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Commentary

Counting matters: lessons from the root cause analysis of a retained surgical item.

Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574.

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January 9, 2013
Agrawal A. Jt Comm J Qual Patient Saf. 2012;38(12):566-574.
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Reporting root cause analysis results from a retained surgical item case, this commentary identifies contributing factors and tactics to prevent such errors.

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Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574.