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Retained Surgical Instruments and Sponges
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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
Clinic sued over towel left in patient.
McCarty JF. Plain Dealer. January 16, 2007:A1.
REVIEW
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Zahiri HR, Stromberg J, Skupsky H, et al. Surg Innov. 2011;18:55-60.
NEWSPAPER/MAGAZINE ARTICLE
Nearly 90 major medical mistakes logged at Utah hospitals in 2008.
May H. Salt Lake Tribune. June 26, 2009.
NEWSPAPER/MAGAZINE ARTICLE
What surgeons leave behind costs some patients dearly.
Eisler P. USA Today. March 8, 2013.
AUDIOVISUAL
Medical mistakes, when things are left behind.
Freed T. KSEE 24 News. November 11, 2008.
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.
STUDYclassic
Incidence and characteristics of potential and actual retained foreign object events in surgical patients.
Cima RR, Kollengode A, Garnatz J, et al. J Am Coll Surg. 2008;207:80-87. 
COMMENTARY
Retained surgical items and minimally invasive surgery.
Gibbs VC. World J Surg. 2011;35:1532-1539.
COMMENTARY
Reducing the incidence of retained surgical instrument fragments.
Reece M, Troeleman ND, McGowan JE, Furuno JP. AORN J. 2011;94:301-304.
STUDY
Incorrect surgical counts: a qualitative analysis.
Rowlands A, Steeves R. AORN J. 2010;92:410-419.
STUDYclassic
Incidence, patterns, and prevention of wrong-site surgery.
Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358.
BOOK/REPORT
To Err Is Human—But Don't Expect to Get Paid For It.
ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.
NEWSPAPER/MAGAZINE ARTICLE
Sponges, surgical instruments miscounted in 13% of surgeries.
O'Reilly KB. American Medical News. September 22, 2008;51:14.
STUDY
Gossypiboma: tales of lost sponges and lessons learned.
McIntyre LK, Jurkovich GJ, Gunn MLD, Maier RV. Arch Surg. 2010;145:770-775.
REVIEW
Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery.
Dagi TF, Berguer R, Moore S, Reines HD. Curr Probl Surg. 2007;44:352-381.
REVIEW
Improving safety in the operating room: a systematic literature review of retained surgical sponges.
Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.
COMMENTARY
Counting matters: lessons from the root cause analysis of a retained surgical item.
Agrawal A. Jt Comm J Qual Patient Saf. 2012;38:566-574.
STUDYclassic
Risk factors for retained instruments and sponges after surgery.
Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. N Engl J Med. 2003;348:229-235.
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