Retained Surgical Items: A Review on Preventive Strategies

Sebastian, Tessy; Dhandapani, Manju; Gopichandran, L; Dhandapani, Sivashanmugam

doi:10.5958/2349-2996.2020.00080.4

Cited by 2 publications

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“…Soft skills such as ethics, accountability, communication, and teamwork are irreplaceable for achieving optimal results. Healthcare organizations must create policies and procedures based on the latest recommendations, ensuring that all perioperative staff are accountable for adopting, implementing, and reviewing their assigned practices [19] .…”

Section: Discussionmentioning

confidence: 99%

A case of recurrent osteomyelitis due to retained micro-catheter after cerebral angiography

Mirdamadi,

Mirdamadi

2024

IDCases

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Section: Discussionmentioning

confidence: 99%

A case of recurrent osteomyelitis due to retained micro-catheter after cerebral angiography

Mirdamadi,

Mirdamadi

2024

IDCases

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“…Remarkably, only one study includes radiologists, despite the important role radiologists can play in identifying RSI [30]. A recent review of RSI prevention also emphasized that when team members cooperated with evidence-based standards surgical counting improved [40]. Teamwork in the OR is important for patient safety [41]; however, the majority of studies did not report important details about team performance either before or after the intervention.…”

Section: Discussionmentioning

confidence: 99%

Interventions for the Prevention of Retained Surgical Items: A Systematic Review

2021

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Background Retained surgical items (RSI) are preventable error events. Interest in reducing RSI is increasing globally because of increasing demand for safe surgery. While research of interventions to prevent RSI have been reported, no rigorous analysis of the type and effectiveness of interventions exists. This systematic review examines (1) what types of intervention have been implemented to prevent RSI; and (2) what is the effectiveness of those interventions.Methods We performed a systematic review of PubMed, Embase, CINAHL, Cochrane Library, Scopus, Clini-calTrials.gov, Mednar, and OpenGrey databases. Two reviewers independently screened a total of 1,792 titles and abstracts, and reviewed 87 full-text articles, resulting in 17 articles in the final analysis. Study characteristics included qualitative and quantitative studies that examined the effectiveness of RSI prevention interventions for adult patients who undergo open surgery. The primary outcome was RSI and related error events. Results Four studies and 13 quality improvement projects described RSI interventions categorized into four groups:(1) technology-based, (2) communication-based, (3) practice-or guideline-based, (4) interventions that fell into more than one category. Following guidance in the Quality Improvement minimum quality criteria set, the quality of all studies ranged from poor to fair. Heterogeneity in the interventions used and variable study quality limit our confidence in the interventions' ability to reduce RSI. Conclusion Since technology-based interventions may not be financially feasible in low and middle-income countries (LMIC), in those settings interventions that target the social system may be more appropriate. Rigorous methods to investigate local contexts and build knowledge are needed so that interventions to prevent RSI have a greater likelihood of success.

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Retained Surgical Items: A Review on Preventive Strategies

Cited by 2 publications

References 0 publications

A case of recurrent osteomyelitis due to retained micro-catheter after cerebral angiography

A case of recurrent osteomyelitis due to retained micro-catheter after cerebral angiography

Interventions for the Prevention of Retained Surgical Items: A Systematic Review

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