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Study
Retained guidewires in the Veterans Health Administration: getting to the root of the problem.
May 9, 2018
Cherara L, Sculli GL, Paull DE, et al. J Patient Saf. 2021;17(8):e991-e928.
This study examined reports stemming from retained guidewires, a never event, across Veterans Affairs hospitals. Common causes included inexperience, lack of checklists, and insufficient standardization. The authors recommend applying human factors approaches to prevent this adverse event.
