Integration of new safety technologies for needle aspiration of breast cysts.
BACKGROUND
National and international regulatory agencies and professional societies mandate systematic improvements in both the safety of patients and heath care workers (HCW), including the integration of safety technologies into the procedures of obstetrics and gynecology (Ob-Gyn).


METHODS
Using national resources for patient safety and literature review, these safety technologies were identified: (1) a safety needle to reduce needle sticks to HCW, and (2) the reciprocating procedure device (RPD) to reduce injuries to patients. These technologies were introduced in a trial fashion into routine breast cyst aspiration, and physician responses were determined.


RESULTS
The safety needle presented a number of difficulties associated with the safety sheath, but could be used efficiently for breast cyst aspiration. The RPD safety device functioned well for breast aspiration procedures and was well accepted by physicians.


CONCLUSIONS
New safety technologies can be successfully evaluated and introduced into the clinic to improve patient and HCW safety during outpatient breast procedures. Since these technologies have been demonstrated to decrease injuries to patients and HCW by 60-70%, serious efforts should be undertaken to systematically integrate safety technologies into the routine practice, including aspiration of breast cysts.
Division of Interventional Radiology, Department of Radiology, St. Peter Hospital, Helena, MT, USA.
Randy R
RR
Sibbitt
Dennis J
DJ
Palmer
Arthur D
AD
Bankhurst
Wilmer L
WL
Sibbitt
D000062:Accidents, Occupational / Q000517:prevention & control; D001707:Biopsy, Needle / Q000295:instrumentation / Q000379:methods* / Q000592:standards*; D047688:Breast Cyst / Q000601:surgery*; D005260:Female; D006282:Health Personnel; D006801:Humans; D016602:Needlestick Injuries / Q000517:prevention & control; D012449:Safety / Q000592:standards