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Publication Type: Patient Safety Alert
Single or Multiple Incident: Multiple
Date: 12/13/2017 12:00:00 AM
Country: South Korea

This alert addresses the patient safety incidents of retention of a foreign body following surgery. The alert provides two relevant cases involving retention of gauze, contributing factors and recommendations to prevent recurrence of similar incident. Included as well are requirements for counting during a surgical procedure and action guidelines for counting if a mismatch is discovered.

Additional Details

Device:
gauze, hemostatic gauze, productized sterile gauze


Patient safety incident caused by foreign substances remaining in the body after surgery (gauze)