Overview

CHPSO-led project on retained surgical items

CHPSO is leading a multi-state retained surgical item project to provide a collective analysis that will help hospitals reduce the risks of retained surgical items. PSOs in six states — Illinois, Michigan, Missouri, Nebraska, North Carolina and Tennessee — have joined the effort. Learning from both near misses and actual events will help us better protect our patients. CHPSO and its allied PSOs will present the findings of the project in the first quarter of 2013.

CHPSO collected event reports on retained surgical items (other than sponges) such as micro-needles, broken drill bit fragments and guidewires. Reporting this information is important because these retained surgical items, in aggregate, occur more frequently than retained sponges, and it is not well known how to prevent these events.

Dr. Gibbs’ slide presentation from the February 1, 2013 webinar is available to members only here.

If you have questions about this project, please contact Rory Jaffe, rjaffe@chpso.org.

Commands