Skip to main content
Study

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.

Carmack A, Valleru J, Randall K, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient Saf. Epub 2022 Sep 30. 10.1016/j.jcjq.2022.09.005

Save
Print
November 30, 2022
Carmack A, Valleru J, Randall KH, et al. Jt Comm J Qual Patient Saf. 2023;49(1):3-13.

Retained surgical items (RSI) are a never event, a serious and preventable event. After experiencing a high rate of RSIs, this United States health system implemented a bundle to reduce RSI, improve near-miss reporting, and increase process reliability in operating rooms. The bundle consisted of five elements: surgical stop, surgical debrief, visual counters, imaging, and reporting.

Save
Print
Cite
Citation

Carmack A, Valleru J, Randall K, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient Saf. Epub 2022 Sep 30. 10.1016/j.jcjq.2022.09.005

Related Resources