Feldman David L
Hospitals Insurance Company, Inc., New York, NY, USA.
Mt Sinai J Med. 2011 Nov-Dec;78(6):865-71. doi: 10.1002/msj.20299.
Reduction in retained surgical items is an important part of any operating room patient-safety effort. Any item used in an operation can result in a retained surgical item, but sponges are the most frequent and the abdomen is the most common location. Retained sponges can cause significant morbidity, and the costs associated with both prevention and treatment of retained surgical items, including legal costs, can be considerable. This review will examine counting, teamwork, radiography, and new technology as methods used to prevent retained surgical items. Even though none of these techniques individually is likely to completely prevent retained surgical items, when used together the numbers can be reduced.
减少手术遗留物品是手术室患者安全工作的重要组成部分。手术中使用的任何物品都可能导致手术遗留物品，但海绵是最常见的，而腹部是最常出现的部位。遗留海绵可导致严重的发病率，与预防和治疗手术遗留物品相关的成本，包括法律成本，可能相当可观。本综述将探讨计数、团队协作、放射成像和新技术等用于预防手术遗留物品的方法。尽管这些技术单独使用都不太可能完全预防手术遗留物品，但一起使用时数量可以减少。
