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Implementing radiofrequency (RF) detection technology and Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) significantly reduced retained surgical items (RSIs). The reduction in RSIs was mainly due to the use of RF-detectable items.

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Area of Science:

  • Medical Safety
  • Surgical Innovation
  • Healthcare Management

Background:

  • Retained surgical items (RSIs) are infrequent but severe complications in healthcare.
  • RSIs lead to increased patient morbidity and substantial healthcare costs.
  • Assessing interventions to reduce RSI incidence is crucial for patient safety.

Purpose of the Study:

  • To evaluate the effectiveness of radiofrequency (RF) detection technology in reducing RSIs.
  • To determine the impact of Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) on RSI rates.
  • To analyze the combined effect of RF detection and TeamSTEPPS on surgical safety.

Main Methods:

  • Analysis of all RSIs reported in New York from 2007-2017 across five urban teaching hospitals.
  • Implementation of TeamSTEPPS training for all perioperative staff in 2012.
  • Mandatory use of RF detection technology in all procedures post-2012.
  • Comparison of RSI incidence rates before and after the interventions using odds ratios.

Main Results:

  • A total of 997,237 operations were analyzed.
  • The overall incidence of RSIs decreased significantly from 11.66 to 5.80 per 100,000 operations post-intervention (OR=0.50).
  • RSIs involving RF-detectable items saw a marked reduction from 5.21 to 1.35 per 100,000 operations (OR=0.26).
  • No significant change was observed in RSIs involving non-RF-detectable items.

Conclusions:

  • The combined implementation of RF detection technology and TeamSTEPPS training led to a significant decrease in RSI incidence.
  • RF detection technology appears to be a promising tool for reducing retained surgical items.
  • TeamSTEPPS training alone may not be sufficient to reduce RSI rates without complementary technological solutions.