National Surgical Patient Safety Project-NoThing Left Behind®, 270 Collingwood Street, San Francisco, CA 94114, USA.
World J Surg. 2011 Jul;35(7):1532-9. doi: 10.1007/s00268-011-1060-4.
A retained surgical item is a surgical patient safety problem. Early reports have focused on the epidemiology of retained-item cases and the identification of patient risk factors for retention. We now know that retention has very little to do with patient characteristics and everything to do with operating room culture. It is a perception that minimally invasive procedures are safer with regard to the risk of retention. Minimally invasive surgery is still an operation where an incision is made and surgical tools are placed inside of patients, so these cases are not immune to the problem of inadvertent retention. Retained surgical items occur because of problems with multi-stakeholder operating room practices and problems in communication. The prevention of retained surgical items will therefore require practice change, knowledge, and shared information between all perioperative personnel.
遗留手术器械是一个手术患者安全问题。早期的报告主要集中在遗留器械病例的流行病学和识别患者发生遗留的风险因素上。我们现在知道，遗留的发生与患者特征几乎没有关系，而与手术室文化息息相关。人们认为微创手术在遗留风险方面更安全。微创手术仍然是一种在患者体内进行切口并放置手术器械的手术，因此这些病例并不能避免遗留问题。遗留手术器械的发生是由于多利益相关者手术室操作的问题以及沟通问题所致。因此，预防遗留手术器械需要所有围手术期人员改变实践、获取知识和共享信息。
