Study A multidisciplinary team approach to retained foreign objects. Citation Text: Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 4, 2009 Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Saf. 2009;35(3):123-132. View more articles from the same authors. This article describes a comprehensive strategy to reduce the incidence of retained foreign objects after surgical procedures. The authors highlight their institution's experience in planning, implementing, and evaluating the initiative. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Incidence and characteristics of potential and actual retained foreign object events in surgical patients. July 16, 2008 Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. February 2, 2011 Surgical case listing accuracy: failure analysis at a high-volume academic medical center. August 4, 2010 Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. May 27, 2009 How best to measure surgical quality? 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Incidence and characteristics of potential and actual retained foreign object events in surgical patients. July 16, 2008
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. February 2, 2011
Surgical case listing accuracy: failure analysis at a high-volume academic medical center. August 4, 2010
Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. May 27, 2009
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
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety. July 19, 2023
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. February 18, 2015
Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. January 31, 2018
Prevention of prescription opioid misuse and projected overdose deaths in the United States. February 13, 2019
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. January 9, 2019
Identifying trigger concepts to screen emergency department visits for diagnostic errors. December 16, 2020
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Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. April 18, 2018
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Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. April 22, 2009
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. June 28, 2023
The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). February 12, 2020
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Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. December 11, 2013
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
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Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. January 10, 2007
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Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. March 1, 2017
Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. July 10, 2019
Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. September 4, 2019
Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. May 29, 2019
A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. May 10, 2017
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. August 31, 2016
Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study. June 18, 2008
A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022
Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. November 28, 2018
Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. January 30, 2005
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Patient safety in North America: beyond "operate through your initials" and "sign your site." June 24, 2009
Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. February 22, 2017
Eight human factors and ergonomics principles for healthcare artificial intelligence. November 2, 2022
Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. March 8, 2006
Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. September 2, 2020
Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration? August 24, 2005
Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. January 4, 2021
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018
Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. May 31, 2006
Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. October 20, 2021
The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. February 2, 2022
Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity. March 30, 2022
The effect of a clinical decision support for pending laboratory results at emergency department discharge. February 13, 2019
Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. April 11, 2018
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. July 25, 2012
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. September 7, 2005
A Department of Medicine infrastructure for patient safety and clinical quality improvement. December 20, 2017
The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. August 22, 2012
Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011
Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study. February 24, 2021
Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. March 7, 2018
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. October 25, 2023
Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. June 21, 2023
Factors contributing to preventing operating room "never events": a machine learning analysis. May 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
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022
WebM&M Cases Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021
Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. August 11, 2021
Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. August 12, 2020
Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. May 6, 2020
The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. April 22, 2020
Cluster randomized trial to evaluate the impact of team training on surgical outcomes. October 5, 2016
Information transfer in multidisciplinary operating room teams: a simulation-based observational study. May 18, 2016
Surgical count process for prevention of retained surgical items: an integrative review. May 11, 2016
Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. March 18, 2015
Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. January 28, 2015
Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. September 24, 2014
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. August 13, 2014
Improving safety and quality of care with enhanced teamwork through operating room briefings. July 23, 2014