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Single or Multiple Incident: Multiple
Date: 7/13/2021 12:00:00 AM

This alert discusses the findings of the Oregon Patient Safety Commission (OPSC) of a review of retained foreign objects related to orthopedic surgery during 2020 to 2021. 23 reports met the criteria and the alert provides information on where the events occurred, the type of events and contributing factors. A summary of the strongest action plans are presented.

Additional Details

Device:
instrument fragments, whole instruments, sponges, guidewires


OPSC Review of Unintended Retained Foreign Objects