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Related Experiment Video

Updated: Jun 24, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

A multidisciplinary team approach to retained foreign objects.

Robert R Cima1, Anantha Kollengode, Amy S Storsveen

  • 1Department of Surgery, Mayo Clinic, Rochester, MN, USA. cima.robert@mayo.edu

Joint Commission Journal on Quality and Patient Safety
|March 31, 2009
PubMed
Summary
This summary is machine-generated.

Mayo Clinic reduced surgical retained foreign objects (RFOs) by implementing a quality improvement program. This initiative significantly increased the interval between RFO events, enhancing patient safety.

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Last Updated: Jun 24, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Area of Science:

  • Quality Improvement in Healthcare
  • Patient Safety Initiatives
  • Surgical Error Reduction

Background:

  • Retained foreign objects (RFOs) are rare but serious surgical errors.
  • Mayo Clinic, Rochester (MCR) initiated a program to decrease RFO incidence.

Purpose of the Study:

  • To reduce the occurrence of retained foreign objects (RFOs) in surgical procedures.
  • To implement and evaluate a quality improvement program aimed at surgical safety.

Main Methods:

  • A multidisciplinary, multiphase approach was employed, starting in 2005.
  • Phases included defect analysis, policy revision, enhanced staff communication, and leadership response.
  • Education involved conferences, team training, simulations, and audits.

Main Results:

  • Prior to the program, MCR averaged an RFO every 16 days.
  • After the intervention, the average interval between RFOs increased to 69 days.
  • This improved performance has been sustained for over two years.

Conclusions:

  • The quality improvement program achieved a significant and sustained reduction in surgical RFOs.
  • Key factors included a multidisciplinary approach, leadership engagement, and improved communication.
  • Enhanced operating room situational awareness contributed to improved patient safety.