Tag: University of Michigan Health

Exclusive: How surgical miscounts expose fragile safety nets

Retained surgical items (RSIs) remain among the most preventable yet persistently recurring surgical “never events.” Despite decades of implementing process checklists, counting protocols, and technology solutions, surgical items continue to be left inside patients across the country. The University of Michigan Health’s Periprocedural Safety and Quality Improvement (PSQIP) team says…

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By: Joe Paone
January 13, 2026
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The count was right — until it wasn’t: How surgical miscounts expose fragile safety nets

Retained surgical items (RSIs) remain among the most preventable yet persistently recurring surgical “never events.” Despite decades of implementing process checklists, counting protocols, and technology solutions, surgical items continue to be left inside patients across the country. The question “How do RSIs happen?” is no longer sufficient. Instead, we must…

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By: Sree Ponnaluri-Wears, MPH, CIC
January 13, 2026
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