Risk Factors for Retained Instruments and Sponges After Surgery

Gawande, Atul A.; Studdert, David M.; Orav, E. John; Brennan, Troyen A.; Zinner, Michael J.

doi:10.1097/01.ogx.0000058682.18516.48

Cited by 242 publications

(539 citation statements)

References 0 publications

Supporting

Mentioning

479

Contrasting

Unclassified

Order By: Relevance

“…In this particular case the warning circuit failed and the plane crashed, killing all but one person (Holbrook & Dismukes, 2005). Recently Gawande, Studdert, Orav, Brennan, and Zinner (2003) estimated that the typical large hospital has about one case a year of physicians leaving instruments or sponges in patients after surgery. Despite the best intention to remove these items, the demanding circumstances of surgery occasionally lead to these kinds of human error.…”

mentioning

confidence: 99%

Breaks and task switches in prospective memory

Finstad

Bink

McDaniel³

et al. 2006

Applied Cognitive Psychology

View full text Add to dashboard Cite

Based on research showing that easing task demands improves prospective memory, we examined the effects of breaks and task switches on prospective memory. The first experiment suggested that people tend not to take advantage of breaks to improve prospective memory unless specifically instructed to do so. The next two experiments showed that both breaks and task switches interfered with prospective memory. The results indicate that work settings with frequent breaks and task switches may be especially susceptible to prospective memory failure.

show abstract

mentioning

confidence: 99%

Breaks and task switches in prospective memory

Finstad

Bink

McDaniel³

et al. 2006

Applied Cognitive Psychology

View full text Add to dashboard Cite

show abstract

“…A further aspect of our analysis was the significantly higher error rate in emergency surgery compared with elective surgery (15.4 % versus 9.4 %). This involved factors such as lack of time for preparation, consideration and planning; potential staff fatigue; availability of specific equipment for a limited time period, which acted as a stress factor and a source of a higher error rate [13,15]. The stress factor of time has been described in detail by Sexton et al [13].…”

Section: Discussionmentioning

confidence: 99%

Prospective collection of error data in orthopaedic and trauma surgery procedures

Wirbel

Yacoub

Dehne

2014

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…1:8000 Operationen vergessen [3,7,9,35]. Im englischsprachigen Schrifttum subsumiert man ein daraus resultierendes Pathologicum unter dem Begriff "Gossypiboma", dessen etymologische Herkunft nichts mit "gossip about surgeons" zu tun hat, wie einige vermuten [1, 3,21].…”

Section: Was Wird Vergessen?unclassified

“…Soweit den Autoren bekannt, gibt es nur eine retrospektive fallkontrollierte Studie [7] ratur nicht aufgeführt ist die Inzidenz für diese Spezies der Patientengefährdung in der ambulanten Chirurgie außerhalb personell und apparativ gut ausgestatteter klinischer Einrichtungen.…”

Section: Gründe Für Das "Vergessen"unclassified

See 1 more Smart Citation

Belassene Fremdkörper – aus der Sicht des Chirurgen

Schönleben

Strobel

Schönleben

et al. 2007

Chirurg

View full text Add to dashboard Cite

The number of foreign bodies remaining in the patient after a surgical procedure is presumably higher than mentioned in the literature. According to US insurance statistics, the incidence amounts to 1 in 1,500 surgical procedures. As a basic principle--also from the legal aspect--it is necessary to determine whether a foreign body was left in situ accidentally (i.e. due to a material fault) or if it was simply forgotten. In 70% of cases, fabric items (e.g. swabs etc.) are left behind, while around 30% are metal objects. A particularly high risk is seen in emergency settings, in unexpected changes in the surgical procedure, or for patients with a high body mass index. The outcome for the patient differs depending on the nature of the object left behind and the individual patient's situation. Usually, metal items cause more acute clinical symptoms at an earlier time after the operation. Fabric items tend to induce, in the absence of primary contamination, a chronic progression of symptoms over several years. Reoperation has a high mortality (between 11% and 35%). Precautions in terms of risk management have to be established and need to be strictly respected, especially in high risk settings. Visually or acoustically controlled monitoring before wound-closure are recommended to eliminate "human error" as thoroughly as possible.

show abstract

Risk Factors for Retained Instruments and Sponges After Surgery

Cited by 242 publications

References 0 publications

Breaks and task switches in prospective memory

Breaks and task switches in prospective memory

Prospective collection of error data in orthopaedic and trauma surgery procedures

Belassene Fremdkörper – aus der Sicht des Chirurgen

Contact Info

Product

Resources

About