SURGICAL COUNTS CAN BE RISKY BUSINESS!

Authors

  • Joan Porteous

Abstract

The surgical count plays a vital role in enabling perioperative nurses to provide a safe environment to surgical patients. Counting errors are preventable. Although national standards of care provide excellent guidelines for developing effective count protocols, counting procedures are often modified according to individual health care policy. This article will discuss the risk factors for retained items, rate of occurrence, what objects are being left in patients, role of x-rays and consequences of leaving an object in a patient. It will also highlight points to be considered when implementing new count policies.

Author Biography

Joan Porteous

Joan Porteous, RN, BN,CPN(C), Clinical Educator, OR, Health Sciences Centre, Winnipeg, MB.

References

Watson, D. (2002). An open letter to the

perioperative nursing community. AORN

Journal, 76 (5), 752.

Gonzalez-Ojeda, A., Rodriquez-Alcantar, D.

& Arenas-Marquez, H. (1999). Retained

foreign bodies following intra-abdominal

surgery. Hepatogastroenterology 46, 808-812.

Donn, J. (2003). Surgery tools left in 1,500

people a year. Retrieved January 15, 2003

from http://story.news.yahoo.com

Gawande, A., Studdert, D., Orav, J.,

Brennan, T. & Zinner, M. (2003). Risk factors

for retained instruments and sponges after

surgery. The New England Journal of Medicine

(3), 229-235.

Anonymous (1990). Number of patients

with sponges left inside is underestimated.

Hospital Risk Management 12 (7), 89-90.

Gibbs, V. & Auerbach, A. (2001). Making

health care safer: A critical analysis of patient

safety practices. Evidence report/technology

assessment #43. Rockville: Agency for

Healthcare Research and Quality (publication

# 01-E058)

Kaiser, C., Friedman, S., Spurling, K., Slowick,

T. & Kaiser, H. (1996). The retained surgical

sponge. Annals of Surgery, 244, 79-84.

Butler, M., Boxer, E. & Sutherland-Fraser, S.

(2003). The factors that contribute to count

and documentation errors in counting.

ACORN Journal, 16 (1), 10-14.

Lauwers, P. & Van Hee, R. (2000).

Intraperitoneal gossypibomas: The need to

count sponges. World Journal of Surgery, 24,

-527.

University of California. Imaging of

retained surgical objects in the abdomen and

pelvis. Retrieved July 28, 2003 from

http://www.radiology.ucsf.edu/instruction/

abdominal/abdominal_ret_objects3.shtml

Barrow, C. (2001). Use of x-ray in the

presence of an incorrect needle count. AORN

Journal, 74 (1), 80-81.

Macilquham, M., Riley, R. & Grossberg, P.

(2003). Identifying lost surgical needles using

radiographic techniques. AORN Journal, 78

(1), 73-78.

Anonymous (2003). Study offers evidence

on items left behind during surgical cases. OR

Manager, 19 (3), 1.

Morris, J. (1991). Canadian nurses and

the law. Toronto: Butterworths.

ORNAC (2003). Recommended standards,

guidelines and position statements for

perioperative registered nursing practice. ORNAC

Anonymous (2002). Found: 13-inch

retractor was left inside a patient. Health Care

risk Management, 24 (2), 16.

Anonymous (2001). Foot-long tool left in

patient. Retrieved December 5, 2001 from

BBC News.

Grady, D. (2003). Forgotten surgical tools

‘uncommon but dangerous’. New York Times

January 1, 2003 .

Downloads

Published

2004-12-01

How to Cite

Porteous, J. (2004). SURGICAL COUNTS CAN BE RISKY BUSINESS!. Operating Room Nurses Association of Canada Journal, 22(4). Retrieved from https://ornacjournal.ca/index.php/ornac/article/view/12553

Issue

Section

Feature Articles