A patient needs major surgery to remove 5 laparotomy sponges left behind during a previous case. The investigation finds that during an exploratory laparotomy, the circulating nurse introduced a 5-pack of sponges into the sterile field but did not enter the count on the worksheet or white board. Relief staff were not aware of the extra 5 sponges, and the count later appeared correct. The incident is 1 of 6 retained-item cases that resulted in $25,000 fines for California hospitals in September 2009.
For many in the healthcare industry, imagining surgery without onsite…
Takeaways Although women comprise half the population, they were left…
Inspecting surgical devices is a time-consuming process. However, diligently checking…