Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.

Victoria M Steelman; Joseph J Cullen

Study

Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.

August 17, 2011

Steelman VM, Cullen JJ. AORN J. 2011;94(2):132-41.

View more articles from the same authors.

A prospective failure mode and effect analysis identified 57 potential failures that each could lead to a retained surgical instrument. Most of these potential failures require technological rather than educational or policy-based solutions.

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Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.

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