Journal Article
Study

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.

Moffatt-Bruce SD; Cook CH; Steinberg SM; Stawicki SP.

This meta-analysis identified factors that increase risk of retained foreign objects, including clinical complexity, failure to perform a surgical count, and involvement of multiple surgical teams. These results indicate that multiple prevention efforts are needed to avoid this never event. A past AHRQ WebM&M commentary describes a patient who was discharged with a retained surgical item and reveals technological solutions to reduce risks.