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Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.

Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Patient Saf Surg. 2021;15(1):14. doi: 10.1186/s13037-021-00287-5.

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June 23, 2021
Weprin SA, Meyer D, Li R, et al. Patient Saf Surg. 2021;15(1):14.

A retained surgical sharp (RSS) is a never event. Operating room (OR) team members, including surgeons, anesthesiologists, and nurses, were surveyed regarding their experiences with actual and near-miss sharps (NMS). While nearly all team members reported experiencing at least one RSS or NMS in the past year, responses to other survey items varied by professional group. Surgeons were less likely to perceive that a sharp had been lost as compared to other OR team members, indicating a potential under-report bias. Improved communication between team members may increase identification, and therefore reporting, of RSS and NMS, to prevent similar incidents in the future.

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Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Patient Saf Surg. 2021;15(1):14. doi: 10.1186/s13037-021-00287-5.