvic lymph node dissection. Urology 2014;84(5):1106–1111. DOI: 10.1016/j.urology.2014.06.047
- National Pressure Ulcer Advisory Panel (NPUAP). Prevention and treatment of pressure ulcers: Quick reference [Internet]. Washington: NPUAP; 2016 [cited 2017 December 7]. Formerly available from: www.npuap. org/wp-content/uploads/2014/08/Quick-Reference- Guide-DIGITAL-NPUAP-EPUAP-PPPIA-Jan2016.pdf.
- Strasser LA. Improving skin integrity in the perioperative environment using an evidence-based protocol. J Dermatol Nurses Assoc 2012;4(6);351–360. doi: 10.1097/JDN.0b013e318274b46c
- Fred C, Ford S, Wagner D, Vanbrackle L. Intraoperatively acquired pressure ulcers and perioperative normothermia: A look at relationships. AORN J 2012;96(3):251–260. DOI: 10.1016/j.aorn.2012.06.014
- Scott SM. Progress and challenges in perioperative pressure ulcer prevention. J Wound Ostomy Continence Nurs 2015;42(5):480–485. DOI: 10.1097/WON.0000000000000161
- Huang HY, Chen HL, Xu XY. Pressure redistribution surfaces for presentation of surgery-related pressure ulcers: A meta-analysis. Ostomy Wound Manage 2013;59(4):36–48.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National Safety and Quality Health Service Standards [Internet]. Sydney: ACSQHC; 2017. Available at www.safetyandquality.gov.au/standards/ nsqhs-standards.
- Schoonhoven L, Defloor T, Grypdonck MH. Incidence of pressure ulcers due to surgery. J Clin Nurs 2002;11(4):479–487. DOI: 10.1046/j.1365-2702.2002.00621.x
- Criscitelli T. Caring for patients with chronic wounds: Safety considerations during the surgical experience. AORN J 2016;104(1):67–70. DOI: 10.1016/j.aorn.2016.05.002
- Rahman MA. Perioperative Setting: Manual Handling. Adelaide: The Joanna Briggs Institute, 2016.
- Ritter MA. Operating room environment. Clin Orthop Relat Res 1999;(369):103–109. DOI: 10.1097/00003086-199912000-00011
- Gosden PE, MacGowan AP, Bannister GC. Importance of air quality and related factors in the prevention of infection in orthopaedic implant surgery. J Hosp Infect 1998;39(3):173–180. DOI: 10.1016/s0195-6701(98)90255-9
- Memarzadeh F, Manning A. Comparison of operating room ventilation systems in the protection of the surgical site. ASHRAE Transactions 2002;108(2):13.
- Robbins CR. Chemical composition of different hair types. In: Robbins CR. Chemical and Physical Behavior of Human Hair, pp. 105–176. Berlin: Springer; 2012. DOI: 10.1007/978-3-642-25611-0_2.
- Wilson M. The indigenous microbiota of the skin. In: Wilson M. Bacteriology of Humans: An Ecological Perspective, pp. 56–94. London: Blackwell Publishing; 2008.
- Sherertz RJ, Bassetti S, Bassetti-Wyss B. ‘Cloud’ health-care workers. Emerg Infect Dis 2001; 7(2):241–244.DOI: 10.3201/eid0702.010218
- Sherertz RJ, Reagan DR, Hampton KD, Robertson KL, Streed SA, Hoen HM et al. A cloud adult: the Staphylococcus aureus-virus interaction revisited. Ann Intern Med 1996;124(6):539–547. DOI: 10.7326/0003-4819-124-6-199603150-00001
- Rijnders M, Nys S, Driessen C, Hoebe CJ, Hopstaken RM, Oudhuis GJ et al. Staphylococcus aureus carriage among GPs in The Netherlands. Br J Gen Pract 2010;60(581):902–906. DOI: 10.3399/bjgp10X544078
- Blok HE, Troelstra A, Kamp-Hopmans TE, Gigengack- Baars AC, Vandenbroucke-Grauls CM, Weersink AJ et al. Role of healthcare workers in outbreaks of methicillin-resistant Staphylococcus aureus: A 10- year evaluation from a Dutch university hospital. Infect Control Hosp Epidemiol 2003;24(9):679–685. DOI: 10.1086/502275
- Lin YC, Lauderdale TL, Lin HM, Chen PC, Cheng MF, Hsieh KS et al. An outbreak of methicillin-resistant Staphylococcus aureus infection in patients of a pediatric intensive care unit and high carriage rate among health care workers. J Microbiol Immunol Infect 2007;40(4):325–334.
- Olsen K, Sangvik M, Simonsen GS, Sollid JU, Sundsfjord A, Thune I et al. Prevalence and population structure of Staphylococcus aureus nasal carriage in healthcare workers in a general population. The Tromso Staph and Skin Study. Epidemiol Infect 2013;141(1):143–152. DOI: 10.1017/S0950268812000465
- Schwarzkopf R, Takemoto RC, Immerman I, Slover JD, Bosco JA. Prevalence of Staphylococcus aureus colonization in orthopaedic surgeons and their patients: A prospective cohort controlled study. J Bone Joint Surg Am 2010;92(9):1815–1819. DOI: 10.2106/JBJS.I.00991
- Clark RP, De Calcina-Goff ML. Some aspects of the airborne transmission of infection. J R Soc Interface 2009;6(6 Suppl. 6):S767–782. DOI: 10.1098/rsif.2009.0236.focus
- Standards Australia. AS 3789.3:1994. Textiles for health care facilities and institutions. Part 3: Apparel for operating theatre staff [Internet]. Sydney: Standards Australia; 1994 [cited 2014 February 18].
- Standards Australia / Standards New Zealand. AS/ NZS 4146:2000. Laundry practice [Internet]. Sydney: Standards Australia; 2000 [cited 2014 February 18]. Available from: www.saiglobal.com
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standard 3: Preventing and controlling healthcare associated infections [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 2]. Available from: www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard
- Australian and New Zealand College of Anaesthetists (ANZCA). PS28 Guidelines on infection control in anaesthesia. Melbourne: ANZCA, 2015.
- Centers for Disease Control and Prevention (CDC). Bacterial meningitis after intrapartum spinal anesthesia – New York and Ohio, 2008–2009. MMWR Morb Mort Wkly Rep 2010;59(3):65–69.
- Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1999;20(4):250–278.DOI: 10.1086/501620
- Thurston A. Sacred rituals in the operating theatre: Summarising the science. Curr Orthop 2004;18(2):135– 146. DOI:https://doi.org/10.1016/j.cuor.2004.02.006
- Mailhot CB, Slezak LG, Copp G, Binger JL. Cover gowns. Researching their effectiveness. AORN J 1987;46(3):482–490. DOI: 10.1016/s0001-2092(07)66459-x
- Kotsanas D, Scott C, Gillespie EE, Korman TM, Stuart RL. What’s hanging around your neck? Pathogenic bacteria on identity badges and lanyards. Med J Aust 2008;188(1):5–8.https://doi.org/10.5694/j.1326-5377.2008.tb01494.x
- Alexander R, Volpe NG, Catchpole C, Allen R, Cope S. Are lanyards a risk for nosocomial transmission of potentially pathogenic bacteria? J Hosp Infect 2008;70(1):92–93.DOI: 10.1016/j.jhin.2008.05.022
- Baird C, Nunn T, Gregori A. Inadequate standards of hygiene in an operating theatre changing room. J Hosp Infect 2005;59(3):268–269.DOI: 10.1016/j.jhin.2004.09.024
- Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis 2006;6(1):130–138. DOI: 10.1186/1471-2334-6-130
- Neely AN, Maley MP. Survival of enterococci and staphylococci on hospital fabrics and plastic. J Clin Microbiol 2000;38(2):724–726. DOI: 10.1128/JCM.38.2.724-726.2000
- Neely AN, Orloff MM. Survival of some medically important fungi on hospital fabrics and plastics. J Clin Microbiol 2001;39(9):3360–3361. doi: 10.1128/JCM.39.9.3360-3361.2001
- Copp G, Mailhot CB, Zalar M, Slezak L, Copp AJ. Covergowns and the control of operating room contamination. Nurs Res 1986;35(5):263–268.
- Roxburgh M, Gall P, Lee K. A cover up? Potential risks of wearing theatre clothing outside theatre. J Perioper Pract 2006;16(1):30–41.DOI: 10.1177/175045890601600104
- Kaplan C, Mendiola R, Ndjatou V, Chapnick E, Minkoff H. The role of covering gowns in reducing rates of bacterial contamination of scrub suits. Am J Obstet Gynecol 2003;188(5):1154–1155.DOI: 10.1067/mob.2003.296
- Edwards RD, Saladyga AT, Schriver JP, Davis KG. Patient attitudes to surgeons’ attire in an outpatient clinic setting: Substance over style. Am J Surg 2012;204(5):663–665.DOI: 10.1016/j.amjsurg.2009.09.001
- Landry M, Dornelles AC, Hayek G, Deichmann RE. Patient preferences for doctor attire: The white coat’s place in the medical profession. Ochsner J 2013;13(3):334–342.
- Gooden BR, Smith MJ, Tattersall SJ, Stockler MR. Hospitalised patients’ views on doctors and white coats. Med J Aust 2001;175(4):219–222.
- Major K, Hayase Y, Balderrama D, Lefor AT. Attitudes regarding surgeons’ attire. Am J Surg 2005;190(1):103– 106.DOI: 10.1016/j.amjsurg.2005.04.003
- Rehman SU, Nietert PJ, Cope DW, Kilpatrick AO. What to wear today? Effect of doctor’s attire on the trust and confidence of patients. Am J Med. 2005;118(11):1279–1286. DOI: 10.1016/j.amjmed.2005.04.026
- Williams G, Jarvis N. The emperor’s new clothes: Workwear and uniforms guidelines undressed. Br J Hosp Med (Lond) 2009;70(8):456–458. DOI: 10.12968/hmed.2009.70.8.43538
- Loveday HP, Wilson JA, Hoffman PN, Pratt RJ. Public perception and the social and microbiological significance of uniforms in the prevention and control of healthcare-associated infections: An evidence review. Br J Infect Contr 2007;8(4):10–21.https://doi.org/10.1177/1469044607082078
- Fitzgerald RH Jr. Microbiologic environment of the conventional operating room. Arch Surg 1979;114(7):772–775.DOI: 10.1001/archsurg.1979.01370310014003
- Knobben BAS, van Horn JR, van der Mei HC, Busscher HJ. Evaluation of measures to decrease intraoperative bacterial contamination in orthopaedic implant surgery. J Hosp Infect 2006;62(2):174–180.DOI: 10.1016/j.jhin.2005.08.007
- Owers KL, James E, Bannister GC. Source of bacterial shedding in laminar flow theatres. J Hosp Infect 2004;58(3):230–232.DOI: 10.1016/j.jhin.2004.06.028
- Ritter MA, Marmion P. The exogenous sources and controls of microorganisms in the operating room. Orthop Nurs 1988;7(4):23–28.DOI: 10.1097/00006416-198807000-00008
- Rahav G, Pitlik S, Amitai Z, Lavy A, Blech M, Keller N et al. An outbreak of Mycobacterium jacuzzii infection following insertion of breast implants. Clin Infect Dis 2006;43(7):823–30. DOI: 10.1086/507535
- McHugh SM, Corrigan MA, Hill ADK, Humphreys H. Surgical attire, practices and their perception in the prevention of surgical site infection. Surgeon 2014;12(1):47–52.DOI: 10.1016/j.surge.2013.10.006
- Grice EA, Segre JA. The skin microbiome. Nat Rev Microbiol 2011;9(4):244–253. DOI: 10.1038/nrmicro2537. DOI: 10.1038/nrmicro2537
- Standards Australia. AS ISO 13485:2017. Medical devices – Quality management systems – Requirements for regulatory purposes [Internet]. Sydney: Standards Australia; 2017 [cited 2020 March 2]. Available from: www.saiglobal.com.
- Alexander JW, Van Sweringen H, Vanoss K, Hooker EA, Edwards MJ. Surveillance of bacterial colonization in operating rooms. Surg Infect (Larchmt) 2013;14(4):345– 351.DOI: 10.1089/sur.2012.134
- Standards Australia. AS/NZS ISO 9001:2016. Quality management systems – Requirements. Sydney: Standards Australia; 2016 [cited 2020 March 2]. Available from: www.saiglobal.com
- French MLV, Ritter MA, Hart JB, Eitzen HE. A systems analysis approach to post-operative wound infections. Phase II. A microbiological assessment of the exogenous bacterial controls in the operating room. Cleve Clin Q 1973;40(4):221–227.DOI: 10.3949/ccjm.40.4.221
- Sanzen L, Carlsson AS, Walder M. Air contamination during total hip arthroplasty in an ultraclean air enclosure using different types of staff clothing. J Arthroplasty 1990;5(2):127–130. DOI: 10.1016/s0883-5403(06)80231-7
- Andersen BM, Solheim N. Occlusive scrub suits in operating theaters during cataract surgery: Effect on airborne contamination. Infect Control Hosp Epidemiol 2002;23(4):218–220.DOI: 10.1086/502040
- Leonas KK. Effect of laundering on the barrier properties of reusable surgical gown fabrics. Am J Infect Control 1998;26(5):495–501.DOI: 10.1016/s0196-6553(98)70022-7
- Standards Australia / Standards New Zealand. AS/ NZS 1957:1998. Textiles – Care labelling [Internet]. Sydney: Standards Australia; 1998 [cited 2020 March 2]. Available from: www.saiglobal.com
- Braswell ML, Spruce L. Implementing AORN recommended practices for surgical attire. AORN J 2012;95(1):122–140.DOI: 10.1016/j.aorn.2011.10.017
- Al-Benna S. Laundering of theatre scrubs at home. J Perioper Pract 2010;20(11):392–396.DOI: 10.1177/175045891002001101
- Standards Australia / Standards New Zealand. AS/NZS 2210.1:2010 Safety, protective and occupational footwear. Part 1: Guide to selection, care and use [Internet]. Sydney: Standards Australia; 2010 [cited 2014 February 18]. Available from: www.saiglobal.com
- Agarwal M, Hamilton-Stewart P, Dixon RA. Contaminated operating room boots: The potential for infection. Am J Infect Control 2002;30(3):179–183. DOI: 10.1067/mic.2002.119513
- Summers PR, Biswas MK, Portera SG, Moore L. Blood-saturated operating-room shoe covers. West J Med 1992;157(2):184–185.
- World Health Organization (WHO). WHO Guidelines for safe surgery: Safe surgery saves lives [Internet]. Geneva: World Health Organization; 2009 [cited 2014 February 20]. Available from https://apps.who.int/iris/handle/10665/44185
- Siegel J, Rhinehart E, Jackson M, Chiarello L. Healthcare Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings [Internet]. Atlanta: Centers for Disease Control and Prevention; 2007 [cited 2014 February 20]. Available from: www.cdc.gov/ncidod/ dhqp/pdf/isolation2007.pdf
- Philips BJ, Fergusson S, Armstrong P, Anderson FM, Wildsmith JAW. Surgical face masks are effective in reducing bacterial contamination caused by dispersal from the upper airway. Br J Anaesth 1992;69(4):407– 408.DOI: 10.1093/bja/69.4.407
- Phillips WJ. Gesundheit! Catheter Cardiovasc Interv 2004; 63(2):255–256.DOI: 10.1002/ccd.20163
- Tang JW, Liebner TJ, Craven BA, Settles GS. A schlieren optical study of the human cough with and without wearing masks for aerosol infection control. J R Soc Interface 2009;6(Supp. 6):S727–736.DOI: 10.1098/rsif.2009.0295.focus
- Tang JW, Nicolle ADG, Pantelic J, Jiang M, Sekhr C, Cheong DKW et al. Qualitative real-time schlieren and shadowgraph imaging of human exhaled airflows: An aid to aerosol infection control. PLoS ONE 2011;6(6). DOI:10.1371/journal.pone.0021392. DOI: 10.1371/journal.pone.0021392
- Lipp A, Edwards P. Disposable surgical face masks for preventing surgical wound infection in clean surgery. Cochrane Database Syst Rev 2002(1):CD002929. DOI:10.1002/14651858.CD002929.
- McLure HA, Talboys CA, Yentis SM, Azadian BS. Surgical face masks and downward dispersal of bacteria. Anaesthesia 1998;53(7):624–626.DOI: 10.1046/j.1365-2044.1998.435-az0528.x
- McLure HA, Mannam M, Talboys CA, Azadian BS, Yentis SM. The effect of facial hair and sex on the dispersal of bacteria below a masked subject. Anaesthesia 2000; 55(2):173–176.DOI: 10.1046/j.1365-2044.2000.055002173.x
- Standards Australia. AS 4381:2015 Single-use face masks for use in health care[Internet]. Sydney: Standards Australia: 2015 [cited 2020 March 2]. Available from: www.saiglobal.com
- Arrowsmith VA, Taylor R. Removal of nail polish and finger rings to prevent surgical infection. Cochrane Database Syst Rev 2012(5):CD003325. https://doi.org/10.1002/14651858.CD003325.pub3
- Fagernes M, Lingaas E. Impact of finger rings on transmission of bacteria during hand contact. Infect Control Hosp Epidemiol 2009;30(5):427–432.DOI: 10.1086/596771
- Hedderwick SA, McNeil SA, Lyons MJ, Kauffman CA. Pathogenic organisms associated with artificial fingernails worn by healthcare workers. Infect Control Hosp Epidemiol 2000;21(8):505–509. DOI: 10.1086/501794
- McNeil SA, Nordstrom-Lerner L, Malani PN, Zervos M, Kauffman CA. Outbreak of sternal surgical site infections due to Pseudomonas aeruginosa traced to a scrub nurse with onychomycosis. Clin Infect Dis 2001;33(3):317–323.DOI: 10.1086/321890
- Moolenaar RL, Crutcher JM, San Joaquin VH, Sewell LV, Hutwagner LC, Carson LA et al. A prolonged outbreak of Pseudomonas aeruginosa in a neonatal intensive care unit: Did staff fingernails play a role in disease transmission? Infect Control Hosp Epidemiol 2000;21(2):80–85.DOI: 10.1086/501739
- Passaro DJ, Waring L, Armstrong R, Bolding F, Bouvier B, Rosenberg J et al. Post-operative Serratia marcescens wound infections traced to an out-of-hospital source. J Infect Dis 1997;175(4):992–995.DOI: 10.1086/514008
- Gordin FM, Schultz ME, Huber R, Zubairi S, Stock F, Kariyil J. A cluster of hemodialysis-related bacteremia linked to artificial fingernails. Infect Control Hosp Epidemiol 2007;28(6):743–744. DOI: 10.1086/517977
- Gupta A, Della-Latta P, Todd B, San Gabriel P, Haas J, Wu F et al. Outbreak of extended-spectrum betalactamase-producing Klebsiella pneumoniae in a neonatal intensive care unit linked to artificial nails. Infect Control Hosp Epidemiol 2004;25(3):210–215.DOI: https://doi.org/10.1086/502380
- Parry MF, Grant B, Yukna M, Adler-Klein D, McLeod GX, Taddonio R et al. Candida osteomyelitis and diskitis after spinal surgery: An outbreak that implicates artificial nail use. Clin Infect Dis 2001;32(3):352–357.DOI: 10.1086/318487
- Fagernes M, Lingaas E. Factors interfering with the microflora on hand: A regression analysis of samples from 465 healthcare workers. J Adv Nurs 2010;67(2):297–307.DOI: 10.1111/j.1365-2648.2010.05462.x
- Guin JD, Baas K, Nelson-Adesokan P. Contact sensitization to cyanoacrylate adhesive as a cause of severe onychodystrophy. Int J Dermatol 1998;37(1):31– 36.DOI: 10.1046/j.1365-4362.1998.00252.x
- Toles A. Artificial nails: Are they putting patients at risk? A review of the research. J Pediatr Oncol Nurs 2002;19(5):164–171.DOI: 10.1016/s1043-4542(02)00009-7
- Messano GA. Bacterial and fungal contamination of dental hygienists’ hands with and without finger rings. Acta Stomatologica Naissi 2013;29(67):1260–1264.doi: 10.5937/asn1367260M
- Bartlett GE, Pollard TCB, Bowker KE, Bannister GC. Effect of jewellery on surface bacterial counts of operating theatres. J Hosp Infect 2002;52(1):68–70.DOI: 10.1053/jhin.2002.1250
- Guiard-Schmid JB, Picard H, Slama L, Maslo C, Amiel C, Pialoux G et al. Piercing and infectious complications: An important public health issue in France (Le piercing et ses complications infectieuses un enjeu de sante publique en France) – article in French. Presse Med 2000; 29(35):1948–1956.
- Holbrook J, Minocha J, Laumann A. Body piercing: Complications and prevention of health risks. Am J Clin Dermatol 2012;13(1):1–17. DOI: 10.2165/11593220-000000000-00000
- Butt U, Saleem U, Yousuf K, El-Bouni T, Chambler A, Eid AS. Infection risk from surgeons’ eyeglasses. J Orthop Surg (Hong Kong) 2012;20(1):75–77.DOI: 10.1177/230949901202000115
- Weiner BK, Kilgore WB. Bacterial shedding in common spine surgical procedures: Headlamp/loupes and the operative microscope. Spine 2007;32(8):918–920.DOI: 10.1097/01.brs.0000259837.54411.60
- Trick WE, Vernon MO, Hayes RA, Nathan C, Rice TW, Peterson BJ et al. Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clin Infect Dis 2003;36(11):1383– 1190. DOI: 10.1086/374852
- Sebold EJ, Jordan LR. Intraoperative glove perforation: A comparative analysis. Clin Orthop Relat Res 1993;(297):242–244.
- Fejjal N, Belmir R, El Mazouz S, Gharib NE, Abbassi A, Belmahi AM. Finger avulsion injuries: A report of four cases. Indian J Orthop 2008;42(2):208–211. DOI: 10.4103/0019-5413.40259
- Brooks D, Buntic RF, Kind GM, Schott K, Buncke GM, Buncke HJ. Ring avulsion: Injury pattern, treatment and outcome. Clin Plast Surg 2007;34(2):187–195. DOI: 10.1016/j.cps.2006.11.001
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 2]. Available from: https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Korniewicz D, El-Masri. Exploring the benefits of double gloving during surgery. AORN J 2012;95(3):328– 336.DOI: 10.1016/j.aorn.2011.04.027
- Tanner J, Parkinson H. Double gloving to reduce surgical cross-infection. Cochrane Database Syst Rev 2006(3):CD003087. DOI: 10.1002/14651858.CD003087.pub2
- Laing RM. Protection provided by clothing and textiles against potential hazards in the operating theatre. Int J Occup Saf Ergon 2008;14(1):107–115.DOI: 10.1080/10803548.2008.11076753
- Marasco S, Woods S. The risk of eye splash injuries in surgery. Aust N Z J Surg 1998;68(11):785–787. DOI: 10.1111/j.1445-2197.1998.tb04677.x
- Merollini KM, Zheng H, Graves N. Most relevant strategies for preventing surgical site infection after total hip arthroplasty: Guideline recommendations and expert opinion. Am J Infect Control 2013;41(3):221– 226. https://doi.org/10.1016/j.ajic.2012.03.027
- Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282(15):1458–1465. DOI: 10.1001/jama.282.15.1458
- Gurses AP, Murphy DJ, Martinez EA, Berenholtz SM, Pronovost PJ. A practical tool to identify and eliminate barriers to compliance with evidence-based guidelines. Jt Comm J Qual Patient Saf 2009;35(10):526–532,485. DOI: 10.1016/s1553-7250(09)35072-2
- Neo F, Edward KL, Mills C. Current evidence regarding non-compliance with personal protective equipment – an integrative review to illuminate implications for nursing practice. ACORN J 2012;25(4):22–30.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 2]. Available from: https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Cesario SK. Designing health care environments: Part I. Basic concepts, principles, and issues related to evidence-based design. J Contin Educ Nurs 2009;40(6):280–288.DOI: 10.3928/00220124-20090522-09
- American Society of Anesthesiologists (ASA). Operating Room Design Manual, 2010–2011 [Internet]. Washington: ASA; 2011 [cited 2014 February 18] Available from: www. asahq.org
- Australasian Health Infrastructure Alliance (AHIA). Australasian health facility guidelines 2016 [Internet]. Canberra: AHIA; 2011 [cited 2020 March 23] Available from: www.healthfacilityguidelines.com.au/full-guidelines
- Standards Australia. AS 4485.1:1997. Security for health care facilities – General requirements [Internet]. Sydney: Standards Australia; 1997 [cited 2020 March 23]. Available from: www.saiglobal.com
- Standards Australia. AS 4485.2:1997. Security for health care facilities – Procedures guide [Internet]. Sydney: Standards Australia; 1997 [cited 2020 March 23]. Available from: www.saiglobal.com
- Stanfill Edens P. Workplace reengineering, reorganization, and redesign. In: Gullate MM (ed). Nursing Management: Principles and Practice [Internet]. Pittsburgh: Oncology Nursing Society; 2005 [cited 2020 March 23]. Available from: www.medscape.com/viewarticle/511808_10
- Forcht Dagi T, Schecter W. Preparation of the operating room. In: American College of Surgeons ACS Surgery: Principles and Practice. New York: BC Decker Inc.; 2008.
- Victorian Department of Health. Hospital capital planning module [Internet]. Melbourne: Department of Health; 2010[cited 2014 February 18]. Formerly available from: www.capital.dhs.vic. gov.au/capdev/ProjectProposals/Benchmarking/ HospitalCapitalModule
- Queensland Health. Capital infrastructure minimum requirements (CIMR) (v4.0) [Internet]. Brisbane: Queensland Health; 2012 [cited 2014 February 18]. Formerly available from: www.health.qld.gov.au/chrisp/ resources/capital_works.asp.
- Australian and New Zealand College of Anaesthetists (ANZCA). PS04 2018 Statement on the post-anaesthesia care unit [Internet]. Melbourne: ANZCA; 2020 [cited 2020 June 3]. Available from:http://www.anzca.edu.au/Documents/ps04-2006-recommendations-for-the-post-anaesthesia.pdf
- Australian and New Zealand College of Anaesthetists (ANZCA). Guidelines for the Perioperative Care of Patients Selected for Day Stay Procedures [Internet]. Melbourne: ANZCA; 2018 [cited 2020 March 23]. Available from: http://www.anzca.edu.au/Documents/ps15-2010-recommendations-for-the-perioperative-ca.pdf
- Australian and New Zealand College of Anaesthetists (ANZCA). PS55 2012. Recommendations on minimum facilities for safe administration of anaesthesia in operating suites and other anaesthetising locations [Internet]. Melbourne: ANZCA; 2012 [cited 2020 March 23]. Available from: http://www.anzca.edu.au/Documents/ps55-2012-recommendations-on-minimum-facilities-fo.pdf
- Standards Australia / Standards New Zealand. AS/ NZS 3003:2018. Electrical installations – Patient areas [Internet]. Sydney: Standards Australia; 2018 [cited 2020 March 23]. Available from: www.saiglobal.com
- Standards Australia / Standards New Zealand. AS/ NZS 4187:2014. Reprocessing of reusable medical devices in health service organizations (Incorporating Amendment Nos 1 and 2) [Internet]. Sydney: Standards Australia; 2014 [cited 2020 March 23]. Available from: www.saiglobal.com
- Standards Australia. HB260–2003. Handbook. Hospital acquired infections – Engineering down the risk, 6.10 – Operating rooms [Internet]. Sydney: Standards Australia; 2003 [cited 2020 March 23]. Available from: www.saiglobal.com
- Loddon Mallee Region Infection Control Resource Centre. Infection control principles for the management of construction, renovation, repairs and maintenance within health care facilities: A manual for reducing the risk of health care associated infection by dust and water borne microorganisms. 2nd ed. [Internet]. Bendigo: Loddon Mallee Region Infection Control Resource Centre; 2005 [cited 2020 March 23]. Available from: www.scribd.com/document/125996572/ Australian-Infection-Control-Manual-2nd-Edition-pdf
- Standards Australia / Standards New Zealand. AS/NZS 1668.2:2012. The use of ventilation and airconditioning in buildings. Part 2 Mechanical ventilation in buildings [Internet]. Sydney: Standards Australia; 2012 [cited 2020 March 23]. Available from: www.saiglobal.com
- Ulrich R, Zimring C, Quan AJ, Choudhary R. The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity. Report to the center for health design for the designing the 21st century hospital project [Internet]. Concord CA: The Center for Health Design; 2004 [cited 2020 March 23]. Available from: www.healthdesign.org/chd/research/ role-physical-environment-hospital-21st-century
- World Health Design. Working environments: Operating room architecture and design and the effects on staff morale [Internet]. Brisbane: World Health Design; 2013. Formerly available from: www.worldhealthdesign.com/ Operating-room-architecture.aspx.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standard 3–Preventing and controlling healthcare associated infections [Internet]. Sydney: ACSQHC, 2017 [cited 2020 March 23]. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard
- Standards Australia / Standards New Zealand. AS/ NZS 2500:2004. Guide to the safe use of electricity in patient care [Internet]. Sydney: Standards Australia; 2004 [cited 2020 March 23]. Available from: www.saiglobal.com
- Napoli C, Marcotrigiano V, Montagna MT. Air sampling procedures to evaluate microbial contamination: A comparison between active and passive methods in operating theatres. BMC Public Health 2012;12:594 [cited 2020 March 23]. DOI: 10.1186/1471-2458-12-594 Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-594
- Berry K. Operating room architecture and the effects on morale. ACORN J 2008;21(2):6–13.
- Hoffman PN, Williams J, Stacey A, Bennett AM, Ridgway GL, Dobson C et al. Microbiological commissioning and monitoring of operating theatre suites. A report of a working party of the Hospital Infection Society. J Hosp Infect 2002;52(1):1–28. https://doi.org/10.1053/jhin.2002.1237
- Government of Western Australia Department of Health. Operational Directive 0610/15. Microbiological air sampling of operating rooms in Western Australian Healthcare Facilities. Perth: WA Department of Health; 2015 [cited 2020 March 23]. Available from: ww2.health. wa.gov.au/About-us/Policy-frameworks/Public- Health/Mandatory-requirements/Communicable- Disease-Control/Infection-Prevention-and-Control/ Microbiological-Air-Sampling-of-Operating-Rooms-in- Western-Australian-Healthcare-Facilities
- State Government of Victoria Department of Health. Commissioning of facilities [Internet]. Melbourne: Victorian Department of Health; 2010 [cited 2014 February]. Formerly available from: www.capital.dhs.vic. gov.au/capdev/CommissioningFacilities
- McEwin JA. Equipment preparation [Internet]. Vancouver: Tourniquets.org; 2017 [cited 2020 March 24]. Available from: tourniquets.org/equipment-preparation/
- ECRI Institute. Inappropriate use of oxygen to inflate or power medical devices. ECRI Institute Medical Device Safety Reports 1982 [Internet]. Philadelphia: ECRI Institute: 1982 [cited 2020 March 24]. Available from: www.mdsr.ecri.org/summary/detail.aspx?doc_id=8122
- Olivecrona C, Tidermark J, Hamberg P, Ponzer S, Cederjall C. Skin protection underneath the pneumatic tourniquet during total knee arthroplasty: A randomized controlled trial of 92 patients [Internet]. Acta Orthop 2006 [cited 2020 March 24]. Available from: tourniquets.org/wp-content/uploads/PDFs/ Olivecrona-Skin-protection-underneath-the-pneumatic-tourniquet-Olivecrona-2006.pdf
- Tuncali B, Karci A, Bacakoglu AK, Tuncali BE, Ekin A. Controlled hypotension and minimal inflation pressure: A new approach for pneumatic tourniquet application in upper limb surgery. Anesth Analg 2003;97(5):1529–1532. DOI: 10.1213/01.ane.0000081660.97731.91
- Estebe JP, Le Naoures A, Chemaly L, Ecoffey C. Tourniquet pain in a volunteer study: Effect of changes in cuff width and pressure. Anaesthesia 2000;55(1):21– 26.DOI: 10.1046/j.1365-2044.2000.01128.x
- Hirota K, Hashimoto H, Kabara S, Tsubo T, Sato Y, Ishihara H et al. The relationship between pneumatic tourniquet time and the amount of pulmonary emboli in patients undergoing knee arthroscopic surgeries. Anesth Analg 2001;93(3):776–780. DOI: 10.1097/00000539-200109000-00044
- Lu C, Chen Y, Wang M. Massive pulmonary embolism after application of an Esmarch bandage. Anesth Analg 2004;98(4):1187–1189. DOI: 10.1213/01.ane.0000104583.77388.02
- Sanders BJ, D’Alessio JG, Jernigan JR. Intraoperative hypothermia associated with lower extremity tourniquet deflation. J Clin Anesth 1996;8(6):504–507. DOI: 10.1016/0952-8180(96)00114-6
- Horlocker TT, Hebl JR, Gali B, Janowski CJ, Burkle CM, Berry DJ et al. Anaesthetic, patient, and surgical risk factors for neurologic complications after prolonged total tourniquet time during total knee arthroplasty. Anesth Analg 2006;102(3):950–955.DOI: 10.1213/01.ane.0000194875.05587.7e
- Tredwell SJ, Wilmink M, Inkpen K, McEwen JA. Pediatric tourniquets: Analysis of cuff and limb interface, current practice and guidelines for use. J Pediatr Orthop 2001;21(5):671–676.
- Walsh EF, Ben-David D, Ritter M, Mechrefe AP, Mermel LA, DiGiovanni CW. Microbial colonization of tourniquets used in orthopaedic surgery. Orthopedics 2006;29:709. DOI: 10.3928/01477447-20060801-08
- Organ and Tissue Authority (OTA). Organ and Tissue Authority 2018-19 Annual Report [Internet]. Canberra: AOTDTA; 2019 [cited 2020 April 1]. Available from: https://donatelife.gov.au/about-us/strategy-and-performance/annual-report-0
- DonateLife Australia. Facts and statistics [Internet]. Canberra: Australian Organ and Tissue Authority; 2015 [cited 2015 August 13]. Available from: www.donatelife. gov.au/discover/facts-and-statistics
- Australian and New Zealand Organ Donation (ANZOD) Registry. Monthly report on deceased organ donation in Australia March 2020 [Internet]. Adelaide: ANZOD; 2020 [cited 2020 April 1]. Available from: www.anzdata. org.au/publications-2/ monthly-summaries
- Australian and New Zealand Intensive Care Society (ANZICS). The Statement on Death and Organ Donation 4th ed. [Internet]. Melbourne: ANZICS; 2019 [cited 2020 April 1]. Available from: www.anzics.com.au/ wp-content/uploads/2020/01/ANZICS-Statement-on- Death-and-Organ-Donation-Edition-4.pdf
- Australian Organ and Tissue Donation Transplantation Authority (AOTDTA). National protocol for donation after cardiac death (DCD) [Internet]. Canberra: AOTDTA; 2010 [cited 2020 April 1]. Available from: https://donatelife.gov.au/ resources/clinical-guidelines-and-protocols/national-protocol-donation-after-cardiac-death-2010
- The Transplantation Society of Australia and New Zealand (TSANZ). Clinical Guidelines for Organ Transplantation from Deceased Donors [Internet]. Adelaide: TSANZ; 2019 [cited 2020 April1]. Available from: www.tsanz.com.au/organallocationguidelines/ index.asp
- Australian Organ and Tissue Authority (AOTA). DonateLife Network – Roles and responsibilities.Version 3 [Internet]. Canberra: AOTA; 2016 [cited 2020 April 1]. Available from: www.donatelife.gov. au/sites/default/files/DLN%20Roles%20and%20 Responsibilities%20Guidelines.pdf
- Australasian Transplant Coordinators Association (ATCA). National standard operating procedures: Organ allocation, organ rotations, urgent listings [Internet]. Canberra: ATCA; 2013 [cited 2020 April 1]. Available from: www.atca.org.au/files/G.%20NSOP%20Organ%20 Allocation,%20Organ%20Rotations%20and%20 Urgent%20listings-%200012013.pdf
- Smith Z. Hiding behind a mask: A grounded theory study of perioperative nurses’ experiences of participating in multi-organ procurement surgery [Internet]. PhD thesis. Perth: Curtin University; 2012 [cited 2020 April 1]. Available from: https://espace. curtin.edu.au/handle/20.500.11937/1831
- Smith Z, Leslie G, Wynaden D. Australian perioperative nurses’ experiences of assisting in multi-organ procurement surgery: A grounded theory study. Int J Nurs Stud 2015;52(3):705–715. DOI: 10.1016/j.ijnurstu.2014.12.004
- Australian Organ and Tissue Donation and Transplantation Authority Act 2008.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Australian charter of healthcare rights 2nd ed. [Internet]. Canberra: ACSQHC; 2019 [cited 2020 April 1]. Available from: www.safetyandquality. gov.au/publications-and-resources/resource-library/ australian-charter-healthcare-rights-second-edition-a4-accessible
- National Health and Medical Research Council (NHMRC). Organ and tissue donation after death, for transplantation. Guidelines for ethical practice for health professionals [Internet]. Canberra: Australian Government; 2016 [cited 2020 April 1]. Available from: www.nhmrc.gov.au/about-us/publications/ethical-guidelines-organ-transplantation-deceased-donors
- International Council of Nurses (ICN). The ICN Code of Ethics for Nurses [Internet]. Geneva:ICN, 2012. [cited 2020 April 1]. Available from: www.icn.ch/sites/default/ files/inline-files/2012_ICN_Codeofethicsfornurses_%20 eng.pdf
- Bell L. Using OR patient classification for staffing assignments. AORN J 2015;101(6):639–649. DOI: 10.1016/j.aorn.2015.03.003
- Butler V, Clinton C, Sagi HK, Kenney R, Barsoum WK. Applying science and strategy to operating room workforce management. Nurs Econ 2012;30(5):275–281.
- Nursing and Midwifery Board of Australia (NMBA). Decision-making framework for nursing and midwifery. [Internet]. Canberra: NMBA; 2020 [cited 2020 April 1]. Available from: www.nursingmidwiferyboard.gov.au/ Codes-Guidelines-Statements/Frameworks.aspx
- Australasian Transplant Coordinators Association – Transplantation Society of Australia and New Zealand
- (ATCA–TSANZ). National standard operating procedures: Packaging, labelling, storage and documentation of deceased donor vessels [Internet]. ATCA–TSANZ; 2016 [cited 2020 April 1]. Available from: www.tsanz.com.au/standalonepages/ documents/0032016_DeceasedDonorVessels.pdf
- ElBardissi AW, Wiegmann DA, Henrickson S, Wadhera R, Sundt TM 3rd. Identifying methods to improve heart surgery: An operative approach and strategy for implementation on an organizational level. Eur J Cardiothorac Surg 2008;34(5):1027–1033. DOI: 10.1016/j.ejcts.2008.07.007
- ElBardissi AW, Sundt TM 3rd. Human factors and operating room safety. Surg Clin North Am 2012;92(1):21–35. DOI: 10.1016/j.suc.2011.11.007
- Gallagher AG, Ritter EM, Champion H, Higgins G, Fried MP, Moses G et al. Virtual reality simulation for the operating room: Proficiency-based training as a paradigm shift in surgical skills training. Ann Surg 2005;241(2):364–372. DOI: 10.1097/01.sla.0000151982.85062.80
- Baylis OJ, Adams WE, Allen D, Fraser SG. Do variations in the theatre team have an impact on the incidence of complications? BMC Ophthalmol 2006;6:13. DOI:10.1186/1471-2415-6-13. DOI: 10.1186/1471-2415-6-13
- Adams WE, Baylis OJ, Fraser SG. Does the scrub nurse matter? Eye 2007;21(1):116–118. DOI: 10.1038/sj.eye.6702421
- Talsma A, Anderson C, Geun H, Guo Y, Campbell DA. Evaluation of OR staffing and post-operative patient outcomes. AORN J 2013;97(2):230–242. DOI: 10.1016/j.aorn.2012.11.020
- Bathish M, McLaughlin M, Talsma A. Relationship between operating room nursing staff expertise and patient outcomes. J Nurs Care Qual 2015;30(2):167–174. DOI: 10.1097/NCQ.0000000000000092
- Koh RY, Park T, Wickens CD. An investigation of differing levels of experience and indices of task management in relation to scrub nurses’ performance in the operating room: Analysis of video-taped caesarean section surgeries. Int J Nurs Stud 2014;51(9):1230–1240. DOI: 10.1016/j.ijnurstu.2014.01.005
- Knowles M, Holton E, Swanson R. The adult learner: The definitive classic in adult education and human resource development. 7th ed. Oxford: Butterworth- Heinemann, Elsevier; 2011.
- Lyons P, Treasure E. The design and implementation of an organ donation education workshop for perioperative nurses. ACORN J 2014;27(1):28–32.
- Porra M. The Prince Charles Hospital retrieval team: Simulation nurse training programme for organ retrieval. Transplant Nurses Journal 2011;20(1):15–16.
- Wood C, Buss C, Buttery A, Gardiner D. Evaluation of deceased donation simulation. JICS 2012;13(2):107–114. https://doi.org/10.1177/175114371201300206
- Henderson K, Frengley R. Presenting new protocols using simulation: Organ donation after cardiac death. Paper presented at the SimTecT Health 2010: Education and Innovation in Healthcare Conference, Melbourne, Australia; 2010. Formerly available from: www.simulationaustralia.org.au/mysimaust/show_ abstract/1169.
- Xiao Y, Jones A, Zhang BB, Bennett M, Mears SC, Mabrey JD et al. Team consistency and occurrences of prolonged operative time, prolonged hospital stay, and hospital readmission: A retrospective analysis. Presentations from the 9th Annual Electric Utilities Environmental Conference 2015;39(4):890–896.
- Leach LS, Myrtle RC, Weaver FA, Dasu S. Assessing the performance of surgical teams. Health Care Manage Rev 2009;34(1):29–41. DOI: 10.1097/01.HMR.0000342977.84307.64
- Cassera MA, Zheng B, Martinec DV, Dunst CM, Swanström LL. Surgical time independently affected by surgical team size. American J Surg 2009;198(2):216–222. DOI: 10.1016/j.amjsurg.2008.10.016
- Steinberger DM, Douglas SV, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Prog Transplant 2009;19(3):208–214. DOI: 10.7182/prtr.19.3.jhq1l24784v47181
- Xu R, Carty JM, Orgill DP, Lipsitz SR, Duclos A. The teaming curve: A longitudinal study of the influence of surgical team familiarity on operative time. Ann Surg 2013;258(6):953–957. DOI: 10.1097/SLA.0b013e3182864ffe
- Anderson C, Talsma A. Characterizing the structure of operating room staffing using social network analysis. Nurs Res 2011;60(6):378–385. DOI: 10.1097/NNR.0b013e3182337d97
- Wahr JA, Prager RL, Abernathy JH, Martinez EA, Salas E, Seifert PC et al. Patient safety in the cardiac operating room: Human factors and teamwork: A scientific statement from the American heart association. Circulation 2013;128(10):1139–1169. DOI: 10.1161/CIR.0b013e3182a38efa
- Nurok M, Sundt TM 3rd, Frankel A. Teamwork and communication in the operating room: Relationship to discrete outcomes and research challenges. Anesthesiol Clin 2011;29(1):1–11. DOI: 10.1016/j.anclin.2010.11.012
- Zheng B, Panton O, Al-Tayeb T. Operative length independently affected by surgical team size: Data from 2 Canadian hospitals. Can J Surg 2012;55(6):371–376. DOI: 10.1503/cjs.011311
- Poolton JM, Wilson MR, Malhotra N, Ngo K, Masters RSW. A comparison of evaluation, time pressure, and multitasking as stressors of psychomotor operative performance. Surgery 2011;149(6):776–782. DOI: 10.1016/j.surg.2010.12.005
- ElBardissi, AW, Duclos A, Rawn JD, Orgill DP, Carty MJ. Cumulative team experience matters more than individual surgeon experience in cardiac surgery. J Thorac Cardiovasc Surg 2013;145(2):328–333. DOI: 10.1016/j.jtcvs.2012.09.022
- Sykes M, Gillespie BM, Chaboyer W, Kang E. Surgical team mapping: Implications for staff allocation and coordination. AORN J 2015;101(2):238–248. DOI: 10.1016/j.aorn.2014.03.018
- Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. Deconstructing intraoperative communication failures. J Surg Res 2012;177(1):37–42. DOI: 10.1016/j.jss.2012.04.029
- Ausania F, White SA, Pocock P, Manas DM. Kidney damage during organ recovery in donation after circulatory death donors: Data from UK National Transplant Database. Am J Transplant 2012;12(4):932–936. DOI: 10.1111/j.1600-6143.2011.03882.x
- Xiao Y, Schenkel S, Faraj S, Mackenzie C, Moss J. What whiteboards in a trauma center operating suite can teach us about emergency department communication. Ann Emerg Med 2007;50(4):387–395. DOI: 10.1016/j.annemergmed.2007.03.027
- Riley R, Forsyth R, Mania E, Iedema R. Whiteboards: Mediating professional tensions in clinical practice. Commun Med 2007;4(2):165–175. DOI: 10.1515/CAM.2007.020
- Schimpff S. Improving operating room and perioperative safety: Background and specific recommendations. Surg Innov 2007;14(2):127–135. DOI: 10.1177/1553350607301746
- Einav Y, Gopher D, Kara I, Ben-Yosef O, Lawn M, Laufer N et al. Preoperative briefing in the operating room: Shared cognition, teamwork, and patient safety. Chest 2010;137(2):443–449 DOI: 10.1378/chest.08-1732
- Phadnis J, Templeton-Ward O. Inadequate preoperative team briefings lead to more intraoperative adverse events. J Patient Saf 2015; Apr 22 DOI: 10.1097/PTS.0000000000000181
- Nagpal K, Vats A, Lamb B, Ashrafian H, Sevdalis N, Vincent C et al. Information transfer and communication in surgery: A systematic review. Ann Surg 2010;252(2):225–239. DOI: 10.1097/SLA.0b013e3181e495c2
- Salas E, Frush K. Improving patient safety through teamwork and team training. Oxford: Oxford University Press; 2012.
- Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: A narrative synthesis of the literature. BMJ Qual Saf 2014;23(5):359–372. DOI: 10.1136/bmjqs-2013-001848
- Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC, Sundt TM 3rd. Disruptions in surgical flow and their relationship to surgical errors: An exploratory investigation. Surgery 2007;142(5):658–665. DOI: 10.1016/j.surg.2007.07.034
- Salas E, Stagl KC, Burke CS, Goodwin GF. Fostering team effectiveness in organizations: Toward an integrative theoretical framework. Nebr Symp Motiv 2007;52:185– 243.
- World Health Organization (WHO). WHO Guidelines for safe surgery. Safe surgery saves lives [Internet]. Geneva: WHO; 2009 [cited 2015 April 27]. Available from: http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf?ua=1
- Antoniadis S, Passauer-Baierl S, Baschnegger H, Weigl M. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res 2014;188(1):21–29. DOI: 10.1016/j.jss.2013.12.002
- De Moraes EL, dos Santos MJ, Merighi MAB, Massarollo MCKB. Experience of nurses in the process of donation of organs and tissues for transplant. Rev Lat Am Enfermagem 2014;22(2):226–233. DOI: 10.1590/0104-1169.3276.2406
- Perrin K, Jones B, Winkelman C. The co-existence of life and death for the perioperative nurse. Death Stud 2013;37(9):789–802. DOI: 10.1080/07481187.2012.692460
- Carter-Gentry D, McCurren C. Organ procurement from the perspective of perioperative nurses. AORN J 2004;80(3):417–431. DOI: 10.1016/s0001-2092(06)60535-8
- Regehr C, Kjerulf M, Popova SR, Baker AJ. Trauma and tribulation: The experiences and attitudes of operating room nurses working with organ donors. J Clin Nurs 2004;13(4):430–437. DOI: 10.1111/j.1365-2702.2004.00905.x
- Wang YJ, Lin CY. The experience of perioperative nurses involved in organ procurement. J Nurs Res 2009;17(4):278–285. DOI: 10.1097/JNR.0b013e3181c0038d
- Joris J, Kaba A, Lauwick S, Lamy M, Brichant JF, Damas P et al. End of life care in the operating room for non-heart-beating donors: Organization at the University Hospital of Liege. Transplant Proc 2011;43(9):3441–3444. DOI: 10.1016/j.transproceed.2011.09.034
- Michael R, Jenkins HJ. Recovery from work-related trauma by perioperative nurses: The effects of social and personal resources. Collegian 2001;8(3):8–13. DOI: 10.1016/s1322-7696(08)60016-5
- Smith Z, Leslie G, Wynaden D. Perioperative nurses participating in multi-organ procurement surgery. ACORN J 2010;23(2):6–13.
- Odell J, Abhyankar R, Malcom A, Rua A. Conscientious objection in health professions: A reader’s guide to the ethical and social issues. Medsurg Nurs 2014;23(3):196– 198 [cited 2020 April 1]. Available from: scholarworks. iupui.edu/handle/1805/3844
- Work Health and Safety Act 2011 (Cth).
- Australian Nursing Federation (ANF). ANF policy conscientious objection [Internet]. Canberra: ANF; 2017 [cited 2020 April 1]. Available from: anmf.org.au/ documents/policies/P_Conscientious_Objection.pdf
- Lachman VD. Conscientious objection in nursing: Definition and criteria for acceptance. Medsurg Nurs 2014;23(3):196–198.
- George J, Klika AK, Higuera CA. Use of chlorhexidine preparations in total joint arthroplasty. J Bone Joint Infect 2017;2(1):15–22. DOI: 10.7150/jbji.16934
- Silva P. The right skin preparation technique: a literature review. J Perioper Pract 2014;24(12):283– 285. DOI: 10.1177/175045891402401204
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 24]. Available from: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Lefebvre A, Saliou P, Mimoz O, Lucet J, Le Guyader A, Bruyère F et al. Is surgical site scrubbing before painting of value? Review and meta-analysis of clinical studies. J Hosp Infect 2015;89(1):28–37. DOI: 10.1016/j.jhin.2014.10.004
- Aworinde O, Olufemi-Aworinde K, Fehintola A, Adeyemi B, Owonikoko M, Adeyemi A. Antiseptic skin preparation for preventing surgical site infection at caesarean section. Open J Obstet Gynecol 2016;6:246– 251.
- Tanner J, Norrie P, Melen K. Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev 2011, Issue 11. Art. No.: CD004122. DOI:10.1002/14651858.CD004122.pub4.
- Haas DM, Morgan S, Contreras K. Vaginal preparation with antiseptic solution before cesarean section for preventing post-operative infections. Cochrane Database Syst Rev 2014, Issue 9. Art. No.: CD007892. DOI: 10.1002/14651858.CD007892.pub4.
- Tanner J. Methods of skin antisepsis for prevention of SSI. Nurs Times 2012;108(37):20–22.
- Bryan C, Yarbrough W. Preventing deep wound infection after coronary artery bypass grafting: A review. Tex Heart Inst J 2013;40(2):125–139. PMCID: PMC3649789 PMID: 23678210
- Daeschlein G, Napp M, Assadian O, Bluhm J, Krueger C, von Podewils S et al. Influence of preoperative skin sealing with cyanoacrylate on microbial contamination of surgical wounds following trauma surgery: A prospective, blinded, controlled observational study. Int J Infect Dis 2014;29:274–278. https://doi.org/10.1016/j.ijid.2014.08.008
- Lai NM, Lai NA, O’Riordan E, Chaiyakunapruk N, Taylor JE, Tan K. Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database Syst Rev 2016, Issue 7. Art. No.: CD010140. doi: 10.1002/14651858.CD010140.pub2.
- Falk-Brynhildsen K, Friberg Ö, Söderquist B, Nilsson UG. Bacterial colonization of the skin following aseptic preoperative preparation and impact of the use of plastic adhesive drapes. Biol Res Nurs 2013;15(2):242– 248. https://doi.org/10.1177/1099800411430381
- Bonnevialle N, Geiss L, Cavalié L, Ibnoulkhatib A, Verdeil X, Bonnevialle P. Skin preparation before hip replacement in emergency setting versus elective scheduled arthroplasty: Bacteriological comparative analysis. Orthop Traumatol Surg Res 2013;99(6):659– 665. https://doi.org/10.1016/j.otsr.2013.04.004
- Kamel C, McGahan L, Polisena J, Mierzwinski-Urban M, Embil JM. Preoperative skin antiseptic preparations for preventing surgical site infections: A systematic review. Infect Control Hosp Epidemiol 2012;33(06):608–617. DOI: 10.1086/665723
- Levin I, Amer-Alshiek J, Avni A, Lessing JB, Satel A, Almog B. Chlorhexidine and alcohol versus povidone-iodine for antisepsis in gynecological surgery. J Womens Health (Larchmt) 2011;20(3):321–324. DOI: 10.1089/jwh.2010.2391
- Park H, Han SS, Lee E, Lee S, Yoon H, Eom B et al. Randomized clinical trial of preoperative skin antisepsis with chlorhexidine gluconate or povidone– iodine. BJS 2016;104(2):e145–e150. doi: 10.1002/bjs.10395.
- Dumville JC, McFarlane E, Edwards P, Lipp A, Holmes A, Liu Z. Preoperative skin antiseptics for preventing surgical wound infections after clean surgery. Cochrane Database Syst Rev 2015, Issue 4. Art. No.: CD003949. doi: 10.1002/14651858.CD003949.pub4.
- Clorox Healthcare. An evidence-based approach to preoperative skin cleansing focused on patient compliance [press release]. Clorox Healthcare 2015.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National Safety and Quality Health Service Standards [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 24]. Available from: http://www.safetyandquality.gov.au/standards/nsqhs-standards
- Silva P. An evidence based protocol for preoperative skin preparation. J Perioper Pract 2013;23(4):87–90. DOI: 10.1177/175045891302300405
- Edström E, Westerberg L, Henricson M. Appraisal of guidelines for pre-operative body wash. BJN 2014;23:(21).
- DOI: 10.12968/bjon.2014.23.21.1106
- National Institute for Health and Care Excellence (NICE). Surgical site infection: Evidence Update 43. A summary of selected new evidence relevant to NICE clinical guideline 74 ‘Prevention and treatment of surgical site infections’ (2008). United Kingdom: NICE; 2013.
- Edmiston Jr CE, Spencer M. Patient care interventions to help reduce the risk of surgical site infections. AORN J 2014;100(6):590. DOI: 10.1016/j.aorn.2014.10.008
- Corcoran S, Jackson V, Coulter-Smith S, Loughrey J, McKenna P, Cafferkey M. Surgical site infection after cesarean section: Implementing three changes to improve the quality of patient care. Am J Infect Control 2013;41(12):1258–1263. DOI: 10.1016/j.ajic.2013.04.020
- Webster J, Osborne S. Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database Syst Rev 2015, Issue 2. Art. No.: CD004985. DOI: 10.1002/14651858.CD004985.pub5. [A]
- World Health Organization (WHO). Global guidelines for the prevention of surgical site infection [Internet]. Geneva: WHO; 2016 [cited 2017 January 15]. Available from: www. who.int/gpsc/ssi-prevention-guidelines/en
- Supple L, Kumaraswami M, Kundrapu S, Sunkesula V, Cadnum JL, Nerandzic MM et al. Chlorhexidine only works if applied correctly: Use of a simple colorimetric assay to provide monitoring and feedback on effectiveness of chlorhexidine application. Infect Control Hosp Epidemiol 2015;36(09):1095–1097. DOI: 10.1017/ice.2015.124
- Chlebicki M, Safdar N, O’Horo J, Maki D. Preoperative chlorhexidine shower or bath for prevention of surgical site infection: A meta-analysis. Am J Infect Control 2013;41:167–173. DOI: 10.1016/j.ajic.2012.02.014
- Jakobsson J, Perlkvist A, Wann Hansson C. Searching for evidence regarding using preoperative disinfection showers to prevent surgical site infections: A systematic review. Worldviews Evid Based Nurs 2011;8(3):143–152. DOI: 10.1111/j.1741-6787.2010.00201.x
- Krause MS, Bohler Jr H, Nakajima ST. Discourage the presurgical spray tan. Am J Obstet Gynecol 2013;209:276:e1 DOI: 10.1016/j.ajog.2013.04.002
- Cowperthwaite L, Holm RL. Guideline implementation: Preoperative patient skin antisepsis. AORN J 2015;101(1):71–80. DOI: 10.1016/j.aorn.2014.11.009
- Dizer B, Hatipoglu S, Kaymakcioglu N, Tufan T, Yava A, Iyigun E et al. The effect of nurse-performed preoperative skin preparation on post-operative surgical site infections in abdominal surgery. J Clin Nurs 2009;18:3325–3332. DOI: 10.1111/j.1365-2702.2009.02885.x
- Kamel C, McGahan L, Mierzwinski-Urban M, Embil J. Preoperative skin antiseptic preparations and application techniques for preventing surgical site infections: A systematic review of the clinical evidence and guidelines. Ottawa, Canada: Canadian Agency for Drugs and Technologies in Health 2011.Available from: https://www.ncbi.nlm.nih.gov/books/NBK174549/
- Charehbili A, Swijnenburg R, van de Velde C, van den Bremer J, van Gijn W. A retrospective analysis of surgical site infections after chlorhexidine–alcohol versus iodine–alcohol for pre-operative antisepsis. Surg Infect (Larchmt) 2014;15(3):310–313. https://doi.org/10.1089/sur.2012.185
- Zinn J, Jenkins J, Swofford V, Harrelson B, McCarter S. Intraoperative patient skin prep agents: Is there a difference? AORN J 2010;92:662–674. DOI: 10.1016/j.aorn.2010.07.016
- Glotzbecker P, Vitale M, Matsumoto H, Roye D, Erickson M, Flynn J et al. What’s the evidence? Systematic literature review of risk factors and preventive strategies for surgical site infection following pediatric spine surgery. J Pediatr Orthop 2013;33:479–487. DOI: 10.1097/BPO.0b013e318285c507
- Jarral, O, McCormack D, Ibrahim S, Shipolini A. Should surgeons scrub with chlorhexidine or iodine prior to surgery? Interact Cardiovasc Thorac Surg 2011;12:1017–1021. DOI: 10.1510/icvts.2010.259796
- Nishihara Y, Kajiura T, Yokota K, Kobayashi H, Okubo T. Evaluation with a focus on both the antimicrobial efficacy and cumulative skin irritation potential of chlorhexidine gluconate alcohol-containing preoperative skin preparations. Am J Infect Control 2012;40:973–978. DOI: 10.1016/j.ajic.2012.04.323
- Hakkarainen T, Dellinger E, Evans H, Farjah F, Farrokhi E, Steele S et al. Comparative effectiveness of skin antiseptic agents in reducing surgical site infections: A report from the Washington State Surgical Care and Outcomes Assessment Program. J Am Coll Surg 2014;218(3):336–344. https://doi.org/10.1016/j.jamcollsurg.2013.11.018
- National Health Service (NHS) Patient Safety Agency. Patient Safety Alert (Stage One: Warning): Risk of death or severe harm due to inadvertent injection of skin preparation solution. England: NHS; 2015 26 May 2015.
- Rocos B, Donaldson L. Alcohol skin preparation causes surgical fires. Ann R Coll Surg Engl 2012;94(2):87–89. DOI: 10.1308/003588412X13171221501221
- Uckay I, Hoffmeyer P, Lew D, Pittet D. Prevention of surgical site infections in orthopaedic surgery and bone trauma: State-of-the-art update. J Hosp Infect 2013;84(1):5–12. DOI: 10.1016/j.jhin.2012.12.014
- Fischer L. Case Report. Contact Points 2004;51:34–42.
- Kelvered M, Öhlén J, Gustafsson BÅ. Operating theatre nurses’ experience of patient related, intraoperative nursing care. Scand J Caring Sci 2012;26(3):449–457. DOI: 10.1111/j.1471-6712.2011.00947.x
- McNamara SA. The normalization of deviance: What are the perioperative risks? AORN J 2011;93(6):796.
- DOI: 10.1016/j.aorn.2011.02.009
- World Health Organization (WHO). Guidelines for safe surgery: Safe Surgery saves lives [Internet]. Geneva: WHO; 2009 [cited 2017 January 15]. Available from: www.who.int/patientsafety/safesurgery/tools_ resources/9789241598552/en
- Hopper WR, Moss R. Common breaks in sterile technique: Clinical perspectives and perioperative implications. AORN J 2010;91(3):350–367. DOI: 10.1016/j.aorn.2009.09.027
- Harrop JS, Styliaras JC, Ooi YC, Radcliff KE, Vaccaro AR, Wu C. Contributing factors to surgical site infections. J Am Acad Orthop Surg 2012;20(2):94–101. DOI: 10.5435/JAAOS-20-02-094
- Stinner D, Krueger C, Masini B, Wenke J. Time-dependent effect of chlorhexidine surgical prep. J Hosp Infect 2011;79(4):313–316. DOI: 10.1016/j.jhin.2011.08.016
- Naderi N, Maw K, Thomas M, Boyce D, Shokrollahi K. A quick and effective method of limb preparation with health, safety and efficiency benefits. Ann R Coll Surg Engl 2012;94:83–86. DOI: 10.1308/003588412X13171221500420
- Hackett Jr DJ, Crosby LA. Infection prevention in shoulder surgery. Bull Hosp Jt Dis (2013) 2015;73(S1):S140–144.
- Thakkar SC, Mears SC. Visibility of surgical site marking: A prospective randomized trial of two skin preparation solutions. J Bone Joint Surg Am 2012;94(2):97–102. DOI: 10.2106/JBJS.J.00838
- McElroy C. Priority! Standardized skin antisepsis for quality patient care. Nursing made incredibly easy. 2015;13(2):8–11 doi: 10.1097/01.NME.0000460369.26788.f9
- Buffet-Bataillon S, Haegelen C, Riffaud L, Bonnaure- Mallet M, Brassier G, Cormier M. Impact of surgical site infection surveillance in a neurosurgical unit. J Hosp Infect 2011;77:352–355. DOI: 10.1016/j.jhin.2010.10.011
- Beckman A, Doebler K, Schaefer E, Koetting J, Gastmeier P, Graf K et al. Sternal surgical site infection prevention – is there any room for improvement? Eur J Cardiothorac Surg 2011;40:347–351. DOI: 10.1016/j.ejcts.2010.12.016
- Markatos K, Kaseta M, Nikolaou VS. Perioperative skin preparation and draping in modern total joint arthroplasty: Current evidence. Surg Infect (Larchmt) 2015;16(3):221–225. DOI: 10.1089/sur.2014.097
- Wick EC, Hobson DB, Bennett JL, Demski R, Maragakis L, Gearhart SL et al. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. J Am Coll Surg 2012;215(2):193–200. DOI: 10.1016/j.jamcollsurg.2012.03.017
- Galvin P. Cultivating quality: Reducing surgical site infections in children undergoing cardiac surgery: A nurse-led initiative at one hospital has dramatic results. Am J Nurs 2009;109(120):49–55. DOI: 10.1097/01.NAJ.0000365187.47124.c0
- Poulin P, Chapman K, McGahan L, Austen L, Schuler T. Preoperative skin antiseptics for preventing surgical site infections: What to do? ORNAC J 2014;32(3):12–15, 24–29.
- Chae S-B, Kim W-K, Yoo C-J, Park C-W. Fires and burns occurring in an electrocautery after skin preparation with alcohol during a neurosurgery. J Korean Neurosurg Soc 2014;55(4):230–233. DOI: 10.3340/jkns.2014.55.4.230
- Perçin D. Sterilization practices and hospital infections: Is there a relationship? Int J Antisep Disinfect Steril 2016;1(1):19–22. DOI: 10.14744 / ijads.2016.76476
- United States Senate Health, Education, Labor and Pensions Committee, Patty Murray Ranking Member. Preventable tragedies: Superbugs and how ineffective monitoring of medical device safety fails patients. Minority Staff Report. Washington DC; United States Senate; 2016.
- Dancer SJ, Stewart M, Coulombe C, Gregori A, Virdi M. Surgical site infections linked to contaminated surgical instruments. J Hosp Infect 2012;81(4):231–238. DOI: 10.1016/j.jhin.2012.04.023
- Standards Australia. AS/NZS 4187:2014 Reprocessing of reusable medical devices in health service organisations (incorporating Amendments No. 1 and 2). Sydney: Standards Australia; 2014.
- Association for the Advancement of Medical Instrumentation (AAMI). A clean start: Priority issues from the AAMI/FDA medical device reprocessing summit. Arlington VA; AAMI; 2011. Available at: https://www.aami.org/docs/default-source/uploadedfiles/filedownloads/summits/2011-reprocessing-summit-publication.pdf
- Wilhelm N, Perle N, Simmoteit R, Schlensak C, Wendel HP, Avci-Adali M. Use of synthetic single-stranded oligonucleotides as artificial test soiling for validation of surgical instrument cleaning processes. BioMed Res Int 2014;2014:632127. DOI: 10.1155/2014/632127
- Therapeutic Goods (Charges) Act 1989.
- Therapeutic Goods (Medical Devices) Regulations 2002.
- Therapeutic Goods Administration (TGA). Therapeutic goods (standard for disinfectants and sanitary products) (TGO 104) order 2019. Canberra: TGA; 2019.
- Therapeutic Goods Administration (TGA). Guidelines for the evaluation of sterilants and disinfectants. Canberra: TGA; 1998.
- Therapeutic Goods Administration (TGA). Australian register of therapeutic goods. Canberra: TGA; 2019.
- Standards Australia. The use of ventilation and airconditioning in buildings. Part 2: Ventilation design for indoor air contaminant control (supplement to AS 1668.2–2002). Sydney: Standards Australia; 2002.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare. Canberra: NHMRC; 2019.
- Gastroenterological Nurses College of Australia (GENCA). Infection control in endoscopy. Melbourne: GNCA; 2011.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards. Sydney: ACSQHC; 2017.
- World Health Organization (WHO). Decontamination and reprocessing of medical devices for health-care facilities. Geneva: WHO; 2016.
- Instrument Reprocessing Working Group (AKI). Instrument reprocessing: Reprocessing of instruments to retain value. Germany: AKI; 2017.
- Cowperthwaite L, Holm RL. Guideline implementation: Surgical instrument cleaning. AORN J 2015;101(5):542– 549. DOI: 10.1016/j.aorn.2015.03.005
- Nania P. New guidance for reprocessing medical devices. AORN J 2015;102(4):13–14. DOI: 10.1016/s0001-2092(15)00824-8
- Southworth PM. Infections and exposures: Reported incidents associated with unsuccessful decontamination of reusable surgical instruments. J Hosp Infect 2014;88(3):127–131. DOI: 10.1016/j.jhin.2014.08.007
- International Standards Organization (ISO). ISO 11139:2018. Sterilization of health care products – vocabulary of terms used in sterilization and related equipment and process standards. Geneva: ISO; 2018.
- Seavey RE. Safe instrument reprocessing: The perioperative role. AORN J 2015;101(4):482–485. DOI: 10.1016/j.aorn.2015.01.008
- Spaulding EH. Chemical disinfection of medical and surgical materials. In: Lawrence C, Block S. Disinfection, sterilization and preservation. Philadelphia: Lea & Febiger; 1968, 517–531.
- McDonnell G and Burke P. Disinfection: Is it time to reconsider Spaulding? J Hosp Infect 2011;78(3):163–170. DOI: 10.1016/j.jhin.2011.05.002
- Barnden M. Disinfection and sterilization: Emerging trends and technologies. AORN J 2016;104(6):523–530. DOI: 10.1016/j.aorn.2016.10.001
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Action 3.14 reprocessing of reusable devices. Sydney: ACSQHC; 2019.
- Australasian Health Infrastructure Alliance (AHIA). Australian health facility guidelines. HPU190 sterilizing services unit (revision 6). Canberra: AHIA; 2016.
- American National Standards Institute (ANSI) . ANSI/ AAMI ST79:2017 Comprehensive guide to steam sterilisation and sterility assurance in health care facilities. Washington DC: ANSI; 2017.
- New South Wales Health. Engineering service guidelines. Sydney: New South Wales Health; 2016.
- Morton PJ, Conner R. Implementing AORN recommended practices for selection and use of packaging systems for sterilization. AORN J 2014;99(4):495–502. DOI: 10.1016/j.aorn.2014.02.014
- Safework NSW. Design and handling of surgical instrument transport cases: A guide on health and safety standards. Gosford: WorkCover NSW; 2011.
- Lucas AD, Chobin N, Conner R, Gordon EA, Mitchell S, Perry B et al. Steam sterilization and internal count sheets: Assessing the potential for cytotoxicity. AORN J 2009;89(3):521–531. DOI: 10.1016/j.aorn.2008.09.001
- Smith M. Count sheets: Where do we put them? [Internet]. Healthcare Purchasing News 2011 [cited 2020 March 31] . Available from: cdn.hpnonline.com/ inside/2012-04/1204-PnP.html
- Swensen D. Instrument count sheets. Chicago: International Association of Healthcare Central Service Material Management; 2015.
- Rutala WA, Weber DJ. Disinfection and sterilization in health care facilities: What clinicians need to know. Clin Infect Dis 2004;39(5):702–709. DOI: 10.1086/423182
- Australian Commission on Safety and Quality in Health Care (ACSQHC). AS18/07: Reprocessing of reusable medical devices in health service organisations. Sydney: ACSQHC; 2020.
- Lakhan P, Faoagali J, Steinhardt R, Olesen D. Shelf life of sterilized packaged items stored in acute care hospital settings: Factors for consideration. Healthcare Infection 2013;18(3):121–129.
- Wagner T, Scholla MH. Sterile barrier systems: Managing changes and revalidations. J Valid Technol 2013;19(3):1-8.
- Rothrock JC. Alexander’s Care of the Patient in Surgery. 16th edition. St. Louis: Elsevier; 2019.
- Carlile J, Evans M. Infection prevention and control. Sydney: Elsevier; 2017.
- McAuley T. Specifications for temperature and humidity in sterile storage environments –where’s the evidence? Healthcare Infection 2009;14(4):131–137. https://doi.org/10.1071/HI09020
- Standards Australia. AS 1668.2-2012 The use of ventilation and air conditioning in buildings – Part 2: Mechanical ventilation in buildings. Sydney: Standards Australia; 2012.
- International Standards Organization (ISO). EN 16442:2015. Controlled environment storage cabinet for processed thermolabile endoscopes. Geneva: ISO; 2015.
- Prüss-Ustün A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med 2005;48(6):482–490. DOI: 10.1002/ajim.20230
- Green B, Griffiths EC. Psychiatric consequences of needlestick injury. Occup Med 2013;63:183–188. DOI: 10.1093/occmed/kqt006
- Murphy C. Improved surveillance and mandated use of sharps with engineered sharp protections: A national call to action. Healthcare Infection 2008;13:33–1107. 10.1071/HI08019
- Perry J, Jagger J. Healthcare worker blood exposure risks: Correcting some outdated statistics. Advances in Exposure Prevention 2003;6(3):28–31 [cited 2013 January 14]. Formerly available from: www.healthsystem.virginia. edu/internet/epinet/HCW-risk-update-AEP.pdf.
- Smith DR, Smyth W, Leggat PA, Wang RS. Needlestick and sharps injuries among nurses in a tropical Australian hospital. Int J Nurs Pract 2006;12(2):71–77. DOI: 10.1111/j.1440-172X.2006.00553.x
- Quinn MM, Markkanen PK, Galligan CJ, Kriebel D, Chalupka SM, Kim H et al. Sharps injuries and other blood and body fluid exposures among home health care nurses and aides. Am J Public Health 2009;99(Suppl 3):S710–S717. DOI: 10.2105/AJPH.2008.150169
- Voide C, Darling KE, Kenfak-Foguena A, Erard V, Cavassini M, Lazor-Blanchet C. Underreporting of needlestick and sharps injuries among healthcare workers in a Swiss University Hospital. Swiss Med Wkly 2012; 142:w13523. DOI: 10.4414/smw.2012.13523
- Standards Australia. AS/NZS 3816:1998. Management of clinical and related wastes [Internet]. Sydney: Standards Australia; 1998 [cited 2014 February 18]. Available from: www.saiglobal.com
- Association of periOperative Registered Nurses (AORN). Guidance statement: Sharps injury prevention in the perioperative setting. Denver: AORN; 2012.
- American College of Surgeons (ACS). Inspiring quality: Highest standards, better outcomes. Statement on sharps safety (ST-58). Chicago: ACS; 2007 [cited 2014 February 18]. Formerly available from: www.facs.org/ fellows_info/statements/st-58.html.
- Watt A, Black R, Sinnott M, Patkin M, Maddern G. Scalpel safety in the operative setting. Australian Safety and Efficacy Register of New Interventional Procedures – Surgical (ASERNIP-S) report No. 59. Adelaide: ASERNIP-S; 2007.
- Watt AM, Patkin M, Sinnott MJ, Black RJ, Maddern GJ. Scalpel safety in the operative setting: A systematic review. Surgery 2010;147(1):98–106. DOI: 10.1016/j.surg.2009.08.001
- Berguer R. Patient safety first: Key strategies for eliminating sharps injuries during surgery. AORN J 2011;94(1):91–96. DOI: 10.1016/j.aorn.2011.05.002
- Berguer R, Heller PJ. Strategies for preventing sharps injuries in the operating room. Surg Clin North Am 2005;85(6):1299–1305, xiii. DOI: 10.1016/j.suc.2005.09.012
- International Health Care Safety Center (IHCS) at the University of Virginia. Sharp object injury report 2011 [Internet]. Charlotteville: IHCS; 2013 [cited 2014 February 2]. Formerly available from: www.healthsystem.virginia.edu/pub/epinet/ epinetdatareports.html#reports.
- Blenkharn JI, Odd C. Sharps injuries in healthcare waste handlers. Ann Occup Hyg 2008;52(4):281–286. doi:10.1093/annhyg/men010. Epub 2008 Apr 29.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in health care [Internet]. Canberra: Australian Government; 2019 [cited 2020 March 24]. Available from: www.nhmrc.gov.au/about-us/ publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards – Standard 3 Preventing and controlling healthcare associated infections [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 24]. Available from: https://www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard
- Australian Safety and Compensation Council (ASCC). Occupational exposures in Australian nurses [Internet]. Canberra: ASCC; 2008 [cited 2014 February 10]. Available from: https://www.safeworkaustralia.gov.au/doc/occupational-exposures-australian-nurses-methodology-report
- Centers for Disease Control (CDC). Workbook for designing, implementing and evaluating a sharps injury prevention program. Atlanta: US Department of Health and Human Services; 2008 [cited 2020 March 24]. Available from: https://www.cdc.gov/sharpssafety/resources.html
- Al-Benna S. Needlestick and sharps injuries among theatre care professionals. J Perioper Pract 2010;20(12):440–445. DOI: 10.1177/175045891002001204
- Ogg M. Blunt-tip suture needles reduce needlestick injuries. Proceedings of the AORN Congress; 2005 Apr 6; New Orleans, Louisiana.
- DeGirolamo KM, Courtemanche DJ, Hill WD, Kennedy A, Skarsgard ED. Use of safety scalpels and other safety practices to reduce sharps injury in the operating room: What is the evidence? Can J Surg 2013;56(4):263–269. DOI: 10.1503/cjs.003812
- Hunt J, Murphy C. Measurement of nursing staff occupational exposures in the operating suite following introduction of a prevention programme. Australian Infection Control 2004;9(2):57–63. https://doi.org/10.1071/HI04057
- Standards Australia. AS 4031:1992 Non-reusable containers for the collection of sharp medical items used in the health care areas [Internet]. Sydney: Standards Australia; 1992 [cited 2020 March 24].
- Standards Australia. AS 1319:1994 Safety signs for the occupational environment [Internet]. Sydney: Standards Australia; 1994 [cited 2020 March 24]. Available from: www.saiglobal.com.
- Standards Australia. AS/NZS 4261:1994 Reusable containers for the collection of sharp items used in human and animal medical applications [Internet]. Sydney: Standards Australia; 1994 [cited 2020 March 24]. Available from: www.saiglobal.com.
- Standards Australia. AS/NZS 3825:1998 Procedures and devices for the removal and disposal of scalpel blades from scalpel handles [Internet]. Sydney: Standards Australia; 1998 [cited 2020 March 24]. Available from: www.saiglobal.com.
- Standards Australia. AS/NZS 4187:2014 Reprocessing of reusable medical devices in health service organisations (incorporating Amendments No. 1 and 2). Sydney: Standards Australia; 2014.
- Standards Australia. AS/NZS 4815:2006 Office-based health care facilities – Reprocessing of reusable medical and surgical instruments and equipment, and maintenance of the associated environment [Internet]. Sydney: Standards Australia; 2006 [cited 2020 March 24]. Available from: www.saiglobal.com.
- Peterson C. Specialty surgical attire; sharps safety program; surgical attire – OR visitors; OR medication administration. AORN J 2002;75(3):615–619.
- Stringer B, Haines T, Goldsmith CH, Blythe J, Harris K. Perioperative use of the hands-free technique: A semi-structured interview study. AORN J 2006:84(2):233–248. DOI: 10.1016/s0001-2092(06)60491-2
- Stringer B, Infante-Rivard C, Hanley J. Effectiveness of hands-free technique in reducing operating theatre injuries. Occup Environ Med 2002;59(10):703–708. DOI: 10.1136/oem.59.10.703
- Tanner J, Parkinson H. Double gloving to reduce surgical cross-infection. Cochrane Database Syst Rev 2006:19(3)CD003087. DOI: 10.1002/14651858.CD003087.pub2
1.Commonwealth of Australia, Department of Health and Ageing, Therapeutic Goods Administration. Australian regulatory guidelines for medical devices (ARGMD) [Internet]. Canberra: Commonwealth of Australia; 2011 [cited 2020 March 24]. Available from: https://www.tga.gov.au/publication/australian-regulatory-guidelines-medical-devices-argmd
2.Therapeutic Goods Act 1989 (No. 21, 1990), Compilation No. 75.
3.Association of Medical Device Reprocessors (AMDR). AMDR Summary: International regulation of ‘single-use’ medical device reprocessing [Internet]. Washington DC: AMDR; 2015 [cited 2020 March 24]. Available from:
4.National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Sydney: Commonwealth of Australia; 2019 [cited 2020 March 24]. Available from:
5.Standards Australia / Standards New Zealand. AS/NZS 4187:2014 Reprocessing of re-usable medical devices in health service organisations Section 5: Product Definition, pp. 37–41. Sydney: Standards Australia; 2014.
6.Australasian College for Infection Prevention and Control (ACIPC). Position statement: Single-use devices [Internet]. Hobart: ACIPC; 2016 [cited 2020 March 24]. Available from:
7.Alfa MJ, Nemes R, Olson N, Mulaire A. Manual methods are suboptimal compared with automated methods for cleaning of single-use biopsy forceps. Infect Control Hosp Epidemiol 2006;27(8):841–846.DOI: 10.1086/506397
8.Sung JK, Levin R, Siegel J, Eihorn TA, Creevy WR, Tornetta P III. Reuse of external fixation components: A randomized trial. J Orthop Trauma 2008;22(2):126–130.DOI: 10.1097/BOT.0b013e318162e55c
9.Hailey D, Jacobs P, Ries N, Polisena J. Reuse of single use medical devices in Canada: Clinical and economic outcomes, legal and ethical issues, and current hospital practice. Int J Technol Assess Health Care 2008;24(4):430–436.DOI: 10.1017/S0266462308080562
10.Mues AC, Haramis G, Casazza C, Okhunov Z, Badani KK, Landman J. Prospective randomized single-blinded in vitro and ex vivo evaluation of new and reprocessed laparoscopic trocars. J Am Coll Surg 2010;211(6):738–743. DOI: 10.1016/j.jamcollsurg.2010.08.003.
11.Pinto FMG, Araújo VGL, Souza RQd, Goveia VR, Missali CC, Luz RAd et al. Evaluation of microbial growth on single-use vitrectomy probes reprocessed in healthcare practice. Revista da Escola de Enfermagem da USP 2012;46(3):597–603. DOI: 10.1590/s0080-62342012000300010
12.Bornstein S, Butler J, Kean R. The reprocessing and reuse of single-use medical devices in Newfoundland and Labrador [Internet]. St. John’s, NL: Newfoundland and Labrador Centre for Applied Health Research, Memorial University; 2010 [cited 2017 September 11]. Formerly available from: www.nlcahr.mun.ca/CHRSP/ SUDS_full_web.pdf.
13.Medicines & Healthcare Products Regulatory Agency (MHRA). Single-use devices: Implications and consequences of reuse [Internet]. London: MHRA; 2013 [cited 2020 March 24]. Available from:
14.Larose E. Legal implications of single-use medical device reprocessing. Healthc Q 2013;16(3):48–52.DOI: 10.12927/hcq.2013.23499
15.Staunton P, Chiarella M. Law for Nurses and Midwives. 7ed. Chatswood, NSW: Churchill Livingstone; 2013.
16.Nursing and Midwifery Board of Australia (NMBA). Code of conduct for nurses [Internet]. Canberra: NMBA; 2018 [cited 2020 March 24]. Available from:
17.Commonwealth of Australia. Good manufacturing practice – an overview [Internet]. Canberra: Commonwealth of Australia; 2017 [cited 2020 March 24]. Available from:
18.Australian Commission on Safety and Quality in Health Care (ACSQHC). Australian Charter of Healthcare Rights 2nd ed. [Internet]. Sydney: ACSQHC; 2019 [cited 2020 March 24]. Available from:
19.Competition and Consumer Act 2010 (No. 51, 1974) Compilation No. 109.
20. Australian Government, Business. Product Safety Rules and Standards [Internet]. Canberra: Australian Government; [updated 2019 October 15; cited 2020 March 24]. Available from: www.business.gov.au/ Products-and-services/Product-labelling/Product-safety-rules-and-standards
- Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag, JA. Surgical specimen identification errors: A new measure of quality in surgical care. Surg 2007;141(4):450–455. DOI: 10.1016/j.surg.2006.08.018
- Berryman R. The importance of specimens. ACORN J 2009;22(3):16–17.
- Pennsylvania Patient Safety Authority. Taking steps to protect patients from specimen- handling errors. OR Manager 2008;24(12):1,7,8.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 24]. Available from: www.safetyandquality.gov.au/standards/nsqhs-standards
- Phillips N. Berry & Kohn’s Operating Room Technique. 10th ed. St. Louis: Mosby; 2004.
- Rothrock J. Alexander’s Care of the Patient in Surgery. 15th ed. St. Louis: Mosby; 2014
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standards 2nd ed. [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 25]. Available from: www.safetyandquality.gov.au/standards/nsqhs-standards
- World Health Organization. Guidelines on hand hygiene in health care. First global patient safety challenge: Clean care is safe care. Geneva: WHO; 2009.
- National Health and Medical Research Council (NHMRC). Australian guidelines for the prevention and control of infection in healthcare [Internet]. Canberra: NHMRC; 2019 [cited 2020 March 24]. Available at: www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National Hand Hygiene Initiative Manual [Internet]. Sydney: ACSQHC; 2019 [cited 2020 March 25]. Available from: www.safetyandquality.gov. au/publications-and-resources/resource-library/ national-hand-hygiene-initiative-manual
- Work, Health and Safety Act 2011 Compilation No. 9.
- Graves N, Halton K, Paterson D, Whitby M. Economic rationale for infection control in Australian hospitals. Healthcare Infection 2009;14(3):81–88. https://doi.org/10.1071/HI09010
- Barnett AG, Page K, Campbell M, Martin E, Rashleigh- Rolls R, Halton K et al. The increased risks of death and extra lengths of hospital and ICU stay from hospital-acquired bloodstream infections: A case-control study. BMJ Open 2013;3(10):e003587. DOI: 10.1136/bmjopen-2013-003587
- Lambert ML, Suetens C, Savey A, Palomar M, Hiesmayr M, Morales I et al. Clinical outcomes of healthcare-associated infections and antimicrobial resistance in patients admitted to European intensive-care units: A cohort study. Lancet Infect Dis 2011;11(1):30–38. DOI: 10.1016/S1473-3099(10)70258-9
- Bail Goss J, Draper B, Berry H, Karmel R, Gibson D. The cost of hospital-acquired complications for older people with and without dementia; A retrospective cohort study. BMC Health Serv Res 2015;15:91. DOI:10.1186/s12913-015-0743-1.DOI: 10.1186/s12913-015-0743-1
- Graf K, Ott E, Vonberg RP, Kuehn C, Schilling T, Haverich A et al. Surgical site infections – economic consequences for the health care system. Langenbecks Arch Surg 2011;396(4):453–459. DOI: 10.1007/s00423-011-0772-0
- Shepard J, Ward W, Milstone A, Carlson T, Frederick J, Hadhazy E et al. Financial impact of surgical site infections on hospitals: The hospital management perspective. JAMA Surg 2013;148(10):907–914. DOI: 10.1001/jamasurg.2013.2246
- Cooper RA. Surgical site infections: Epidemiology and microbiological aspects in trauma and orthopaedic surgery. Int Wound J 2013;10(Suppl 1):3–8.DOI: 10.1111/iwj.12179
- MacFie J. Surgical sepsis. Br J Surg 2013;100(9):1119–1122. DOI: 10.1002/bjs.9155_1
- Saito Y, Kobayashi H, Uetera Y, Yasuhara H, Kajiura T, Okubo T. Microbial contamination of surgical instruments used for laparotomy. Am J Infect Control 2014;42(1):43–47. DOI: 10.1016/j.ajic.2013.06.022
- Worth LJ, Bull AL, Spelman T, Brett J, Richards MJ. Diminishing surgical site infections in Australia: Time trends in infection rates, pathogens and antimicrobial resistance using a comprehensive Victorian Surveillance Program, 2002–2013. Infect Control Hosp Epidemiol 2015;36(4):409–416. DOI:10.1017/ice.2014.70. DOI: 10.1017/ice.2014.70
- World Health Organization. Evidence of hand hygiene to reduce transmission and infections by multi-drug resistant organisms in health-care settings [Internet]. Geneva: WHO; n.d. [cited 2020 March 25]. Available from: www.who.int/gpsc/5may/MDRO_literature-review. pdf?ua=1
- Al-Naami MY, Anjum MN, Afzal MF, Al-Yami MS, Al- Qahtani SM, Al-Dohayan AD et al. Alcohol-based hand-rub versus traditional surgical scrub and the risk of surgical site infection: A randomized controlled equivalent trial. EWMA J 2009;9(3):5–10.
- Widmer AF. Surgical hand hygiene: Scrub or rub? J Hosp Infect 2013;83(S1):535–539. DOI: 10.1016/S0195-6701(13)60008-0
- Howard JD, Jowett C, Faoagali J, McKenzie B. New methods for assessing hand disinfection shows that pre-operative alcohol/chlorhexidine rub is as effective as a traditional scrub. J Hosp Infect 2014;88(2):78–83. DOI: 10.1016/j.jhin.2014.06.013
- Beldame J, Lagrave B, Lievain L, Lefebvre L, Frebourg N, Dujardin F. Surgical glove bacterial contamination and perforation during total hip arthroplasty implantation: When gloves should be changed. Orthop Traumatol Surg Res 2012;98(4):432–440. DOI: 10.1016/j.otsr.2011.10.015
- Therapeutic Goods Administration (TGA). Therapeutic goods (standard for disinfectants and sanitary products) (TGO 104) order 2019. Canberra: TGA; 2019.
- Toholka R, Cahill J, Palmer A, Nixon R. Factors contributing to the development of occupational contact dermatitis and contact urticaria. Canberra: Safe Work Australia; 2014.
- Cahill J, Williams JDL, Matheson MC, Palmer AM, Burgess JA, Dharmage SC et al. Occupational contact dermatitis: A review of 18 years of data from an occupational dermatology clinic in Australia. Canberra: Safe Work Australia; 2012. .
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standard 1: Clinical governance [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 25]. Available from: www.safetyandquality.gov.au/our-work/clinical-governance/clinical-governance-standard
- Patrick M, Van Wicklin SA. Implementing AORN recommended practices for hand hygiene. AORN J 2012;95(4):492–504. DOI: 10.1016/j.aorn.2012.01.019
- Centers for Disease Control and Prevention (CDC). Guideline for hand hygiene in health care settings: Recommendations of the healthcare infection control practices advisory committee and the HICPAC/SHEA/ APIC/IDSA hand hygiene task force [Internet]. MMBW Morb Mort Wkly Rep 2002;51(RR–16) [cited 2020 March 25]. Available from: www.cdc.gov/mmwr/PDF/rr/rr5116. pdf
- Sloan T, Shaban RZ, Gillespie B. Barriers and enablers to the uptake of alcohol-based hand rubs for preoperative hand antisepsis in the operating room: An Australian perspective. Healthcare Infection 2012;17:25–32. https://doi.org/10.1071/HI12001.
- Kampf G, Goroncy-Bermes P, Fraise A, Rotter M. Terminology in surgical hand disinfection. A new Tower of Babel in infection control. J Hosp Infect 2005;59(3):269–271. DOI: 10.1016/j.jhin.2004.09.020
- Hübner NO, Kampf G, Kamp P, Kohlmann T, Kramer A. Does a preceding hand wash and drying time after surgical hand disinfection influence the efficacy of a propanol-based hand-rub? BMC Microbiolog 2006;22(6):57 DOI: 10.1186/1471-2180-6-57
- American National Standards Institute/Association for the Advancement of Medical Instrumentation (ANSI/AAMI). ANSI/AAMI PB70: 2012 – Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities. Washington: ANSI/ANMI; 2012.
- Australian Standards. AS 3789.3:1997 Textiles for healthcare facilities and institutions – apparel for operating theatre staff. Sydney: Standards Australia; 1997.
- International Standards Organization (ISO). ISO 22610:2018 Surgical drapes, gowns and clean air suits, used as medical devices, for patients, clinical staff and equipment – Test method to determine the resistance to wet bacterial penetration [Internet]. Geneva: ISO; 2018 [cited 2020 March 25]. Available from: www.iso. org/standard/63671.html
- Guo YP, Wong PM, Li Y, Lai PP. Is double-gloving really protective? A comparison between the glove perforation rate among perioperative nurses with single and double gloves during surgery. Am J Surg 2012;204(2):210–215. DOI: 10.1016/j.amjsurg.2011.08.017
- Tanner J, Parkinson H. Double gloving to reduce surgical cross-infection. Cochrane Database Syst Rev 2006;19(3):CD003087.DOI: 10.1002/14651858.CD003087.pub2
- Palosuo T, Antoniadou I, Gottrup F, Phillips P. Latex medical gloves: Time for a reappraisal. Int Arch Allergy Immunol 2011;156(3):234–246. DOI: 10.1159/000323892.
- Kramer A, Hübner N, Below H, Heidecke CD, Assadian O. Improving adherence to surgical hand preparation. J Hosp Infect 2008;70(supp 1):35–43. DOI:10.1016/S0195- 6701(08)60009-2. DOI: 10.1016/S0195-6701(08)60009-2
- Midha VK, Dakuri A, Midha V. Studies on the properties of nonwoven surgical gowns. J Ind Text 2012;43(2):174– 190. https://doi.org/10.1177/1528083712450742
- Behera BK, Arora H. Surgical gown: A critical review. J Ind Text 2009;38(3):205–231. DOI:10.1177/1528083708091251
- Baykasoglu A, Dereli T, Yilankirkan N. Application of cost/benefit analysis for surgical gown and drape selection: A case study. Am J Infect Control 2009;37(3):215–226. DOI: 10.1016/j.ajic.2008.10.031
- Childs T. Use of double gloving to reduce surgical personnel’s risk of exposure to bloodborne pathogens: An integrative review. AORN J 2013;98(6):585–593.DOI: 10.1016/j.aorn.2013.10.004
- Ghorbani A, Shahrokhi A, Soltani Z, Molapour A, Shafikhani M. Comparison of surgical hand scrub and alcohol surgical hand rub on reducing hand microbial burden. J Periop Pract 2012;22(2):67–70. DOI: 10.1177/175045891202200205
- Asensio A, de Gregorio L. Practical experience in a surgical unit when changing from scrub to rub. J Hosp Infect 2013;83(S1):540–542.DOI: 10.1016/S0195-6701(13)60009-2
- Maiwald M, Chan SY. The forgotten role of alcohol: Systematic review and meta-analysis of the clinical efficacy and perceived role of chlorhexidine in skin antisepsis. PLoS One 2012;7(9):e44277. DOI: 10.1371/journal.pone.0044277
- Maiwald M. Technique is important for alcohol-based surgical hand antisepsis. Healthcare Infection 2012;17(3):106–107. DOI: 10.1071/HI12028
- Tanner J, Swarbrook S, Stuart J. Surgical hand antisepsis to reduce surgical site infection (2008). Cochrane Database Syst Rev 2008;(1):CD004288. DOI:10.1002/14651858.CD004288.pub2.
- Tanner J, Khan D, Walsh S, Chernova J, Lamont S, Laurent T. Brushes and picks used on nails during the surgical scrub to reduce bacteria: A randomised trial. J Hosp Infect 2009;71(3):234–238. DOI:10.1016/j. jhin.2008.11.023. Epub 2009 Jan 21. DOI: 10.1016/j.jhin.2008.11.023
- Kampf G, Ostermeyer C. Small volumes of n-propanol (60%) applied for 3 minutes may be ineffective for surgical hand disinfection. Antimicrob Resist Infect Control 2014;3:15 DOI: 10.1186/2047-2994-3-15
- Macinga DR, Shumaker DJ, Werner HP, Edmonds SL, Leslie RA, Parker AE et al. The relative influences of product volume, delivery format and alcohol concentration on dry-time and efficacy of alcohol-based hand rubs. BMC Infect Dis 2014;14:511. DOI: 10.1186/1471-2334-14-511
- Kampf G, Ruselack S, Eggerstedt S, Nowak N, Bashir M. Less and less – Influence of volume on hand coverage and bacterial efficacy in hand disinfection. BMC Infect Dis 2013;13:472. DOI: 10.1186/1471-2334-13-472
- Okgün Alcan A, Demir Korkmaz F. Comparison of the efficiency of nail pick and brush used for nail cleaning during surgical scrub on reducing bacterial counts. Am J Infect Control;40(9):826–829. DOI: 10.1016/j.ajic.2011.10.021
- Heal JS, Blom AW, Titcomb A, Bowker K, Hardy JR. Bacterial contamination of surgical gloves by water droplets spilt after scrubbing. J Hosp Infect 2003;53(2):136–139. DOI: 10.1053/jhin.2002.1352
- Mischke C, Verbeek JH, Saarto A, Lavoie MC, Pahwa M, Ijaz S. Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel. Cochrane Database Syst Rev 2014;(3):CD009573. DOI: 10.1002/14651858.CD009573.pub2
- Misteli H, Weber WP, Reck S, Rosenthal R, Zwahlen M, Fueglistaler P et al. Surgical glove perforation and the risk of surgical site infection. Arch Surg 2009;144(6):553–558. DOI: 10.1001/archsurg.2009.60
- Parteck LI, Goerdt AM, Langner I Jaeger B, Assadian O, Heidecke CD et al. Incidence of microperforation for surgical gloves depends on duration of wear. Infect Control Hosp Epidemiol 2009;30(5):409–414. DOI: 10.1086/597062
- Hübner NO, Goerdt A-M, Stanislawski N, Assadian O, Heidecke CD, Kramer A et al. Bacterial migration through punctured surgical gloves under real surgical conditions. BMC Infect Dis 2010;10:192. Available from: www.biomedcentral.com/1471-2334/10/192
- Junker T, Mujagic E, Hoffmann H Rosenthal R, Misteli H, Zwahlen M et al. Prevention and control of surgical site infections: Review of the Basel Cohort Study. Swiss Med Wkly 2012;142:w13616. DOI: 10.4414/smw.2012.13616
- Bible JE, Biswas D, Whang PG, Simpson AK, Grauer JN. Which regions of the operating gown should be considered most sterile? Clin Orthop Relat Res 2009;467(3):825–830. DOI: 10.1007/s11999-008-0341-1
- Jones C, Brooker B, Genon M. Comparison of open and closed staff-assisted glove donning on the nature of surgical glove cuff contamination. Aust N Z J Surg 2010;80(3):174–177.DOI: 10.1111/j.1445-2197.2010.05211.x
- Ward WG, Cooper JM, Lippert D, Kablawai RO, Neiberg RG, Sherertz RJ. Glove and gown effects on intraoperative bacterial contamination. Ann Surg 2014;259(3):591–597. DOI: 10.1097/SLA.0b013e3182a6f2d9
- Nichol K, Bigelow P, O’Brien-Pallas L, McGeer A, Manno M, Holness DL. The individual, environmental, and organizational factors that influence nurses’ use of facial protection to prevent occupational transmission of communicable respiratory illness in acute care hospitals. Am J Infect Contr 2008;36(7):481–487. DOI: 10.1016/j.ajic.2007.12.004
- Australian Safety and Compensation Council (ASCC). Occupational exposures in Australian nurses: Report of the project. Canberra: ASCC; 2008.
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standard 3: Preventing and controlling healthcare associated infections [Internet]. Sydney: ACSQHC:2017 [cited 2020 March 25]. Available from: www.safetyandquality.gov.au/standards/nsqhs-standards
- World Health Organization (WHO). Surgical safety checklist. Geneva: WHO; 2009 [cited 2020 March 25]. Available from: www.who.int/patientsafety/topics/ safe-surgery/checklist/en
- World Health Organization (WHO). Safe surgery – why safe surgery is important. Geneva: WHO; 2017 [cited 2020 March 25]. Available from: www.who.int/ patientsafety/topics/safe-surgery/en
- World Health Organization (WHO). WHO surgical safety checklist implementation. Geneva: WHO; 2017 [2020 March 25]. Available from: www.who.int/patientsafety/ topics/safe-surgery/checklist_implementation/en
- Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat A-HS, Dellinger EP et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360(5):491–499. DOI: 10.1056/NEJMsa0810119
- Australian Commission on Safety and Quality in Health Care (ACSQHC). National safety and quality health service standard 6: Communicating for safety standard [Internet]. Sydney: ACSQHC; 2017 [cited 2020 March 25]. Available from: www.safetyandquality.gov.au/ standards/nsqhs-standards
- World Health Organization (WHO). Safe surgery saves lives frequently asked questions [Internet]. Geneva: WHO; 2014 [cited 2020 March 25]. Available from: www.who.int/ patientsafety/topics/safe-surgery/faq_introduction/en
- Patterson C. What standards apply to OR visitors? OR Manager 2001;17(8):21.
- McConnell E, Hillbig J. A national study of perioperative nurse education in two technologies. AORN J 2000;72(2):254–264. DOI: 10.1016/s0001-2092(06)61937-6
- Murphy E. The presence of sales representatives in the OR. AORN J 2001;73(4):822–824. DOI: 10.1016/s0001-2092(06)61810-3
- Work Health and Safety Act 2011 No 10. (NSW).
- Australian Commission on Safety and Quality in Health Care (ACSQHC). Healthcare associated infection [Internet]. Sydney: ACSQHC; 2017 [cited 2017 October 27]. www.safetyandquality.gov.au/our-work/healthcare-associated-infection
- International Council of Nurses (ICN). The ICN Code of Ethics for Nurses [Internet]. Geneva:ICN, 2012. [cited 2020 March 25]. Available from: https://www. icn.ch/sites/default/files/inline-files/2012_ICN_ Codeofethicsfornurses_%20eng.pdf
- Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection. Infect Control Hosp Epidemiol 2005;20(4):247–278 [cited 2020 March 25]. Available from: https://stacks.cdc.gov/ view/cdc/7160.
- Bonifazi W. OR leaders take steps to curb visitors, vendors in surgery. OR Manager 2001;17(5):13–16. [D
- Piira T, Sugiura T, Champion GD, Donnelly N, Cole AS. The role of parental presence in the context of children’s medical procedures: A systematic review. Child Care Health Dev 2005;31(2):233–243. DOI: 10.1111/j.1365-2214.2004.00466.x
- Saunders S. Practical measures to ensure health and safety in theatres. Nurs Times 2004;100 (11):32–35.
- Royal Australasian College of Surgeons (RACS). Continuing professional development program 2012. 10th ed. [Internet]. Melbourne: RACS; 2012 [cited 2017 October 27]. Formerly available from: www.surgeons.org/media/18810259/continuing_ professional_development_cpd_guide_2013.pdf.
- Privacy Act 1988 (Cth).
- Fennell E. Parents in the OR? You bet! RN 1999;62(12):38–40.
- National Health and Medical Research Council (NHMRC). General guidelines for medical practitioners on providing information to patients [Internet]. Canberra: NHMRC; 2004 [cited 2020 March 25]. Available from: http://webarchive.nla.gov.au/ gov/20170817064846 https://www.nhmrc.gov.au/ guidelines-publications/e58.
- NSW Health. Management of instruments, accountable items and other items used for surgery or procedures PD2013_054 [Internet]. Sydney: NSW Health Department, 2013 [cited 2020 March 25]. Available from: www1.health.nsw.gov.au/PDS/pages/doc. aspx?dn=PD2013_054.
- Nursing and Midwifery Board of Australia (NMBA). Registration standard: Continuing professional development [Internet]. Canberra: NMBA; 2016 [cited 2020 March 25]. Available from: www.nursingmidwiferyboard.gov.au/Registration- Standards/Continuing-professional-development.aspx.
Wainwright D. Who is in your operating theatre? J Perioper Pract 2009:19(11):380–381. DOI: 10.1177/175045890901901101