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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.
 

This case-control study discovered that emergency surgeries, unplanned changes in a surgical procedure, and heavier patients all posed greater risk for suffering the complication of a retained foreign body. Investigators analyzed 54 cases where foreign bodies requiring reoperation occurred and drew comparisons to more than 230 control cases. Overall, the authors' findings suggest a rate of one such case or more each year at the typical large hospital, which may be an underestimation given the cases are captured through malpractice claims. They suggest routine intraoperative radiographic screening might serve as a cost-effective intervention to prevent these often costly events. The lead author of this article also wrote a book entitled Complications that explores the imperfect science of medicine. A case discussing an error of a retained sponge and a preventable death was discussed in an AHRQ WebM&M commentary.

 
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Resource Type:  Journal Article > Study

Setting of Care:  Hospitals > General Hospitals > Operating Room

Target Audience:  Health Care Providers > Physicians

Clinical Area:  Medicine > Surgery

Safety Target:  Surgical Complications > Intraoperative Complications > Retained Surgical Instruments and Sponges

Origin/Sponsor:  North America > United States of America
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