Retained guidewires in the Veterans Health Administration: getting to the root of the problem.

Leila Cherara; Gary L. Sculli; Douglas E. Paull; Lisa Mazzia; Julia Neily; Peter D. Mills

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.

View more articles from the same authors.

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.

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