CHPSO is leading a multi-state retained surgical item project to
provide a collective analysis that will help hospitals reduce the
risks of retained surgical items. PSOs in six states — Illinois,
Michigan, Missouri, Nebraska, North Carolina and Tennessee — have
joined the effort. Learning from both near misses and actual
events will help us better protect our patients. CHPSO and its
allied PSOs will present the findings of the project in the first
quarter of 2013.
CHPSO collected event reports on retained surgical items (other
than sponges) such as micro-needles, broken drill bit fragments
and guidewires. Reporting this information is important because
these retained surgical items, in aggregate, occur more
frequently than retained sponges, and it is not well known
how to prevent these events.
Dr. Gibbs’ slide presentation from the February 1, 2013 webinar
is available to members only here.
If you have questions about this project, please contact Rory