Fang J, Yuan X, Fan L, Du M, Sui W, Ma W, Wang H, Pan AF. Risk factors for incorrect surgical count during surgery: An observational study.
Int J Nurs Pract 2021;
27:e12942. [PMID:
33837996 DOI:
10.1111/ijn.12942]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2020] [Revised: 09/25/2020] [Accepted: 03/17/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND
Incorrect surgical counts are closely related to retained surgical items, which pose a threat to patients. However, the risk factors for incorrect surgical counts have not been identified yet.
AIM
To identify the risk factors associated with incorrect surgical counts during surgery in a tertiary hospital.
DESIGN
An observational case-control study.
METHODS
Seventy cases of incorrect surgical counts were reviewed in this study. Data were collected from January 1, 2014, to April 4, 2019. For each case, we included four randomly selected control cases involving the same surgical procedures by the same surgeon within a 6-month period for comparison. The medical data of these cases were extracted for further statistical analysis.
RESULTS
A higher incidence of incorrect surgical counts was observed among surgical counts performed between 8:00 a.m. to 12:00 a.m., emergency operations, prolonged procedures, and/or after addition of surgical items.
CONCLUSION
Prolonged surgical procedures, emergency operations, time of occurrence, and addition of surgical items were the risk factors related to incorrect surgical counts during surgery.
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