Neutral Zones Are Important for Sharps Safety

During invasive procedures, a neutral zone is a specified area for perioperative team members to place sharp instruments.1 Neutral zones reduce the risk of percutaneous injuries by eliminating the passing of sharps in a hand-to-hand manner.2 One systematic review and meta-analysis of 16 studies showed that 22.2% of percutaneous injuries occur when passing sharps.3 Another study demonstrated that hands-free techniques, including the use of a neutral zone, lower the risk of percutaneous injuries, glove tears, and contamination.4 Before the procedure, team members should establish the neutral zone and clarify the instrument-passing protocol.2 Neutral zones should be sturdy and large enough to accommodate the instruments.2 Figure 1. Options for an established neutral zone.1 None reported.

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Publication Details

Journal
AORN Journal
Published
2026-06-26
DOI
https://doi.org/10.1002/aorn.70112
Primary Topic
Infection Control in Healthcare
Type
article
Field-Weighted Citation Impact
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article

Neutral Zones Are Important for Sharps Safety

Lindsay Fischer
AORN Journal
Infection Control in Healthcare
article

Neutral Zones Are Important for Sharps Safety

Lindsay Fischer
article en

Abstract

During invasive procedures, a neutral zone is a specified area for perioperative team members to place sharp instruments.1 Neutral zones reduce the risk of percutaneous injuries by eliminating the passing of sharps in a hand-to-hand manner.2 One systematic review and meta-analysis of 16 studies showed that 22.2% of percutaneous injuries occur when passing sharps.3 Another study demonstrated that hands-free techniques, including the use of a neutral zone, lower the risk of percutaneous injuries, glove tears, and contamination.4 Before the procedure, team members should establish the neutral zone and clarify the instrument-passing protocol.2 Neutral zones should be sturdy and large enough to accommodate the instruments.2 Figure 1. Options for an established neutral zone.1 None reported.

AORN JournalVol. 124(1)
Openalex Percentile: Top 8%
Infection Control in Healthcare
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