Hospital and procedure incidence of pediatric retained surgical items.
Wang B, Tashiro J, Perez EA, Lasko DS, Sola JE. J Surg Res. 2015 Mar 24; [Epub ahead of print].
Retained surgical items are classified as never events, but they continue to occur. This secondary data analysis established a decrease in these events overall after introduction of the World Health Organization'sGuidelines for Safe Surgery, though rates did increase for gastric surgeries such as fundoplications. These results demonstrate the need to maintain focus on these preventable, well-studied adverse events.
Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.
Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?
Smith ER, Butler WE, Barker FG 2nd. J Neurosurg. 2006;105(suppl 3):169-176.
Surgical complications: disclosing adverse events and medical errors.
Wang AS, Eisen DB. J Am Acad Dermatol. 2013;68:144-146.
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Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.
Stawicki SP, Cook CH, Anderson HL III, et al; OPUS 12 Foundation Multicenter Trials Group. Am J Surg. 2014;208:65-72.