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    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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    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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    Download as pptx, pdf, or txt
    154 views9 pages

    Rsi Presentation-2

    Uploaded by

    api-655558844
    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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    of 9

    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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