Unintentionally retained guidewires: a descriptive study of 73 sentinel events.

Victoria M. Steelman; Kokila Thenuwara; Clarissa Shaw; Laurel Shine

Study

Unintentionally retained guidewires: a descriptive study of 73 sentinel events.

March 20, 2019

Steelman VM, Thenuwara K, Shaw C, et al. Jt Comm J Qual Saf. 2019;45(2):81-90.

View more articles from the same authors.

This retrospective review examines incidents of retained guidewires reported to The Joint Commission. Researchers identified numerous contributing factors to these events, most frequently relating to human factors, leadership, and communication. The authors conclude that multicomponent strategies to prevent incidents involving retained foreign objects are needed.

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