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Archives of Gynecology and Obstetrics

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01.03.2009 | Original Article

Integration of new safety technologies for needle aspiration of breast cysts

verfasst von: Randy R. Sibbitt, Dennis J. Palmer, Arthur D. Bankhurst, Wilmer L. Sibbitt Jr

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2009

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Abstract

Introduction

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).

Materials and 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.

Lucas JH, Cone DL (2003) Breast cyst aspiration. Am Fam Physician 68:1983–1986PubMed

Pennes DR (2004) Suggestions for performing aspiration of breast cysts. Am Fam Physician 70:1451–1452PubMed

Hindle WH, Hale RW (1992) Breast evaluation and diagnosis by obstetrician-gynecologists. Survey of practice patterns. J Reprod Med 37:857–860

Bhate RD, Chakravorty A, Ebbs SR (2007) Management of breast cysts revisited. Int J Clin Pract 61:195–199. doi:10.1111/j.1742-1241.2006.01192.x PubMedCrossRef

Hutten-Czapski P (2006) The occasional breast cyst aspiration. Can J Rural Med 11:291–292PubMed

Whang IY, Lee J, Kim KT (2007) Galactocele as a changing axillary lump in a pregnant woman. Arch Gynecol Obstet 276:379–382. doi:10.1007/s00404-007-0348-y PubMedCrossRef

Heisey R, Mahoney L, Watson B (1999) Management of palpable breast lumps. Consensus guideline for family physicians. Can Fam Physician 45:1926–1932

Forrest AP, Kirkpatrick JR, Roberts MM (1975) Needle aspiration of breast cysts. BMJ 3:30–31PubMed

Bhatia I, Slade S, Watson WJ, Mahoney L (1999) Teaching family practice residents breast cyst aspiration. Can Fam Physician 45:1910–1915PubMed

10.

Mahoney L, Heisey R, Watson B (1998) Breast cyst aspiration. Can Fam Physician 44:2093–2094PubMed

11.

Meyer JE, Christian RL, Frenna TH, Sonnenfeld MR, Waitzkin ED, Shaffer K (1992) Image-guided aspiration of solitary occult breast ‘cysts’. Arch Surg 127:433–435PubMed

12.

Berna-Serna JD, Madrigal M, Berna-Serna JD (2004) Percutaneous management of breast abscesses. An experience of 39 cases. Ultrasound Med Biol 30:1–6. doi:10.1016/j.ultrasmedbio.2003.10.003 PubMedCrossRef

13.

Surani S, Chandna H, Weinstein RA (1993) Breast abscess: coagulase-negative staphylococcus as a sole pathogen. Clin Infect Dis 17:701–704PubMed

14.

Galblum LI, Oertel YC (1983) Subareolar abscess of the breast: diagnosis by fine-needle aspiration. Am J Clin Pathol 80:496–499PubMed

15.

Erdem G, Karakas HM, Yetkin F, Alkan A, Firat AK, Kahraman B (2006) Brucellar breast abscess. Breast 15:554–557. doi:10.1016/j.breast.2005.11.008 PubMedCrossRef

16.

Thompson KS, Donzelli J, Jensen J, Pachucki C, Eng AM, Reyes CV (1997) Breast and cutaneous mycobacteriosis: diagnosis by fine-needle aspiration biopsy. Diagn Cytopathol 17:45–49. doi:10.1002/(SICI)1097-0339(199707)17:1<45::AID-DC9>3.0.CO;2-OPubMedCrossRef

17.

Smith EH (1984) The hazards of fine-needle aspiration biopsy. Ultrasound Med Biol 10:629–634. doi:10.1016/0301-5629(84)90078-4 PubMedCrossRef

18.

Helvie MA, Ikeda DM, Adler DD (1991) Localization and needle aspiration of breast lesions: complications in 370 cases. AJR Am J Roentgenol 157:711–714PubMed

19.

Hu XC, Chow LW (2000) Fine needle aspiration may shed breast cells into peripheral blood as determined by RT-PCR. Oncology 59:217–222. doi:10.1159/000012164 PubMedCrossRef

20.

Chadwick DR, Shorthouse AJ (1996) Subpleural haematoma presenting as a ‘pseudotumour’ following fine-needle aspiration biopsy of the breast. Eur J Surg Oncol 22:638–639. doi:10.1016/S0748-7983(96)92580-9 PubMedCrossRef

21.

Hoey R, Russell H (2004) Haemopneumothorax after fine needle aspiration of the breast. J R Soc Med 97:50. doi:10.1258/jrsm.97.1.50-a PubMedCrossRef

22.

Gateley CA, Maddox PR, Mansel RE (1991) Pneumothorax: a complication of fine needle aspiration of the breast. BMJ 14(303):627–628CrossRef

23.

Whitaker IS, Elmiyeh B, Siddiqui MN, Holme TC (2003) Haemopneumothorax after fine needle aspiration of the breast. J R Soc Med 96:555–556. doi:10.1258/jrsm.96.11.555 PubMedCrossRef

24.

Kaufman Z, Shpitz B, Shapiro M, Dinbar A (1994) Pneumothorax. A complication of fine needle aspiration of breast tumors. Acta Cytol 38:737–738PubMed

25.

Chen KT, Tschang TP (1996) Pneumothorax: a complication of fine needle aspiration of breast tumors. Acta Cytol 40:844–845PubMed

26.

Pinto RG, Couto F, Mandreker S (1996) Infarction after fine needle aspiration. A report of four cases. Acta Cytol 40:739–741PubMed

27.

Salhab M, Al Sarakbi W, Perry N, Mokbel K (2005) Pneumothorax after a clinical breast fine-needle aspiration of a lump in a patient with Poland’s syndrome. Int Semin Surg Oncol 19(2):14CrossRef

28.

Adams D, Elliott TS (2006) Impact of safety needle devices on occupationally acquired needlestick injuries: a four-year prospective study. J Hosp Infect 64:50–55. doi:10.1016/j.jhin.2006.04.012 PubMedCrossRef

29.

Lewis FR Jr, Short LJ, Howard RJ, Jacobs AJ, Roche NE (1995) Epidemiology of injuries by needles and other sharp instruments. Minimizing sharp injuries in gynecologic and obstetric operations. Surg Clin North Am 75:1105–1121PubMed

30.

Wicker S, Jung J, Allwinn R, Gottschalk R, Rabenau HF (2008) Prevalence and prevention of needlestick injuries among health care workers in a German university hospital. Int Arch Occup Environ Health 81:347–354. doi:10.1007/s00420-007-0219-7 PubMedCrossRef

31.

Levison J (2008) The ostrich syndrome: obstetrician gynecologists and human immunodeficiency virus exposure. Obstet Gynecol 111:183–186PubMed

32.

Catanzarite V, Byrd K, McNamara M, Bombard A (2007) Preventing needlestick injuries in obstetrics and gynecology: how can we improve the use of blunt tip needles in practice? Obstet Gynecol 110:1399–1403PubMed

33.

Simpson KR, Knox GE (2003) Common areas of litigation related to care during labor and birth: recommendations to promote patient safety and decrease risk exposure. J Perinat Neonatal Nurs 17:110–125PubMed

34.

Knox GE, Simpson KR, Garite TJ (1999) High reliability perinatal units: an approach to the prevention of patient injury and medical malpractice claims. J Healthc Risk Manag 19:24–32PubMed

35.

White AA, Pichert JW, Bledsoe SH, Irwin C, Entman SS (2005) Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol 105:1031–1038PubMed

36.

Vincent C, Davy C, Esmail A, Neale G, Elstein M, Cozens JF et al (2006) Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract 12:665–674. doi:10.1111/j.1365-2753.2006.00634.x

37.

Bates T, Davidson T, Mansel RE (2002) Litigation for pneumothorax as a complication of fine-needle aspiration of the breast. Br J Surg 89:134–137PubMed

38.

Yassi A, Gilbert M, Cvitkovich Y (2005) Trends in injuries, illnesses, and policies in Canadian healthcare workplaces. Can J Public Health 96:333–339PubMed

39.

Hospital’s liability affirmed over nurse’s needlestick injury (2007) AIDS Policy Law 22: 6

40.

The Joint Commission National Patient Safety Goals. http://www.jointcommission.org/PatientSafety

41.

Needlestick Safety and Prevention Act. US Congress, 2000. Available at: Library of Congress http://thomas.loc.gov

42.

Cuny EJ, Fredeking R, Budenz AW (1999) Safety needles. New requirements of the Occupational Safety and Health Administration bloodborne pathogens rule. J Calif Dent Assoc 27:525–530

43.

American College of Obstetricians and Gynecologists. ACOG Committee on Quality Improvement and Patient Safety (2005) ACOG Committee Opinion #320: Partnering with patients to improve safety. Obstet Gynecol 106:1123–1125

44.

Veltman LL (2007) Getting to havarti: moving toward patient safety in obstetrics. Obstet Gynecol 110:1146–1150PubMed

45.

American College of Obstetricians and Gynecologists (2003) ACOG committee opinion number 286, October 2003: patient safety in obstetrics and gynecology. Obstet Gynecol 102:883–885. doi:10.1016/j.obstetgynecol.2003.09.005 CrossRef

46.

American College of Obstetricians and Gynecologists (2007) ACOG Committee Opinion No. 380: disclosure and discussion of adverse events. Obstet Gynecol 110:957–958

47.

American College of Obstetricians and Gynecologists (2006) ACOG Committee Opinion #328: patient safety in the surgical environment. Obstet Gynecol 107:429–433

48.

Pearlman MD (2006) Patient safety in obstetrics and gynecology: an agenda for the future. Obstet Gynecol 108:1266–1271PubMed

49.

Liang BA, Riley W, Hamman W, Rutherford W (2007) The patient safety and quality improvement act of 2005: provisions and potential. Am J Med Qual 22:8–12. doi:10.1177/1062860606296138 PubMedCrossRef

50.

Lai F (2007) Human factors engineering for designing the next in medicine. Stud Health Technol Inform 125:262–264PubMed

51.

Kimberlin C (2006) Device manufacturers: a partner in quality assurance. Biomed Instrum Technol 40:435–436. doi:10.2345/i0899-8205-40-6-435.1 PubMedCrossRef

52.

Williams DM (2006) Engineering improvements in endovascular devices: design and validation. Ann N Y Acad Sci 1085:213–223. doi:10.1196/annals.1383.021 PubMedCrossRef

53.

Heget JR, Bagian JP, Lee CZ, Gosbee JW, John M (2002) Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Jt Comm J Qual Improv 28:660–665

54.

Bagian JP, Gosbee J, Lee CZ, Williams L, McKnight SD, Mannos DM (2002) The Veterans Affairs root cause analysis system in action. Jt Comm J Qual Improv 28:531–545PubMed

55.

Stalhandske E, Bagian JP, Gosbee J (2002) Department of Veterans Affairs patient safety program. Am J Infect Control 30:296–302. doi:10.1067/mic.2002.127388 PubMedCrossRef

56.

Williams L (2005) Changing systems the hands-on way. The VA National Center for Patient Safety’s Museum. Md Med 6:16–18PubMed

57.

Cleveland JL, Barker LK, Cuny EJ, Panlilio AL, National Surveillance System for Health Care Workers Group (2007) Preventing percutaneous injuries among dental health care personnel. J Am Dent Assoc 138:169–178PubMed

58.

Muntz JE, Hultburg R (2004) Safety syringes can reduce the risk of needlestick injury in venous thromboembolism prophylaxis. J Surg Orthop Adv 13:15–19PubMed

59.

Sibbitt RR, Sibbitt WL Jr, Nunez SE, Kettwich LG, Kettwich SC, Bankhurst AD (2006) Control and performance characteristics of eight different suction biopsy devices. J Vasc Interv Radiol 17:1657–1669PubMedCrossRef

60.

Nunez SE, Draeger HT, Rivero DP, Kettwich LG, Sibbitt WL Jr, Bankhurst AD (2007) Reduced pain of intraarticular hyaluronate injection with the reciprocating procedure device. J Clin Rheumatol 13:16–19. doi:10.1097/01.rhu.0000256280.85507.bd PubMedCrossRef

61.

Bankhurst AD, Nunez SE, Draeger HT, Kettwich SC, Kettwich LG, Sibbitt WL Jr (2007) A randomized controlled trial of the reciprocating procedure device for intraarticular injection of corticosteroid. J Rheum 34:187–192PubMed

62.

Sibbitt WL Jr, Sibbitt RR, Michael AA, Fu DI, Draeger HT, Twining JM et al (2006) Physician control of needle and syringe during traditional aspiration-injection procedures with the new reciprocating syringe. J Rheumatol 33:771–778PubMed

63.

Draeger HT, Twining JM, Johnson CR, Kettwich SC, Kettwich LG, Bankhurst AD (2006) A randomized, controlled trial of the reciprocating syringe in arthrocentesis. Ann Rheum Dis 65:1084–1087. doi:10.1136/ard.2005.045781 PubMedCrossRef

64.

Nunez SE, Draeger HT, Kettwich SC, Kettwich LG, Bankhurst AD, Sibbitt WL (2008) A randomized, controlled trial of the reciprocating syringe in local anesthesia. J Emerg Med (in press)

65.

Moorjani GR, Michael AA, Peisjovich A, Park KS, Sibbitt WL Jr, Bankhurst AD (2008) Patient pain and tissue trauma during syringe procedures: a randomized controlled trial. J Rheum 35(6):1124–1129PubMed

66.

Moorjani GR, Bedrick EJ, Michael AA, Peisjovich A, Sibbitt WL Jr, Bankhurst AD (2008) Integration of safety technologies into rheumatology and orthopedic practice: a randomized controlled trial. Arthritis Rheum (in press)

67.

Sander O (2007) Intra-articular corticosteroid injections with the reciprocating procedure device reduced procedural pain and duration more than the conventional syringe. Evid Based Med 12:106. doi:10.1136/ebm.12.4.106 PubMedCrossRef

68.

Sibbitt RR, Sibbitt WL Jr, Palmer DJ, Bankhurst AD (2008) Needle aspiration of peritonsillar abscess with the new safety technology the reciprocating procedure device. Otolaryngol Head Neck Surg (in press)

69.

Ciatto S, Cariaggi P, Bulgaresi P (1987) The value of routine cytologic examination of breast cyst fluids. Acta Cytol 31:301–304PubMed

70.

Solla JA, Walters MJ, Rosenthal D (1986) Breast cyst aspiration cytology. Mil Med 151:653–654PubMed

71.

Cowen PN, Benson EA (1979) Cytological study of fluid from breast cysts. Br J Surg 66:209–211. doi:10.1002/bjs.1800660323 PubMedCrossRef

72.

Kumar PV, Monabati A, Talei AR, Boub R (2006) Giant cystic metaplastic carcinoma of the breast: a case report with diagnosis by fine needle aspiration. Acta Cytol 50:327–330PubMed

73.

Devitt JE, To T, Miller AB (1992) Risk of breast cancer in women with breast cysts. CMAJ 147:45–49PubMed

74.

Hinton CP, Hughes RG (1981) Repeated aspiration of breast cysts—a safe procedure. Br J Surg 68:45–46. doi:10.1002/bjs.1800680115 PubMedCrossRef

75.

Gizienski TA, Harvey JA, Sobel AH (2002) Breast cyst recurrence after postaspiration injection of air. Breast J 8:34–37. doi:10.1046/j.1524-4741.2002.08007.x PubMedCrossRef

76.

Gomes C, Amaral N, Marques C, Borralho R, de Oliveira CF (2002) Sclerosis of gross cysts of the breast: a three-year study. Eur J Gynaecol Oncol 23:191–194PubMed

77.

Gusẽnov AZ, Kolomẽtsev AN, Vinokurov VU (2004) Types of therapeutic-and-diagnostic policy for breast cystic masses. Klin Med (Mosk) 82:45–48

78.

Vetshev PS, Kuznetsov NS, Bel’tsevich DG, Ozerov SK (1998) Diagnosis and treatment of breast cysts. Khirurgiia (Mosk) 7:7–11

79.

Sitzmann JV, Dufresne C, Zuidema GD (1983) The use of sclerotherapy for treatment of postmastectomy wound seromas. Surgery 93:345–347PubMed

80.

Monzani F, Lippi F, Goletti O, Del Guerra P, Caraccio N, Lippolis PV et al (1994) Percutaneous aspiration and ethanol sclerotherapy for thyroid cysts. J Clin Endocrinol Metab 78:800–802. doi:10.1210/jc.78.3.800 PubMedCrossRef

81.

Kim DW, Rho MH, Kim HJ, Kwon JS, Sung YS, Lee SW (2005) Percutaneous ethanol injection for benign cystic thyroid nodules: is aspiration of ethanol-mixed fluid advantageous? AJNR Am J Neuroradiol 26:2122–2127PubMed

Titel: Integration of new safety technologies for needle aspiration of breast cysts
verfasst von: Randy R. Sibbitt
Dennis J. Palmer
Arthur D. Bankhurst
Wilmer L. Sibbitt Jr
Publikationsdatum: 01.03.2009
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 3/2009
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-008-0710-8

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Integration of new safety technologies for needle aspiration of breast cysts

Abstract

Introduction

Materials and Methods

Results

Conclusions

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Abstract

Introduction

Materials and Methods

Results

Conclusions

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