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Rsi Presentation-2

This document discusses retained surgical items and strategies to reduce their incidence. It reviews literature on preventing retained surgical items through improved surgical counting processes. The document assesses the current state, plans to standardize counting and implement microtagging of sponges to increase safety. Finally, it proposes evaluating the policy changes through compliance audits and collecting data on the prevalence of retained surgical items to determine if the changes lower the rates of these incidents.

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193 views9 pages

Rsi Presentation-2

This document discusses retained surgical items and strategies to reduce their incidence. It reviews literature on preventing retained surgical items through improved surgical counting processes. The document assesses the current state, plans to standardize counting and implement microtagging of sponges to increase safety. Finally, it proposes evaluating the policy changes through compliance audits and collecting data on the prevalence of retained surgical items to determine if the changes lower the rates of these incidents.

Uploaded by

api-655558844
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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1

RETAINED SURGICAL ITEMS

By: Madonna Richter, SN


& Sarah Bachmeier, SN
2

INTRODUCTION
Retained Surgical Instruments 
• Inconsistently reported
• Guidelines for prevention available
• Research and standardization of reduction
strategies needed
3

LITERATURE REVIEW

1. Surgical count process for prevention of retained


surgical items: An integrative review
2. Explore a strong sun nuclear
3. Incidence and OR team awareness of "near-miss and
retained surgical sharps: a national survey on united
states operating rooms"
ASSESSMENT
• Collect system data 
• Culturally competent training
• Assess current surgical procedure policies
• Identify stakeholders
5

PLANNING
• Goal to change RSI incidences
• Availability of human and material resources
• Strengths, Weaknesses, Opportunities, and Threats (SWOT)
Analysis
6

POLICY DEVELOPMENT &


IMPLEMENTATION

HOW CHANGE WILL BE PUT MARKETING COMPLIANCE


INTO ACTION/TIMELINE PLAN/RESOURCES NEEDED MEASUREMENT/HOW WILL
• Nurse leaders on OR unit CHANGE BE ENFORCED
• Educational meetings
• • Involving stakeholders willing to
Meeting with healthcare providers • Pamphlets
participate
• Possibly involve stakeholders • Personal patient experiences
• Incentives
• Magnet Recognition for hospital
• CAD technology and availability
• Find & incorporate change leaders 
• Hospital system 
• Funding (through media forms)
• Document surgical count and µtagging
7

POLICY EVALUATION
• Collect data regarding compliance in count and tagging
and change in RSI prevalence
• Audit documentation
• Sustainable changes due to technology investment
• Annual training renewal and education review
• Staff feedback in individual and unit meetings  
CONCLUSION
• RSI prevention imperative

• Standardization of surgical count will increase


awareness and improve prevention
• Micro tagging surgical sponges increases patient
safety
• Need for further research on improving reporting
and prevention strategies
REFERENCES
•Fencl, J. L. (2016). Guideline implementation: Prevention of retained surgical items. Association of
periOperative Registered Nurses, 104(1), 38-45. http://dx.doi.org/10.1016/j.aorn.2016.05.005

•Freitas, P. S., de Campos Pereira Silveira, R.C., Clark, A. M., & Galvão, C. M. (2016). Surgical count
process for prevention of retained surgical items: An integrative review. Journal of Clinical Nursing, 25(13-
14), 1835-1847. https://doi.org/10.1111/jocn.13216

•Hadjiiski, L. Marentis, T., C. Chaudhury, A., R. Rondon, L. Chronis, N. Chan, H-P. (2015).  Explore a
stronger sun nuclear.Medical Physics, 42(3), 1212-1222. https://doi.org/10.1118/1.4907964

•MountainView Hospital. (2015, July 5). The evolution of surgery. 


https://mountainview-hospital.com/about/newsroom/the-evolution-of-surgery

•Weprin, S. A., Meyer, D., Rui, L., Carbonara, U., Crocerossa, Fabio., Kim, F. J., Autorino, R., SPeich, J. E.,
Klausner, A. P. (2021). Incidence and OR team awareness of “near-miss” and retained surgical sharps: a
national survey on United States operating rooms. Patient Safety in Surgery, 15(14). 
https://doi.org/10.1186/s13037-021-00287-5

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