The recurring problem of retained swabs and instruments

Retained Foreign Bodies: Risk and Outcomes at the National Level

“…We were not able to identify patients who were diagnosed with RFB on readmissions; however, previous studies showed that the majority of foreign bodies are identified before patient discharge. 17 Current literature review revealed a wide range of policies and protocols that could be implemented to target [2][3][4][5][6][7][10][11][12][13][14][15][16][17][18][19] ; those methods included administrative policies that regulate the operative environment and protocols that ensure an efficient interpersonal communication. [2][3][4][5][6][7][10][11][12][13][14][15][16][17][18][19] Although those methods were successful in decreasing the incidence of RFB, none of them was perfectly immune to unintentionally retained objects, 20 which led to the assumption by some investigators that other risk factors are still unexplored.…”

Índice Autorreferido Pela Equipe De Cirurgia Ortopédica Sobre O Protocolo E Checklist De Cirurgia Segura

“…No entanto, estudos têm demonstrado que a não adesão a esta prática pode resultar em sérios eventos relacionados a retenções de materiais ou instrumentais cirúrgicos na cavidade operatória (22) . E pode estar associada ao comportamento de alguns membros da equipe cirúrgica, por acreditar que aspectos relacionados ao material são de responsabilidade apenas da equipe de enfermagem, considerando a falta de tempo de muitos cirurgiões, agenda sobrecarregada e a falsa crença de que tal evento não ocorrerá entre seus pacientes (23)(24) .…”

Surgical sponge forgotten for nine years in the abdomen: A case report

“…The promotion of safety requires that all personnel involved in a healthcare procedure be aware that the potential for errors exists, and that teamwork and communication are essential for preventing errors [13]. However, whenever accounting for material depends on humans, mistakes will continue to be committed.…”