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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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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.
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.
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
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.
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.
STUDY
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.
STUDY
Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.
Camp M, Chang DC, Zhang Y, Chrouser K, Colombani PM, Abdullah F. Arch Surg. 2010;145:1085-1090.
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
Retained foreign bodies after surgery.
Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. J Surg Res. 2007;138:170-174.
COMMENTARY
Surgical count practice variability and the potential for retained surgical items.
Edel EM. AORN J. 2012;95:228-238.
REVIEW
Preventable errors in the operating room: retained foreign bodies after surgery--part I.
Gibbs VC, Coakley FD, Reines HD. Curr Probl Surg. 2007;44:281-337.
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
Surgical mistakes persist in Bay State: still a tiny fraction of total procedures.
Kowalczyk L. Boston Globe. October 26, 2007;Metro section:1A.
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.
COMMENTARY
Retained surgical items and minimally invasive surgery.
Gibbs VC. World J Surg. 2011;35:1532-1539.
STUDY
Governing the surgical count through communication interactions: implications for patient safety.
Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.
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.
NEWSPAPER/MAGAZINE ARTICLE
What surgeons leave behind costs some patients dearly.
Eisler P. USA Today. March 8, 2013.
COMMENTARY
Counting for patient safety.
Watson DS. AORN J. 2006;84:273-275.
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