{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:03:39Z","timestamp":1761656619643,"version":"build-2065373602"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2025,10]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n Nursing\u2010related intraoperative incidents, such as specimen loss and retained surgical items, pose serious risks to patient safety. These events may be influenced by surgical complexity, team structure, and nursing experience. However, data on the specific impact of these factors, particularly in Japan, remain limited. This study aimed to determine the incidence of nursing\u2010related intraoperative incidents and identify clinical and procedural factors associated with their occurrence.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a retrospective observational study of all surgeries performed at a tertiary care hospital between April 1, 2018, and March 31, 2023. Data were extracted from anesthetic records, perioperative nursing notes, and an electronic incident reporting system. The primary outcome was the incidence of nursing\u2010related intraoperative incidents. Secondary outcomes included associations with surgical specialty, instrument delivery personnel (nurse vs. physician), duration of surgery (<2 vs. \u22652\u2009h), timing of surgery (daytime vs. night shift), surgical approach (endoscopic vs. non\u2010endoscopic), and nurse experience (<6 vs. \u22656\u2009years). Logistic regression was used for statistical analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 37,265 surgical cases, 85 cases (0.23%) of nursing\u2010related intraoperative incidents were identified. Incident rates were highest in neurosurgery and emergency department surgery. Univariate analysis identified instrument delivery personnel (nurse), longer duration of surgery, night shift surgery, and limited nursing experience as associated factors. In multivariate analysis, limited nursing experience (odds ratio: 1.810) and longer duration of surgery (odds ratio: 4.008) remained significant predictors.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Nursing\u2010related intraoperative incidents, though rare, were more likely to occur during longer surgeries and when performed by less experienced nurses.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jjns.70027","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T06:06:12Z","timestamp":1758089172000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and risk factors for nursing\u2010related intraoperative incidents: A 5\u2010year retrospective study at a Japanese tertiary care hospital"],"prefix":"10.1111","volume":"22","author":[{"given":"Kazuki","family":"Mochida","sequence":"first","affiliation":[{"name":"Department of Operating Room Nursing Sapporo Medical University Hospital Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8898-3977","authenticated-orcid":false,"given":"Tomohiro","family":"Chaki","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Sapporo Medical University School of Medicine Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiaki","family":"Yamakage","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Sapporo Medical University School of Medicine Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62631-8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.ijnmr_413_23"},{"key":"e_1_2_8_4_1","unstructured":"American College of Surgeons. (n.d.).Statements on principles.https:\/\/www.facs.org\/about-acs\/statements\/statements-on-principles\/"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-01949-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2022.09.005"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000001374"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.13804"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.0301"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000636"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003280"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12396"},{"key":"e_1_2_8_13_1","unstructured":"Ministry of Health Labour and Welfare. (2022).Revisions to the 2022 medical fee schedule: Operating room staffing and nursing services.https:\/\/www.mhlw.go.jp\/stf\/seisakunitsuite\/bunya\/0000188411.html"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.05.044"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-02850-2"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12845"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/nin.12390"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-025-07380-3"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.80301"},{"volume-title":"Prevention of surgical errors","year":"2023","author":"Santos G.","key":"e_1_2_8_20_1"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608231186247"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-021-06370-3"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.08.026"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.07.013"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000075"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40101-024-00378-z"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-021-00297-3"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/2983251"}],"container-title":["Japan Journal of Nursing Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jjns.70027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T12:59:14Z","timestamp":1761656354000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jjns.70027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,16]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/jjns.70027"],"URL":"https:\/\/doi.org\/10.1111\/jjns.70027","archive":["Portico"],"relation":{},"ISSN":["1742-7932","1742-7924"],"issn-type":[{"type":"print","value":"1742-7932"},{"type":"electronic","value":"1742-7924"}],"subject":[],"published":{"date-parts":[[2025,9,16]]},"assertion":[{"value":"2025-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70027"}}