@article{2733,
  keywords = {count reconciliation, incorrect count, never event, retained surgical item},
  author = {Jennifer L. Fencl},
  title = {Guideline Implementation: Prevention of Retained Surgical Items.},
  abstract = {<p>A surgical item unintentionally retained in a patient after an operative or other invasive procedure is a serious, preventable medical error with the potential to cause the patient great harm. Perioperative RNs play a key role in preventing retained surgical items (RSIs). The updated AORN "Guideline for prevention of retained surgical items" provides guidance for implementing a consistent, multidisciplinary approach to RSI prevention; accounting for surgical items; preventing retention of device fragments; reconciling count discrepancies; and using adjunct technologies to supplement manual count procedures. This article focuses on key points of the guideline to help perioperative personnel provide optimal care during a procedure. Key points addressed include taking responsibility for RSI prevention as a team; minimizing distractions, noise, and interruptions during counts; using consistent counting methods; reconciling discrepancies; and participating in performance-improvement activities. Perioperative RNs should review the complete guideline for additional information and for guidance in writing and updating policies and procedures. </p>},
  year = {2016},
  journal = {AORN J},
  volume = {104},
  pages = {37-48},
  month = {07/2016},
  issn = {1878-0369},
  doi = {10.1016/j.aorn.2016.05.005},
  language = {eng},
}