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The recurring problem of retained swabs and instruments
Montasser A Mahran1, Eman Toeima, Edward P Morris
1Norfolk and Norwich University Hospital NHS Foundation Trust, Colney Lane, Norwich, Norfolk NR4 7UY, UK.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|April 13, 2013
Summary
Retained surgical items like swabs and instruments are preventable errors in healthcare. Implementing standardized processes and improving teamwork can significantly reduce these never events, enhancing patient safety.
Area of Science:
- Medical Safety
- Surgical Procedures
- Healthcare Quality Improvement
Background:
- Patient safety is a critical healthcare challenge.
- Medical errors, including retained surgical items, pose significant risks.
- Unintended retention of swabs or instruments are classified as 'never events'—unacceptable and preventable incidents.
Purpose of the Study:
- To review the risks and complications associated with retained swabs and instruments.
- To explore strategies for preventing the retention of foreign bodies during medical procedures.
- To emphasize the importance of standardized processes in patient safety.
Main Methods:
- Literature review of retained surgical items.
- Analysis of 'never events' data.
- Exploration of risk mitigation strategies in healthcare.
Main Results:
- Retained foreign bodies occur approximately once annually in major hospitals.
- Consistent application of standardized processes is crucial for prevention.
- Teamwork and communication are essential for error prevention.
Conclusions:
- Healthcare organizations must implement robust measures to prevent retained surgical items.
- Standardized care processes are vital for minimizing risks.
- Addressing retained items is essential for improving overall patient safety and healthcare quality.
