AHRQ Patient Safety Network

The Collection > Operating Room

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•Device-related Complications (20)

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Setting of Care
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Operating Room

1 - 20 of 623

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NEWSPAPER/MAGAZINE ARTICLE

Sponges, surgical instruments miscounted in 13% of surgeries.

O'Reilly KB. American Medical News. September 22, 2008;51:14.

STUDY

Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients.

Rupp CC, Kagarise MJ, Nelson SM, et al. J Am Coll Surg. 2012;215:524-533.

NEWSPAPER/MAGAZINE ARTICLE

Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.

Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.

NEWSPAPER/MAGAZINE ARTICLE

What surgeons leave behind costs some patients dearly.

Eisler P. USA Today. March 8, 2013.

STUDY

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.

Regenbogen SE, Greenberg CC, Resch SC, et al. Surgery. 2009;145:527-535.

STUDY

Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.

Macario A, Morris D, Morris S. Arch Surg. 2006;141:659-662.

STUDY

Managing the prevention of retained surgical instruments: what is the value of counting?

Egorova NN, Moskowitz A, Gelijns A, et al. Ann Surg. 2008;247:13-18.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

NEWSPAPER/MAGAZINE ARTICLE

The wrong foot, and other tales of surgical error.

Altman LK. New York Times. December 11, 2001;1:1.

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

Olsen S. CNET News.com; October 19, 2005.

COMMENTARY

A nurse-led approach to developing and implementing a collaborative count policy.

Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.

NEWSPAPER/MAGAZINE ARTICLE

Beyond the count: preventing the retention of foreign objects.

PA-PSRS Patient Saf Advis. June 2009;6:39-45.

STUDY

Risk factors associated with incorrect surgical counts.

Rowlands A. AORN J. 2012;96:272-284.

STUDY

Retained surgical items: a problem yet to be solved.

Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.

COMMENTARY

Trauma: when there's no time to count.

Murdock DB. AORN J. 2008;87:322-328.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

COMMENTARY

Reducing the incidence of retained surgical instrument fragments.

Reece M, Troeleman ND, McGowan JE, Furuno JP. AORN J. 2011;94:301-304.

COMMENTARY

Surgical complications: disclosing adverse events and medical errors.

Wang AS, Eisen DB. J Am Acad Dermatol. 2013;68:144-146.

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