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Ryan J. KUOW. National Public Radio. August 1, 2013.
This audio news segment reports on retained surgical items along with strategies hospitals in Washington are using to prevent them, including checklists and radiofrequency identification technology.
Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.
Steelman VM, Shaw C, Shine L, Hardy-Fairbanks AJ. Jt Comm J Qual Patient Saf. 2018 Oct 16; [Epub ahead of print].
1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs).
Duggan EG, Fernandez J, Saulan MM, et al. Jt Comm J Qual Patient Saf. 2018;44:260-269.
When Patients and Providers Speak Different Languages
Leah S. Karliner, MD, MAS
Retained guidewires in the Veterans Health Administration: getting to the root of the problem.
Cherara L, Sculli GL, Paull DE, Mazzia L, Neily J, Mills PD. J Patient Saf. 2018 Feb 13; [Epub ahead of print].
A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients.
Molina WR, Pessoa R, Donalisio da Silva R, et al. Patient Saf Surg. 2017;11:10.
Retained lumbar catheter tip.
DeLancey JO, Barnard C, Bilimoria KY. JAMA. 2017;317:1269-1270.
The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery.
Inaba K, Okoye O, Aksoy H, et al. Ann Surg. 2016;264:599-604.
Guideline implementation: prevention of retained surgical items.
Fencl JL. AORN J. 2016;104:37-48.
Surgical count process for prevention of retained surgical items: an integrative review.
Freitas PS, Silveira RCCP, Clark AM, Galvão CM. J Clin Nurs. 2016;25:1835-1847.
Back to basics: counting soft surgical goods.
Spruce L. AORN J. 2016;103:297-303.
Guideline for prevention of retained surgical items.
Putnam K. AORN J. 2015;102:P11-P13.
The hidden costs of reconciling surgical sponge counts.
Steelman VM, Schaapveld AG, Perkhounkova Y, Storm HE, Mathias M. AORN J. 2015;102:498-506.
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.
Copeland AW. UpToDate. November 17, 2017.
Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events.
Hempel S, Maggard-Gibbons M, Nguyen DK, et al. JAMA Surg. 2015;150:796-805.
Preventing unintended retained foreign objects.
Sentinel Event Alert. October 17, 2013;(51):1-5.
Necessity of a good surgical history: detection of a gossypiboma.
Coleman J, Wolfgang CL. J Nurs Pract. 2013;9:277-282.
What surgeons leave behind costs some patients dearly.
Eisler P. USA Today. March 8, 2013.
Retained surgical items: a problem yet to be solved.
Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.
Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients.
Rupp CC, Kagarise MJ, Nelson SM, et al. J Am Coll Surg. 2012;215:524-533.
A nurse-led approach to developing and implementing a collaborative count policy.
Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.
Implementing AORN recommended practices for prevention of retained surgical items.
Goldberg JL, Feldman DL. AORN J. 2012;95:205-219.
Surgical count practice variability and the potential for retained surgical items.
Edel EM. AORN J. 2012;95:228-238.
Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.
Norton EK, Martin C, Micheli AJ. AORN J. 2012;1:109-121.
A system-wide initiative to prevent retained vaginal sponges.
Chagolla BA, Gibbs VC, Keats JP, Pelletreau B. MCN Am J Matern Child Nurs. 2011;36:312-317.
Reducing the incidence of retained surgical instrument fragments.
Reece M, Troeleman ND, McGowan JE, Furuno JP. AORN J. 2011;94:301-304.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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