A retained foreign object is a preventable surgical error and has typically been considered a surgical instrument, needle, or sponge. A new retained surgical object is a retained surgical specimen (RSS). This case study outlines the nature of the RSS, the paradigm shift that has led to this becoming a new healthcare error, and steps to prevent this new type of retained object from occurring.
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References
1.
SundtTM. Interventions to improve surgical safety: The “how” is as important as the “what.”Ann Surg, 2011; 253:855–856.
2.
de VriesENet al.Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med, 2010; 363:1928–1937.
3.
GawandeAAet al.Risk factors for retained instruments and sponges after surgery. N Engl J Med, 2003; 348:229–235.
4.
Serious Reportable Events in Healthcare 2006 Update. A consensus report. National Quality Forum: Washington, DC, 2006.
5.
BirkmeyerJD. Strategies for improving surgical quality—checklists and beyond. N Engl J Med, 2010; 363:1963–1965.
6.
WHO. Surgical Safety Checklist. Geneva: World Health Organization, 2009.
