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PSNet: Patient Safety Network
Journal Article

1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs).

Duggan EG, Fernandez J, Saulan MM, et al. Joint Commission journal on quality and patient safety. 2018;44:260-269.

Retained foreign objects are a persistent never event. This commentary describes how one organization reduced the occurrence of this surgical complication. Needs assessments, multidisciplinary engagement, risk classification, and modeling approaches were employed to inform the initiative. These activities helped to design training efforts to enhance awareness of the problem.