1. K.T. Kohn, J.M. Corrigan, M.S. Donaldson To Err Is Human: Building a Safer Health System National Academy Press, Washington, DC (1999)
2. S.P. Stawicki, D.C. Evans, J. Cipolla et al. Retained surgical foreign bodies: a comprehensive review of risks and preventive strategies. Scand J Surg, 98 (2009), pp. 8–17
3. C.C. Greenberg, A.A. Gawande. Beyond counting: current evidence on the problem of retaining foreign bodies in surgery? Ann Surg, 247 (2008), pp. 19–20
4. J.M. Schraagen, T. Schouten, M. Smit et al. Assessing and improving teamwork in cardiac surgery Qual Saf Health Care, 19 (2010), p. e29
5. D.C. Gore, J.M. Powell, J.G. Baer et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual, 25 (2010), pp. 60–63
6. A.A. Gawande, D.M. Studdert, E.J. Orav et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med, 348 (2003), pp. 229–235
7. P.G. Teixeira, K. Inaba, A. Salim et al. Retained foreign bodies after emergent trauma surgery: incidence after 2526 cavitary explorations. Am Surg, 73 (2007), pp. 1031–1034
8. A.L. Halverson, J.T. Casey, J. Andersson et al. Communication failure in the operating room. Surgery, 149 (2011), pp. 305–310
9. N.N. Egorova, A. Moskowitz, A. Gelijns et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg, 247 (2008), pp. 13–18
10. C.C. Greenberg, S.E. Regenbogen, S.R. Lipsitz et al. The frequency and significance of discrepancies in the surgical count. Ann Surg, 248 (2008), pp. 337–34
11. R.R. Cima, A. Kollengode, A.S. Storsveen et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Patient Saf, 35 (2009), pp. 123–132
12. S.E. Regenbogen, C.C. Greenberg, S.C. Resch et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surgery, 145 (2009), pp. 527–535
13. J.W. Hyslop, K.I. Maull Natural history of the retained surgical sponge. South Med J, 75 (1982), pp. 657–660
14. P. Patterson. Preventing retained surgical items: what role does technology play? OR Manager, 25 (1) (2009), pp. 8–11
15. A.E. Lincourt, A. Harrell, J. Cristiano et al. Retained foreign bodies after surgery. J Surg Res, 138 (2007), pp. 170–174
16. C.F. Wang, C.H. Cook, M.L. Whitmill et al. Risk factors for retained surgical foreign bodies: a meta-analysis OPUS 12 Scientist, 3 (2009), pp. 21–27
17. Institute for Clinical Systems Improvement. Prevention of unintentionally retained foreign objects in surgery, First Edition. 2007 Sep:1–38.
18. R.R. Cima, A. Kollengode, J. Garnatz et al. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg, 207 (2008), pp. 80–87
19. C.W. Kaiser, S. Friedman, K.P. Spurling et al. The retained surgical sponge. Ann Surg, 224 (1996), pp. 79–84
20. K.C. Graham, M. Cvach. Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms. Am J Crit Care, 19 (2010), pp. 28–34
21. R.M. Harris, J. Manavizadeh, D.J. McPherson, L. Smith Do you hear bells? The increasing problem of alarm fatigue. Pa Nurse, 66 (2011), pp. 10–1
22. R.S. McLeod, J.M. Bohnen. Canadian Association of General Surgeons Evidence Based Reviews in Surgery. 9. Risk factors for retained foreign bodies after surgery. Can J Surg, 47 (2004), pp. 57–59
23. Association for Perioperative Registered Nurses. Perioperative Standards and Recommended Practices. AORN, Inc., Denver, CO (2011
24. A. Macario, D. Morris, S. Morris. Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Arch Surg, 141 (2006), pp. 659–662
25. C.E. Fabian. Electronic tagging of surgical sponges to prevent their accidental retention. Surgery, 137 (2005), pp. 298–301
26. E.M. Edel. Increasing patient safety and surgical team communication by using a count/time out board. AORN J, 92 (2010), pp. 420–424
27. R.R. Cima, A. Kollengode, J. Clark et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient Saf, 37 (2011), pp. 51–58
28. F.A. Gaffney, S.W. Harden, R. Seddon. Crew Resource Management: The Flight Plan for Lasting Change in Patient Safety. HCPro, Marblehead, MA (2005)
29. R. Rosenheck. Fast food consumption and increased caloric intake: a systematic review of a trajectory towards weight gain and obesity risk. Obes Rev, 9 (2008), pp. 535–547
30. D.C. Lau, J.D. Douketis, K.M. Morrison et al. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children. CMAJ, 176 (2007), pp. S1–S13
31. M.J. Englesbe, S.J. Pelletier, J.C. Magee et al. Seasonal variation in surgical outcomes as measured by the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP). Ann Surg, 246 (2007), pp. 456–462
32. A.A. Ford, B.T. Bateman, L.L. Simpson, R.B. Ratan. Nationwide data confirms absence of ‘July phenomenon’ in obstetrics: it's safe to deliver in July. J Perinatol, 27 (2007), pp. 73–76
33. L.R. Guo, M.W. Chu, M.Z. Tong et al. Does the trainee's level of experience impact on patient safety and clinical outcomes in coronary artery bypass surgery? J Card Surg, 23 (2008), pp. 1–5
34. M.J. Englesbe, Z. Fan, O. Baser, J.D. Birkmeyer. Mortality in Medicare patients undergoing surgery in July in teaching hospitals. Ann Surg, 249 (2009), pp. 871–876
35. A.R. Privette, S.R. Shackford, T. Osler et al. Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients. Ann Surg, 250 (2009), pp. 316–321
36. M.V. Raval, X. Wang, M.E. Cohen et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg, 212 (2011), pp. 889–898
37. A. Yaghoubian, C. de Virgilio, S.L. Lee. Appendicitis outcomes are better at resident teaching institutions: a multi-institutional analysis. Am J Surg, 200 (2010), pp. 810–813
38. S.P. Patel, P.G. Gauger, D.L. Brown et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg, 211 (2010), pp. 540–545
Un problema aún no resuelto
Elementos quirúrgicos retenidos
Las causas y las medidas de prevención que podrían ayudar a controlar un serio problema quirúrgico.
Autor/a: Dres. Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, Anderson HL, Balija TM, Bernescu I, Chan L, Chowayou L, Cipolla J y col.
Indice
1. Referencias
2. Artículo