Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.

Kyros Ipaktchi; Adam Kolnik; Michael Messina; Rodrigo Banegas; Meryl Livermore; Connie Price

Commentary

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.

November 6, 2013

Ipaktchi K, Kolnik A, Messina M, et al. Patient Saf Surg. 2013;7(1):31.

View more articles from the same authors.

This commentary examines how surgical instrument labels may lead to more incidents involving retained foreign objects.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

February 8, 2012

Association of hospital markup with preventable adverse events following pancreatic surgery in the United States.

February 7, 2024

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.

December 2, 2020

Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial.

May 29, 2019

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

Preventing home medication administration errors.

March 14, 2022

Investigating workplace support and the importance of psychological safety in general surgery residency training.

March 13, 2024

Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial.

May 29, 2024

Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study.

September 13, 2023

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.

February 1, 2023

Related Resources

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

Preventing retained surgical items.

August 3, 2022

Using radiofrequency technology to prevent retained sponges and improve patient outcomes.

October 28, 2020

Guideline implementation: prevention of retained surgical items.

August 27, 2018

The lost sponge: patient safety in the operating room.

October 17, 2012

Risk factors associated with incorrect surgical counts.

September 12, 2012

Increasing patient safety and surgical team communication by using a count/time out board.

October 20, 2010

Incorrect surgical counts: a qualitative analysis.

October 20, 2010

Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.

July 10, 2008

Counting for patient safety.

February 13, 2008

See More About The Topic

Operating Room

Physicians

Nurses

Quality and Safety Professionals

Engineers

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users