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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

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Risk factors associated with incorrect surgical counts.

Aletha Rowlands¹

¹School of Nursing, West Virginia University, Morgantown, WV, USA.

|September 1, 2012

Summary

Incorrect surgical counts pose a risk in operating rooms. Factors like higher surgical risk, complicated procedures, and increased staff contribute to these errors, impacting patient safety.

Area of Science:

Perioperative Nursing
Surgical Safety
Healthcare Quality Improvement

Background:

Incorrect surgical counts are a persistent challenge in the perioperative setting.
These errors can lead to retained surgical items, necessitating further procedures and impacting patient outcomes.
Understanding contributing factors is crucial for developing effective prevention strategies.

Purpose of the Study:

To identify specific factors associated with incorrect surgical counts.
To examine patient characteristics, nurse factors, and intraoperative circumstances.
To analyze the impact of staff and team involvement on count accuracy.

Main Methods:

Cross-sectional, correlational study design.
Data abstracted from perioperative medical records.

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Primary data collected from perioperative nurses.

Main Results:

Higher surgical risk was significantly associated with incorrect counts.
Lower body mass index (BMI) in patients correlated with count discrepancies.
Complicated and unplanned procedures increased the likelihood of errors.
Increased numbers of perioperative personnel and specialty teams were linked to incorrect counts.

Conclusions:

Several patient and procedural factors, alongside increased staffing complexity, predict incorrect surgical counts.
Targeting these identified variables may help reduce surgical count errors.
Improving surgical count accuracy is essential for enhancing patient safety in the perioperative environment.