Counting matters: lessons from the root cause analysis of a retained surgical item.

Abha Agrawal

Commentary

Counting matters: lessons from the root cause analysis of a retained surgical item.

December 5, 2012

Agrawal A. Jt Comm J Qual Patient Saf. 2012;38(12):566-574.

View more articles from the same authors.

Reporting root cause analysis results from a retained surgical item case, this commentary identifies contributing factors and tactics to prevent such errors.

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Operating Room

Health Care Providers

Quality and Safety Professionals

Surgery

Retained Surgical Instruments and Sponges

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