Foreign bodies that are unintentionally left in patients after surgery can cause harm to surgical patients. Proactive risk strategies are required to prevent and reduce the occurrence of unintended retained surgical items (RSI) events for every patient undergoing an operative or other invasive procedure.
- American College of Surgeons: ST-51 Statement on the prevention of retained foreign bodies after surgery
- American Society for Healthcare Risk Management: Healthcare Risk Management Solutions for Top Reported Sentinel Events, Tip 4: Count to Protect Against Foreign Bodies Left In Patients After Surgery
- Association of periOperative Registered Nurses (AORN): Recommended practices for prevention of retained surgical items
- Joint Commission Sentinel Event Alert 51
- Massachusetts Coalition for Prevention of Medical Errors
- NoThing Left Behind®: A National Surgical Patient-Safety Project to Prevent Retained Surgical Items
- Society of Interventional Radiology Position Statement: Prevention of Unintentionally Retained Foreign Bodies during Interventional Radiology (PDF)
- The American College of Obstetricians and Gynecologists: Committee Opinion Patient Safety in the Surgical Environment
- AORN News: Why effective nursing communication is everything is today’s health care environment (May 2013)
- Definitions related to Retained Surgical Items
- Evaluating Adjunct Technology
- Resources -Retained Surgical Items
- Resources -Surgical Trigger
- Sample-Policy Counts: Sharps and Miscellaneous Items
- Sample-Policy Counts: Sponges
Proactive Risk Analysis Tools
Sentinel Events: Prevention and Reduction of Retained Surgical Items (RSI) Events
- Review the evidence-based recommendations to prevent and reduce the incidence of unintended retained surgical items events.
- Discuss steps of a sample proactive risk analysis.
- State steps of a sample root cause analysis.
- Compare a sample root cause analysis and a sample healthcare failure mode effect analysis.
US Federal Agency Websites
- Centers for Medicare and Medicaid Services: Evidence-based Guidelines for Selected and Previously Considered Hospital-Acquired Conditions
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