| Popis: |
A patient is harmed if a surgical item is inadvertently left inside of them after an invasive procedure. Surgical items include soft goods (sponges and towels), sharps, instruments, and small miscellaneous items and device fragments. A retained surgical item (RSI) is a preventable surgical patient safety problem. A multidisciplinary effort by all procedural personnel is required, each acting as a content expert within their domains of care. To prevent RSI, a deeper understanding of work–practice redesign and enhanced communication strategies must be employed. This article examines a novel approach to RSI case analysis that focuses on system problems and changes the paradigm away from conventional risk assessment. The results of this analysis can inform the implementation of action plans to prevent event recurrence. Consistent application should lead to long-term multi-stakeholder behavior change. The development of excellent teamwork and communication leads to the emergence of safer procedural areas where we can prevent patient harm and ensure there will be NoThing Left Behind®. |
