Unintentionally retained guidewires: a descriptive study of 73 sentinel events.

Steelman VM, Thenuwara K, Shaw C, Shine L. Jt Comm J Qual Patient Saf. 2019;45:81-90.

This retrospective review examines incidents of retained guidewires reported to The Joint Commission. Researchers identified numerous contributing factors to these events, most frequently relating to human factors, leadership, and communication. The authors conclude that multicomponent strategies to prevent incidents involving retained foreign objects are needed.

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