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Publication Type: Risk Alert
Single or Multiple Incident: Single
Date: 7/1/2021 12:00:00 AM
Country: Hong Kong

This alert describes a patient safety incident of retention of a foreign body following an invasive procedure. Following the insertion of a central venous catheter (CVC), the suturing sharps were discarded believing they were the guide wire. A subsequent chest X-ray revealed the presence of the guide wire which was then removed. Recommendations to prevent similar incidents are provided

Additional Details

Device:
central venous catheter (CVC), guide wire, suturing sharps


Retained Instruments / Material -- Guide Wire