Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.

Scott E. Regenbogen; Caprice C. Greenberg; Stephen C. Resch; Anantha Kollengode; Robert R. Cima; Michael J. Zinner; Atul A. Gawande

Study

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.

May 27, 2009

Regenbogen SE, Greenberg CC, Resch SC, et al. Surgery. 2009;145(5):527-35.

View more articles from the same authors.

A cost-effectiveness analysis model was used to assess the utility of three methods for preventing retained surgical sponges: bar-coded sponges, radiofrequency ID–tagged sponges, and standard x-ray screening. The newer technologies were found to be more cost effective.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.

November 14, 2007

Patterns of communication breakdowns resulting in injury to surgical patients.

April 11, 2007

The frequency and significance of discrepancies in the surgical count.

August 27, 2008

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

November 11, 2009

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

July 13, 2011

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

August 4, 2010

Bar-coding surgical sponges to improve safety: a randomized controlled trial.

April 23, 2008

Incidence and characteristics of potential and actual retained foreign object events in surgical patients.

July 16, 2008

Incidence, patterns, and prevention of wrong-site surgery.

April 19, 2006

Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.

February 2, 2011

A multidisciplinary team approach to retained foreign objects.

March 4, 2009

Risk factors for retained instruments and sponges after surgery.

March 6, 2005

Learning from adverse events and near misses.

October 1, 2008

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

July 25, 2012

Use of error management theory to quantify and characterize residents' error recovery strategies.

January 15, 2020

The risks to patient safety from health system expansions.

April 18, 2018

Hospital board and management practices are strongly related to hospital performance on clinical quality metrics.

August 19, 2015

Improving safety with information technology.

March 6, 2005

Effective surgical safety checklist implementation.

January 30, 2005

Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals.

April 15, 2015

Accidental deaths, saved lives, and improved quality.

October 5, 2005

Is WHO's surgical safety checklist being hyped?

August 21, 2019

Association between surgeon technical skills and patient outcomes.

September 9, 2020

A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA.

April 28, 2010

Safety considerations in learning new procedures: a survey of surgeons.

January 31, 2018

Operating room traffic as a modifiable risk factor for surgical site infection.

January 11, 2017

Safely practicing in a new environment: a qualitative study to inform physician onboarding practices.

May 13, 2020

Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.

May 11, 2016

Safety of overlapping surgery at a high-volume referral center.

January 18, 2017

A prospective study of patient safety in the operating room.

February 22, 2006

Deconstructing intraoperative communication failures.

June 20, 2012

Perspectives in quality: designing the WHO Surgical Safety Checklist.

September 1, 2010

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

October 26, 2011

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution.

September 28, 2011

Scaling safety: the South Carolina Surgical Safety Checklist experience.

January 9, 2019

Investigating teamwork in the operating room: engaging stakeholders and setting the agenda.

October 19, 2016

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

June 2, 2010

Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables.

April 25, 2007

National costs of the medical liability system.

September 15, 2010

Disclosure of medical injury to patients: an improbable risk management strategy.

January 24, 2007

Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.

February 18, 2015

Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.

August 16, 2017

Relationship between occurrence of surgical complications and hospital finances.

April 24, 2013

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Simulation-based trial of surgical-crisis checklists.

January 30, 2013

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.

April 27, 2011

Undertriage of elderly trauma patients to state-designated trauma centers.

October 8, 2008

Mortality trends after a voluntary checklist-based surgical safety collaborative.

May 3, 2017

Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova.

April 8, 2015

Multisource evaluation of surgeon behavior is associated with malpractice claims.

April 11, 2018

Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology.

June 17, 2015

Wide variation and overprescription of opioids after elective surgery.

October 11, 2017

Mandating limits on workload, duty, and speed in radiology.

July 6, 2022

Patient safety and quality improvement adaptation during the COVID-19 pandemic.

April 21, 2021

Residents' perspective on the impact of the 80-hour workweek policy.

June 11, 2008

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.

May 14, 2014

Resident wellness in US ophthalmic graduate medical education: the resident perspective.

May 23, 2018

Analysis of surgical errors in closed malpractice claims at 4 liability insurers.

August 16, 2006

Developing a medication patient safety program — infrastructure and strategy.

March 7, 2007

Surgical never events and contributing human factors.

July 8, 2015

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.

May 8, 2019

Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.

May 9, 2018

Cluster randomized trial to evaluate the impact of team training on surgical outcomes.

October 5, 2016

Crisis checklists for the operating room: development and pilot testing.

January 30, 2005

Clinical decision support and malpractice risk.

July 13, 2011

Developing critical thinking skills for delivering optimal care

July 28, 2021

Safety culture and complications after bariatric surgery.

November 14, 2012

Claims, errors, and compensation payments in medical malpractice litigation.

May 17, 2006

Reducing cognitive errors in dermatology: can anything be done?

November 6, 2013

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

February 9, 2011

The impact of resident duty hour and supervision changes: a review.

December 9, 2015

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.

March 27, 2005

Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards.

August 8, 2007

Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007.

February 18, 2009

Can teaching medical students to investigate medication errors change their attitudes towards patient safety?

February 16, 2011

The potential of Twitter as a data source for patient safety.

January 27, 2016

Using a network organisational architecture to support the development of Learning Healthcare Systems.

February 21, 2018

Safe use of electronic health records and health information technology systems: trust but verify.

December 18, 2013

Another look at medical error.

March 6, 2005

Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences.

April 3, 2019

Incidence and method of suicide in hospitals in the United States.

October 31, 2018

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study.

April 15, 2015

Teamwork behaviours and errors during neonatal resuscitation.

March 24, 2010

ACGME duty-hour recommendations—a national survey of residency program directors.

August 11, 2010

Association of overlapping cardiac surgery with short-term patient outcomes.

March 3, 2020

Clinical decision support for early recognition of sepsis.

April 20, 2016

The role of anesthesia in surgical mortality.

March 6, 2005

Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.

January 31, 2006

Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice.

August 17, 2011

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.

June 17, 2009

Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies.

September 4, 2013

The 80-hour work guidelines and resident survey perceptions of quality.

November 15, 2006

A model for the departmental quality management infrastructure within an academic health system.

September 28, 2016

A system analysis of a suboptimal surgical experience.

February 4, 2009

Accountability measures—using measurement to promote quality improvement.

June 30, 2010

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018.

August 21, 2019

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019.

September 30, 2020

ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021.

October 19, 2022

Differentiating between detrimental and beneficial interruptions: a mixed-methods study.

November 9, 2016

Related Resources

Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers.

July 26, 2023

Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland.

July 19, 2023

Patient safety of perioperative medication through the lens of digital health and artificial intelligence.

June 28, 2023

Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.

June 14, 2023

Factors contributing to preventing operating room "never events": a machine learning analysis.

May 10, 2023

Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.

April 10, 2023

Journal Article

Study

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

March 29, 2023

Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis.

March 15, 2023

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

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

November 30, 2022

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.

August 18, 2021

Prevalence and characteristics of interruptions and distractions during surgical counts.

July 28, 2021

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

June 23, 2021

WebM&M Cases

Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough

April 28, 2021

Identification of common themes from never events data published by NHS England.

April 14, 2021

Common general surgical never events: analysis of NHS England never event data.

April 7, 2021

The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.

November 11, 2020

Using radiofrequency technology to prevent retained sponges and improve patient outcomes.

October 28, 2020

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.

April 22, 2020

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

April 15, 2020

Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS.

April 1, 2020

A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach.

March 18, 2020

Artificial intelligence and surgical decision-making.

March 11, 2020

Surgical data recording technology: a solution to address medical errors?

September 18, 2019

From box ticking to the black box: the evolution of operating room safety.

September 4, 2019

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?

April 24, 2019

Electronic patient identification for sample labeling reduces wrong blood in tube errors.

March 20, 2019

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

Perioperative medication errors: uncovering risk from behind the drapes.

January 16, 2019

See More About The Topic

Operating Room

Health Care Executives and Administrators

Information Professionals

Surgery

Retained Surgical Instruments and Sponges

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site