Developing an Atlas to Teach Nurses to Clean Micro-instruments Used in Cataract Surgery: Effect on Patient Safety

NCT02867189 | Completed DMC

• 1 other identifier: tjykdxykyy5
• Study Type: interventional
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

Aims and objectives The purpose of this study was to develop an atlas to explore the effect of micro-instrument cleaning on the safety of cataract surgery. Background Cataract surgery safety is affected by many factors, the most influential of which is the quality of instrument cleaning. Previous studies focused on the reaction in the eye after cataract surgery. None offered a solution for manually cleaning ophthalmic micro-instruments or response data for surgical instruments after cataract surgery. Design The study was designed to collect quantitative data derived from postoperative ocular evaluation. Methods We developed an atlas that details micro-instrument cleaning that could be used to train nurses to have this skill. A total of 120 cataract patients were divided evenly into experimental and control groups. In the experimental group, cataract surgery was undertaken using microsurgical instruments that were cleaned by the atlas-trained nurses. In the control group, micro-instruments were used that had been cleaned by non-atlas-trained nurses. All the patients underwent the same postoperative tests: anterior chamber cell counts and visual and intraocular pressures on postoperative days (PODs) 1, 3, 7, and 14.

Conditions

Cataract

Keywords

anterior chamber flare; cataract; intraocular pressure; micro-instrument; photograph-based atlas; visual; training nurse

Outcome Measures

Primary Outcomes (1)

• the numbers of anterior chamber cells after cataract surgery.

  the numbers of anterior chamber cell counts within the 14 days after surgery

  within the 14 days after surgery

Secondary Outcomes (1)

• the change of vision after cataract surgery

  within the 14 days after surgery

Other Outcomes (1)

• the change of intraocular pressure after cataract surgery

  within the 14 days after surgery

Study Arms (2)

atlas of micro-instrument

EXPERIMENTAL

anterior chamber cell counts and visual and intraocular pressures on postoperative days 1,3,7,14 by atlas of micro-instrument training method.

Other: atlas of micro-instrument

traditional training

NO INTERVENTION

anterior chamber cell counts and visual and intraocular pressures on postoperative days1,3,7,14 by traditional training method.

Interventions

atlas of micro-instrument OTHER

Nurses after training can improve the instrument cleaning quality, reduce the reaction after cataract surgery

atlas of micro-instrument

Eligibility Criteria

• Age: 60 Years - 88 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Cataract patients

You may not qualify if:

• Patients with metabolic disease, immune disease, and/or retinopathy were not included in this study.

Sponsors & Collaborators

• Hua Liu: lead

MeSH Terms

Conditions

Cataract

Condition Hierarchy (Ancestors)

Lens Diseases; Eye Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: charge of nursing department

Study Record Dates

• First Submitted: August 2, 2016
• First Posted: August 15, 2016
• Study Start: September 1, 2015
• Primary Completion: September 1, 2015
• Study Completion: October 1, 2015
• Last Updated: August 15, 2016

Record last verified: 2015-10

Data Sharing

• IPD Sharing: Will not share