Research Article

Anesthesia Workspace Cleanliness and Safety: Implementation of a Novel Syringe Bracket Using 3D Printing Techniques

Table 1

Comparison of participant composition by clinical role, self-reported survey responses, and results of simultaneous observational audit, before and after implementation of system-wide implementation of emergency medication syringe brackets. Values reported as count (percentage).

Preimplementation (n = 87)Postimplementation (n = 80) value

Demographics
 A. Provider roles
  Attending27 (31.0)28 (35.0)0.75
  CRNA27 (31.0)26 (32.5)
  Resident/fellow33 (37.9)26 (32.5)
Survey responses
 B. Know location of emergency medications
  <5%1 (1.1)0 (0.0)<0.001
  5–30%2 (2.3)0 (0.0)
  31–70%9 (10.3)0 (0.0)
  71–95%37 (42.5)19 (23.8)
  >95%38 (43.7)61 (76.2)
 C. Confidence in cleanliness of emergency medication syringes
  I am rarely ever sure about this5 (5.7)2 (2.5)0.01
  Now and then I have to draw one up because I am uncertain24 (27.6)11 (13.8)
  With extremely rare exception, I am confident47 (54.0)50 (62.5)
  I am always 100% certain they are clean11 (12.6)17 (21.3)
 D. Recalled incidents in which emergency medication unavailable
  None40 (46.0)40 (50.0)0.47
  1-232 (36.8)31 (38.8)
  3–513 (14.9)5 (6.3)
  More than 52 (2.3)4 (5.0)
Observational audit
 E. Location of individual emergency medication syringes
  Medication bracket0 (0)271 (74.0)<0.001
  Top surface of anesthesia machine201 (38.4)8 (2.2)
  Anesthesia machine tray84 (16.1)51 (13.9)
  Surface of omnicell200 (38.2)7 (1.9)
  In use or connected to stopcock38 (7.3)29 (7.9)
 F. Actual medication availability
  Phenylephrine80 (92)76 (95)0.43
  Propofol81 (93)74 (93)0.88
  Ephedrine74 (85)76 (95)0.03
  Succinylcholine53 (61)71 (89)<0.001
  Glycopyrrolate53 (61)72 (90)<0.001