Retained foreign bodies: risk and outcomes at the national level.
Al-Qurayshi ZH, Hauch AT, Slakey DP, Kandil E. J Am Coll Surg. 2015;220:749-759.
Leaving a surgical item behind after a procedure is a never event. This retrospective cross-sectional study sought to identify risk factors and outcomes of retained foreign bodies. Nearly one-third of incidents involving retained foreign objects were reported after gastrointestinal procedures. Risk of retained surgical items was highest in teaching hospitals.
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.
Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.
Osborne NH, Nicholas LH, Ryan AM, Thumma JR, Dimick JB. JAMA. 2015;313:496-504.
Eliminating Serious Patient Safety Events in Surgical and Procedural Areas: A Statewide Conference and Call to Action for California Hospitals.
UC Davis Institute for Population Health Improvement. May 14–15, 2015; DoubleTree Hotel, Sacramento, CA.
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Safety culture and care: a program to prevent surgical errors.
Hemingway MW, O'Malley C, Silvestri S. AORN J. 2015;101:404-415.