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Retained Surgical Instruments and Sponges
PATIENT SAFETY PRIMERS
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Retained Surgical Instruments and Sponges
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COMMENTARY
Increasing patient safety and surgical team communication by using a count/time out board.
Edel EM. AORN J. 2010;92:420-424.
STUDY
Incorrect surgical counts: a qualitative analysis.
Rowlands A, Steeves R. AORN J. 2010;92:410-419.
STUDY
Gossypiboma: tales of lost sponges and lessons learned.
McIntyre LK, Jurkovich GJ, Gunn MLD, Maier RV. Arch Surg. 2010;145:770-775.
COMMENTARY
Counting for patient safety.
Watson DS. AORN J. 2006;84:273-275.
COMMENTARY
Retained surgical items and minimally invasive surgery.
Gibbs VC. World J Surg. 2011;35:1532-1539.
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.
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.
STUDY
Risk factors associated with incorrect surgical counts.
Rowlands A. AORN J. 2012;96:272-284.
ORGANIZATIONAL POLICY/GUIDELINES
Statement on the prevention of retained foreign bodies after surgery.
Bulletin of the American College of Surgeons; October 2005.
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.
NEWSPAPER/MAGAZINE ARTICLE
The wrong foot, and other tales of surgical error.
Altman LK. New York Times. December 11, 2001;1:1.
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.
COMMENTARY
A system-wide initiative to prevent retained vaginal sponges.
Chagolla BA, Gibbs VC, Keats JP, Pelletreau B. MCN Am J Matern Child Nurs. 2011;36:312-317.
COMMENTARY
The lost sponge: patient safety in the operating room.
Grant-Orser A, Davies P, Singh SS. CMAJ. 2012;184:1275-1278.
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.
COMMENTARY
Surgical count practice variability and the potential for retained surgical items.
Edel EM. AORN J. 2012;95:228-238.
NEWSPAPER/MAGAZINE ARTICLE
Sponges, surgical instruments miscounted in 13% of surgeries.
O'Reilly KB. American Medical News. September 22, 2008;51:14.
COMMENTARY
Implementing AORN recommended practices for prevention of retained surgical items.
Goldberg JL, Feldman DL. AORN J. 2012;95:205-219.
STUDY
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.
Cima RR, Kollengode A, Clark J, et al. Jt Comm J Qual Patient Saf. 2011;37:51-58.
STUDY
A multidisciplinary team approach to retained foreign objects.
Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Patient Saf. 2009;35:123-132.
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