retained foreign object


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retained foreign object (surgical)

,

RFO

Any implement used in surgery left inside the patient after the surgery is completed. The rate of retention is estimated at 1 in 7000 procedures. The most common objects left inside the patient are sponges. Surgical packing, sharp objects such as sutures or needles, and operative instruments are also occasionally unaccounted for postoperatively.

CAUTION!

Strict protocols for evaluation of the operating theatre and the surgical wound must be employed to prevent leaving foreign objects inside surgical wounds. These include: accounting for all surgical materials before, during, and after an operation; exploring the wound meticulously whenever a discrepancy in a surgical count is identified; performing radiological studies, as indicated, to identify lost implements; and keeping clear and complete documentation of all findings is done. In spite of these measures, an RFO may not be identified until after the patient has left the operating room (short term or long term interval) necessitating subsequent removal.
References in periodicals archive ?
In light of the many ways that sponge management can be thwarted, it is no surprise to find a Minnesota Department of Health Spotlight on Patient Safety concluded that retained foreign objects (RFOs) were among the most frequently reported events in the 5 years that adverse health events information was collected.
Sandwell and West Birmingham NHS Trust, responsible for City and Sandwell Hospitals, also had four Never Events, including three wrong site surgeries and one retained foreign object.
A drug incident was recorded at Good Hope Hospital, Sutton Coldfield, while a retained foreign object was found in one patient at Birmingham Women's Hospital in Edgbaston.
The target operates through its wholly-owned unit SurgiCount Medical Inc, which offers the Safety-Sponge System and SurgiCount 360 compliance software that help enhance patient safety and cut healthcare costs by preventing Retained Foreign Objects (RFOs) in the operating room.
The target operates through its wholly-owned unit SurgiCount Medical Inc which offers the Safety-Sponge System and SurgiCount 360 compliance software that help enhance patient safety and cut healthcare costs by preventing Retained Foreign Objects (RFOs) in the operating room.