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Risk factors for incorrect surgical count during surgery: An observational study
Juanmei Fang1, Xi Yuan1, Li Fan1
1Department of Surgery, The First Affiliated Hospital of Soochow University, Suzhou City, China.
International Journal of Nursing Practice
|April 10, 2021
Summary
Incorrect surgical counts increase the risk of retained surgical items. Key risk factors include prolonged procedures, emergency operations, and adding surgical items during surgery.
Area of Science:
- Surgical safety
- Patient risk management
Background:
- Incorrect surgical counts are a significant concern, potentially leading to retained surgical items and patient harm.
- Risk factors contributing to incorrect surgical counts remain largely unidentified.
Purpose of the Study:
- To identify specific risk factors associated with incorrect surgical counts in a tertiary hospital setting.
Main Methods:
- An observational case-control study design was employed.
- Seventy cases of incorrect surgical counts were analyzed retrospectively (January 2014 - April 2019).
- Each case was compared to four control cases with similar procedures and surgeons within a 6-month window.
Main Results:
- Incorrect surgical counts were more frequent during morning hours (8:00 a.m. - 12:00 p.m.).
- Emergency operations, prolonged procedures, and the addition of surgical items were associated with higher incidences of incorrect counts.
Conclusions:
- Prolonged surgical procedures represent a significant risk factor for incorrect surgical counts.
- Emergency operations and the timing of surgical counts (e.g., during or after item addition) are critical factors.
- Identifying these risk factors is crucial for improving surgical safety and preventing retained surgical items.
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