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A Socio-Technical Exploration for Reducing & Mitigating the Risk of Retained Foreign Objects.

Siobhán Corrigan1, Alison Kay2, Katie O'Byrne3

  • 1School of Psychology, Trinity College Dublin, Dublin 2, Ireland. siobhan.corrigan@tcd.ie.

International Journal of Environmental Research and Public Health
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Summary

Retained foreign objects (RFOs) are serious surgical events. This project develops management processes to reduce RFOs in Irish hospitals, using social-technical and risk management methods.

Keywords:
human factorsmulti-disciplinary approachpatient safetyprocess modellingretained foreign objectsrisk managementsociotechnical systems

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Surgical Risk

Background:

  • Retained foreign objects (RFOs) are infrequent but serious adverse events in surgical and maternity settings.
  • Underreporting makes accurate incidence rates difficult to establish, with estimates ranging from 1/1000 to 1/19,000 procedures.
  • RFO incidents incur substantial costs to patients, healthcare institutions, and taxpayers.

Purpose of the Study:

  • To analyze and understand the problem of RFOs in Irish surgical and maternity settings.
  • To develop hospital-specific foreign object management processes and implementation roadmaps.
  • To present a methodological approach for producing generalizable results applicable to other health-related issues.

Main Methods:

  • Deployment of an integrated evidence-based assessment methodology for social-technical modeling (SCOPE Analysis Cube).
  • Utilization of bow tie methodologies for managing risks in implementing and sustaining change.
  • A multi-phase research approach involving active collaboration with clinical and healthcare staff.

Main Results:

  • The study presents a novel methodological approach for analyzing and addressing RFOs.
  • It outlines the potential for developing effective, hospital-specific foreign object management strategies.
  • The research methodology is designed to yield generalizable findings for broader healthcare applications.

Conclusions:

  • The proposed methodology offers a robust framework for understanding and mitigating RFO risks.
  • Implementing tailored management processes can enhance patient safety and reduce associated costs.
  • This research provides a foundation for improving healthcare practices beyond the specific issue of retained foreign objects.