Operating room (OR) fires are a serious but often overlooked hazard during surgical
DOI:
https://doi.org/10.65693/irss.2025.v6i1.269Keywords:
Operating room fire, time-outAbstract
Background: Operating room (OR) fires are a serious but often overlooked hazard during surgical.[cite: 1]
Objective: This study aimed to evaluate the knowledge and attitudes of operations technician providers on fire risk assessment during the time-out process in the operating rooms of hospitals in Sana’a, Yemen.[cite: 1]
Purpose: The purpose of this descriptive study was to examine the knowledge and attitudes of operation technician providers on fire risk assessment during time-out in the operating room at Sana'a hospitals Yemen.[cite: 1]
Design: A descriptive, cross-sectional design was used to assess the operation technician providers' knowledge attitudes on fire risk assessment during time out in the operating room at Sana'a hospitals Yemen .[cite: 1]
Methods: A descriptive cross-sectional study was conducted among 100 operations technicians from various hospitals in Sana’a. A structured questionnaire was used to collect data on demographic characteristics, educational background, years of experience, and their knowledge levels regarding fire risk assessment.[cite: 1]
Results: Most participants were between 31–40 years of age (30%), with the majority having a diploma (41%) and 1–5 years of experience (39%). Technicians were mainly specialized in anesthesia (32%) and surgery (18%), and 67% were male. Knowledge assessment revealed that 13% had low knowledge, 35% had moderate knowledge, and 52% had high knowledge regarding fire risk assessment during time-out procedures, A structured questionnaire was used to collect data on total knowledge characteristics, their knowledge levels regarding fire risk assessment was high in (62%) and moderate in (25%) and low in (13%) distribution of operation technicians to collect data on total attitude regarding on fire risk was positive in (57%) and negative in (43%)[cite: 1]
Conclusion: While over half of the operations technicians demonstrated high knowledge, a significant portion still showed moderate to low awareness of fire risk assessment protocols. These findings highlight the need for targeted training and implementation of standardized fire safety practices during the surgical time-out in Yemeni hospitals to ensure comprehensive OR safety. However, they still need more education on how to disseminate key information related to fire risk assessment during operating room time-out to improve fire safety practices for health care professionals in the operating room.[cite: 1]
References
AORN (2018). Guideline for a Safe Environment of Care. Association of perioperative Registered Nurses. ASA (2020). Practice Advisory for the Prevention and Management of Operating Room Fires. American Society of Anesthesiologists.
ECRI Institute (2009). Surgical Fire Safety: A Critical Risk Management Issue. Health Devices. FDA (2020). Preventing Surgical Fires. U.S. Food and Drug Administration. https://www.fda.gov/medical-devices/safety-communications/preventing-surgical-fires Healy, G. B., Baredes, S., & Richtsmeier, W. J. (2014). Surgical Fires and Safety Guidelines in Otolaryngology. Otolaryngologic Clinics of North America, 47(4), 603–612. Smith, R., & Jones, M. (2015). Operating Room Fires: Awareness and Training among Surgical Staff. Journal of Patient Safety, 11(1), 45–50. Haynes, A. B., et al. (2009). A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. New England Journal of Medicine, 360(5), 491–499. The Joint Commission (2021). Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™. https://www.jointcommission.org WHO (2009). WHO Guidelines for Safe Surgery 2009: Safe Surgery Saves Lives. World Health Organization. Al-Awlaqi, A., Dureab, F., Al-Awlaqi, M., & Müller, O. (2017). Surgical care during armed conflict: A cross-sectional survey in Yemen. BMC Health Services Research, 17(1), 1-7. Patel, S. R., Campbell, R. M., & Goolsby, M. E. (2019). Improving OR Fire Safety Through Simulation-Based Training: A Quality Improvement Study. AORN Journal, 110(1), 33–42. Smith, R., & Liu, C. (2017). Operating Room Fire Risk: Assessing Knowledge and Perceptions Among Surgical Personnel. Journal of Clinical Risk Management, 13, 101–107. Al-Ghazzawi, A., & Al-Awlaqi, A. (2020). Safety Culture and Risk Perception Among Surgical Teams in Yemen. Middle East Journal of Health Sciences, 6(2), 75–83. Heilbrun, M. E., Burke, R. V., Singh, R., & Chung, G. K. (2016). The Relationship Between Safety Attitudes and Surgical Protocol Compliance. Journal of Surgical Education, 73(4), 637–644. Jones, D. R., Martin, M. R., & Smith, T. K. (2015). Awareness and Preparedness of Surgical Fire Prevention Among Operating Room Staff. Journal of Patient Safety, 11(2), 95–101. Singer, S. J., Gaba, D. M., Falwell, A., Lin, S., Hayes, J., & Baker, L. (2009). Patient Safety Climate in Healthcare Organizations. Health Services Research, 44(2 Pt 1), 399–421. Wright, M. C., Keane, K., & Koomson, K. (2020). Simulation Training Improves Surgical Fire Preparedness: A Prospective Study. Simulation in Healthcare, 15(3), 189–195. Spruce, L. (2018). Fire safety in the operating room. AORN Journal, 108(5), 476–484. https://doi.org/10.1002/aorn.12423 Bruley, M. E. (2016). Surgical fires: perioperative communication is essential to prevent this rare but devastating complication. Journal of Healthcare Risk Management, 35(3), 38–45. Jones, T. S., Black, I. H., Robinson, T. N., & Jones, E. L. (2017). Operating room fires. Anesthesiology Clinics, 35(4), 617–635. https://doi.org/10.1016/j.anclin.2017.07.003 OSHA (Occupational Safety and Health Administration). (2018). Hospital eTool: Operating Room - Fire Safety. https://www.osha.gov/SLTC/etools/hospital/operating/fire.html Mehta, S. P., & Yarmush, J. (2020). Fire Risk in Operating Rooms: Current Perspectives and Strategies. International Journal of Surgery Protocols, 24, 1-5. https://doi.org/10.1016/j.isjp.2020.01.002 Smith, R., Liu, C., & Colleagues. (2017). Reducing Surgical Fires Through Fire Risk Assessment and Time-Out Protocols. Journal of Clinical Safety, 23(3), 142–148. AORN (Association of periOperative Registered Nurses). (2021). Guidelines for Perioperative Practice: Fire Safety. AORN. National Fire Protection Association (NFPA). (2020). NFPA 99: Health Care Facilities Code. NFPA. ECRI Institute. (2019). Top 10 Health Technology Hazards for 2020. ECRI Institute.
Al-Akwa, S., Al-Ataki, A., Al-Awadhi, A., Abdulmoghani, I., Al-Madoumi, I., Al-Wesabi, M., Al-Samei, A., Al-Hajjaji, B., Al-Doais, T., Salem, R., Jarwash, F., Al-Nofeesh, M., Al-Azizi, J., & Al-Nazari, M. (2024). The Role of Governance in Improving the Quality of Healthcare Services in Yemeni Hospitals: (A Case Study of the Republican Teaching Hospital Authority). Institutional Repository for Scientific Scholarship at 21 September University for Medical and Applied Sciences, 5(1), 1-133. https://doi.org/10.65693/irss.2024.v5i1.39
Al-Wesabi, M., & Jarallah, M. (2024). The Reality of Training Quality and its Role in Improving the Performance of Operating Theater Technicians in Yemeni Hospitals: A Comparative Analytical Study Between the Republican Teaching Hospital Authority and Kuwait University Hospital. Institutional Repository for Scientific Scholarship at 21 September University for Medical and Applied Sciences, 5(1), 1-92. https://doi.org/10.65693/irss.2024.v5i1.49
Al-wesabi, Muneer. (2012). The Role of Quality Systems in Improving the Performance of Healthcare Facilities in Yemen: A Case Study of the 48 Model Hospital. https://doi.org/10.13140/RG.2.2.12720.32009
Al-wesabi, Muneer. (2017). The Effect of Health Human Resources Development on the Efficacy of Applying Accreditation Standards in Yemeni Hospitals: A Field Study. https://doi.org/10.13140/RG.2.2.28658.67527
5. Al-Wesabi, M., & Shamlan, M. (2022). The Effect of Applying Infection Prevention and Control Standards in Sana’a Governorate Hospitals at the Level of Reducing the Spread of Diseases and Epidemics. Journal of 21 September University for Medical and Applied Sciences, 1(1). https://doi.org/10.65693/masj.2022.v1i1.17
Alyahawi, A., Al-Wesabi, M., & ALKaf, A. (2022). Antimicrobial susceptibility of Acinetobacter clinical isolates among ICU Patients in Sana’a City, Yemen. Journal of 21 September University for Medical and Applied Sciences, 1(1). https://doi.org/10.65693/masj.2022.v1i1.14
Alyahawi A, Measar M, Alwesabi M, Alkaf A. (2024). Clinically Significant Statin-Drug Interactions in Older Patients with Chronic Diseases. Pharmaceutical Research - Recent Advances and Trends Vol. 4, B P International, pp.1-21. https://doi.org/10.9734/bpi/prrat/v4/598
Al-Wesabi, M. (2020). The reality of the Yemeni health sector and the role of September 21 University for Medical and Applied Sciences in reforming it and building the modern Yemeni state (M. Dael, Trans.). Institutional Repository for Scientific Scholarship at 21 September University for Medical and Applied Sciences, 1(1), 106-133. https://doi.org/10.65693/irss.2020.v1i1.47
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