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BACKGROUND Incidence of retained foreign objects (RFOs) after operations is unknown, as many can go unrecognized for years. We reviewed the incidence and characteristics of surgical RFO events at a tertiary care institution during 4 years. STUDY DESIGN All RFO events, near misses and actual, reported on an adverse event line during 2003 to 2006 were(More)
BACKGROUND Retained foreign objects (RFOs) after surgical procedures are an infrequent but potentially devastating medical error. The Mayo Clinic, Rochester (MCR), undertook a quality improvement program to reduce the incidence of surgical RFOs. METHOD A multidisciplinary, multiphase approach was initiated in 2005. The effort, led by surgical, nursing,(More)
Perioperative nurses at our institution voiced concerns about the amount of traffic in the ORs. We formed a workgroup consisting of perioperative nurses, educators, and leaders and initiated a quality improvement (QI) project to identify the amount of OR traffic that occurs during a procedure. The workgroup developed a check sheet to record door swings,(More)
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