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Cases & Commentaries
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Douglas D. Brunette, MD; March 2005
The challenges of examining and imaging a hospitalized morbidly obese patient delay diagnosis, threatening the patient's life.
Legislation/Regulation > Organizational Policy/Guidelines
ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.
These guidelines explain how to examine equipment prior to administering anesthesia; the protocol includes checklists that can be used for specific equipment systems.
Journal Article > Study
Rowlands A, Steeves R. AORN J. 2010;92:410-419.
Preventing surgical instruments from being retained in the patient after surgery has traditionally relied on nurses manually counting instruments used during the procedure. However, this method is not foolproof, and this qualitative study used interviews with operating room personnel to explore reasons for incorrect instrument counts. Not surprisingly, the issues identified are known contributors to safety issues in the operating room, including production pressures, poor communication between physicians and nurses, and overt disruptive behavior. In light of these findings, the authors argue that addressing the persistent problem of retained surgical instruments will require an improvement approach based on safety culture principles.