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Update on the prevention of retained surgical items
Update on the prevention of retained surgical items
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Contributor(s):
- Martindell, Denise.
Pennsylvania. Patient Safety Authority.
ECRI (Organization)
Institute for Safe Medication Practices. - Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Foreign Bodies -- prevention & control
Intraoperative Care -- methods
Intraoperative Complications -- prevention & control
Medical Errors -- prevention & control
Patient Safety
Postoperative Complications -- prevention & control
Safety Management
Surgical Procedures, Operative -- adverse effects
Surgical Procedures, Operative -- methods
Pennsylvania
United States - Genre(s):
- Technical Report
- Abstract:
- Surgical items such as sponges, sharps, and instruments may be retained following surgery and lead to serious patient harm. In June 2009, the Pennsylvania Patient Safety Authority reported that the prevention of retained foreign objects, now commonly referred to as retained surgical items (RSIs), requires application of a multidisciplinary, consistent approach utilizing current best practices. Since publication of the June 2009 Pennsylvania Patient Safety Advisory, the Association of periOperative Registered Nurses (AORN) has published additional guidance for the prevention of RSIs. Further guidance to assist in implementation of recommended best practices since the Authority's report include strategies related to therapeutic packing, minimally invasive procedures, and unidentified device fragments. Ongoing analysis of events reported to the Authority show that in 2011, Pennsylvania healthcare facilities reported 452 events involving RSIs. During this time, Pennsylvania healthcare facilities also reported 1,930 events involving incorrect counts of needles, sponges, or equipment. Authority reports suggest that RSI prevention remains a challenge and that continued diligence in RSI prevention efforts is essential.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (pages 106-110)).
- NLM Unique ID:
- 101591724 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101591724