September 1, 2008
Getting the whole team on board to prevent retained foreign bodies
A case of an item left behind after surgery can be like a canary in a coal mine—a signal that an OR department has systems problems. Retained items often happen as a result of poor communication and faulty processes. Perhaps nurses aren't using a standardized counting procedure in all ORs. Maybe surgeons are using towels without radiopaque markers. Surgeons and nurses may not be working together to resolve incorrect counts.…
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