Initial Clinical Evaluation of a Handheld Device for Detecting Retained Surgical Gauze Sponges Using Radiofrequency Identification Technology

Macario, Alex; Morris, D.; Morris, Sharon

doi:10.1001/archsurg.141.7.659

Cited by 165 publications

(139 citation statements)

References 13 publications

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“…There are many reports of RFID use in healthcare in general. [2][3][4][5][6][7][8][9] At Nemours Children's Hospital in Orlando, Florida, RFID supports the concept of a hospital having a single logistics center that monitors and runs operations. Interest in RFID technology seems high, as it can be applied beyond asset location to temperature and humidity monitoring and improving clinician workflow.…”

Section: Discussionmentioning

confidence: 94%

Radio-Frequency Tracking of Respiratory Equipment: Rationale and Early Experience at the Cleveland Clinic

et al. 2013

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BACKGROUND: When respiratory therapists (RTs) seek respiratory care equipment, finding it quickly is desirable, both to expedite patient care and to avert RTs wasting time. To optimize RTs' ability to quickly locate ventilators, we developed and implemented a radio-frequency identification (RFID) tagging system called eTrak. METHODS: The Clinical Engineering and Information Technology groups at Cleveland Clinic collaboratively developed a Wi-Fi-based RFID program that used active RFID tags. Altogether, 218 ventilators, 82 noninvasive ventilators, and various nonrespiratory equipment were tagged, beginning in March 2010. We calculated the difference in time required to locate equipment before versus after implementation. RESULTS: The eTrak system had a mean 145 log-ons per week over the first year of use, and was associated with a decreased time required for RTs to locate ventilators: median 18 min (range 1-45 min) versus 3 min (range 1-6 min) (P < .001). Surveys of RTs regarding whether equipment was hard to find before versus after implementing eTrak showed a non-significant trend toward improvement. CONCLUSIONS: An RFID tracking system for respiratory equipment shortened the time to locate ventilators and non-significantly improved RT satisfaction with finding equipment. RFID tagging of equipment warrants further investigation.

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Section: Discussionmentioning

confidence: 94%

Radio-Frequency Tracking of Respiratory Equipment: Rationale and Early Experience at the Cleveland Clinic

et al. 2013

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“…There is another study comparing traditional counting method with computerassisted counting of sponges using barcodes in a randomized control trial with 298 patients. Results of this study demonstrated that the barcode system is associated with significantly more counting discrepancies compared to customary system (13,17,18).…”

mentioning

confidence: 76%

Simultaneous Extraction of a Retained Surgical Gauze from Bladder and Uterus 17 Years after Cesarean Section: A Rare Case Report

Rokhgireh

Mehdizadehkashi

Chaichian

et al. 2017

Iran Red Crescent Med J

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Introduction: Gossypiboma is defined as retained foreign object (sponge, needle, and instrument) in patient's corpus after operation that is recognized as a medical error. It may induce catastrophic implications for the patient and medical care providers. We present a case with a 17-year-old gossypiboma after cesarean section. Case Presentation: A 49-year-old woman was admitted to the outpatient clinic of Rasool-e-Akram hospital of Tehran, Iran, in 2016 presenting with abnormal uterine bleeding (AUB), abdominal pain, and urinary symptoms for many years. She underwent hysteroscopy. Operative findings included intrauterine synechiae and a polypoid lesion. Besides, a thread-like foreign body was observed in the anterior surface of the uterine cavity, which was suspected as a cesarean section suture material that was extracted. After hysteroscopy, uterine bleeding stopped although abdominal pain and urinary symptoms maintained. Voiding cystourethrogram (VCUG) and MRI revealed a mass between uterus and bladder. Then, laparotomy was performed. After opening the abdominal wall under general anesthesia, we explored internal organs and encountered a necrotic mass revealing an old organized gauze between bladder and uterus, which infiltrated the uterus and trigon. It was extracted and then, hysterectomy and bladder repair were carried out. Conclusions: Surgical sponges are the most common foreign materials retained in abdominal cavity.

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“…Current protocols for preventing the retention of foreign objects after surgery are summarized in Table 1. [2][3][4][9][10][11][12] In operations with a high risk of error, it has been suggested that universal radiographic screening be done regardless of the surgical count.…”

Section: Risk Reductionmentioning

confidence: 99%

“…• Susceptible to electronic interference, mechanical failure and user error 11,12 Note: CT = computed tomography.…”

Section: Ct Scanningmentioning

confidence: 99%

The lost sponge: patient safety in the operating room

Grant-Orser

Davies

Singh

2012

CMAJ

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A 43-year-old woman presented to the emergency department with acute nausea and vomiting. She was admitted by the general surgery team with a suspected obstruction of the small bowel. Examination and imaging revealed an enlarged uterus (18 × 9 × 16 cm) with fibroids. Nine years earlier, she had undergone a uterine myomectomy by means of midline laparotomy, after which postoperative pancreatitis and bleeding had occurred followed by repeat laparotomy.The next morning (midweek), a laparotomy was performed to identify and treat the source of the obstruction. An incision from the base of the sternum to the symphysis pubis was made, followed by dissection of some minor adhesions next to the terminal ileum. No discrete bands were identified that could explain the obstruction. The gynecology service was then consulted to manage the fibroid uterus.Upon arrival, the staff gynecologist was informed by the senior surgery resident that no cause of the obstruction was found. The resident then left the operating room. The gynecology team completed a subtotal hysterectomy, after which the sponge count was incorrect. The abdomen and pelvis were explored, but no sponges were found. A radiograph of the abdomen showed no signs of a retained sponge (Figure 1). The abdomen was closed and the patient transferred to the recovery room.The circulating nurse remained concerned about the incorrect sponge count and followed up with the gynecologist the next day. The gynecologist requested a computed tomography (CT) scan, and the patient was informed of the incorrect sponge count. At the time, the institution's policy did not require a routine follow-up CT scan if the count was incorrect. The CT scan showed a radiopaque marker indicating a sponge in the lesser sac below the greater curvature of the stomach (Figure 2).The gynecology team performed an exploratory laparotomy. A packing sponge was found and removed from the lesser sac. No other concerns or complications arose, and all sponge counts were correct. The patient made an uneventful recovery.

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Initial Clinical Evaluation of a Handheld Device for Detecting Retained Surgical Gauze Sponges Using Radiofrequency Identification Technology

Cited by 165 publications

References 13 publications

Radio-Frequency Tracking of Respiratory Equipment: Rationale and Early Experience at the Cleveland Clinic

Radio-Frequency Tracking of Respiratory Equipment: Rationale and Early Experience at the Cleveland Clinic

Simultaneous Extraction of a Retained Surgical Gauze from Bladder and Uterus 17 Years after Cesarean Section: A Rare Case Report

The lost sponge: patient safety in the operating room

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