Managing the prevention of retained surgical instruments: what is the value of counting?
Identifieur interne : 001F79 ( PubMed/Checkpoint ); précédent : 001F78; suivant : 001F80Managing the prevention of retained surgical instruments: what is the value of counting?
Auteurs : Natalia N. Egorova [États-Unis] ; Alan Moskowitz ; Annetine Gelijns ; Alan Weinberg ; James Curty ; Barbara Rabin-Fastman ; Harold Kaplan ; Mary Cooper ; Dennis Fowler ; Jean C. Emond ; Giampaolo GrecoSource :
- Annals of surgery [ 0003-4932 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- instrumentation : Coronary Artery Bypass.
- prevention & control : Foreign Bodies, Medical Errors.
- Chi-Square Distribution, Humans, Operating Rooms, Regression Analysis, Sensitivity and Specificity, Surgical Instruments.
Abstract
Preventing retained foreign bodies is critical for patient safety. However, the value of counting surgical instruments and the reliability of the information provided have never been quantified. This study examines the diagnostic characteristics of counting and its impact on surgical costs.
DOI: 10.1097/SLA.0b013e3180f633be
PubMed: 18156916
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:18156916Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Managing the prevention of retained surgical instruments: what is the value of counting?</title><author><name sortKey="Egorova, Natalia N" sort="Egorova, Natalia N" uniqKey="Egorova N" first="Natalia N" last="Egorova">Natalia N. Egorova</name><affiliation wicri:level="4"><nlm:affiliation>InCHOIR-International Center for Health Outcomes and Innovation Research, Department of Surgery, Columbia University, 600 W. 168th Street, New York, NY 10032, USA. ne30@columbia.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>InCHOIR-International Center for Health Outcomes and Innovation Research, Department of Surgery, Columbia University, 600 W. 168th Street, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Moskowitz, Alan" sort="Moskowitz, Alan" uniqKey="Moskowitz A" first="Alan" last="Moskowitz">Alan Moskowitz</name></author><author><name sortKey="Gelijns, Annetine" sort="Gelijns, Annetine" uniqKey="Gelijns A" first="Annetine" last="Gelijns">Annetine Gelijns</name></author><author><name sortKey="Weinberg, Alan" sort="Weinberg, Alan" uniqKey="Weinberg A" first="Alan" last="Weinberg">Alan Weinberg</name></author><author><name sortKey="Curty, James" sort="Curty, James" uniqKey="Curty J" first="James" last="Curty">James Curty</name></author><author><name sortKey="Rabin Fastman, Barbara" sort="Rabin Fastman, Barbara" uniqKey="Rabin Fastman B" first="Barbara" last="Rabin-Fastman">Barbara Rabin-Fastman</name></author><author><name sortKey="Kaplan, Harold" sort="Kaplan, Harold" uniqKey="Kaplan H" first="Harold" last="Kaplan">Harold Kaplan</name></author><author><name sortKey="Cooper, Mary" sort="Cooper, Mary" uniqKey="Cooper M" first="Mary" last="Cooper">Mary Cooper</name></author><author><name sortKey="Fowler, Dennis" sort="Fowler, Dennis" uniqKey="Fowler D" first="Dennis" last="Fowler">Dennis Fowler</name></author><author><name sortKey="Emond, Jean C" sort="Emond, Jean C" uniqKey="Emond J" first="Jean C" last="Emond">Jean C. Emond</name></author><author><name sortKey="Greco, Giampaolo" sort="Greco, Giampaolo" uniqKey="Greco G" first="Giampaolo" last="Greco">Giampaolo Greco</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18156916</idno><idno type="pmid">18156916</idno><idno type="doi">10.1097/SLA.0b013e3180f633be</idno><idno type="wicri:Area/PubMed/Corpus">002138</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002138</idno><idno type="wicri:Area/PubMed/Curation">002138</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002138</idno><idno type="wicri:Area/PubMed/Checkpoint">001F79</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001F79</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Managing the prevention of retained surgical instruments: what is the value of counting?</title><author><name sortKey="Egorova, Natalia N" sort="Egorova, Natalia N" uniqKey="Egorova N" first="Natalia N" last="Egorova">Natalia N. Egorova</name><affiliation wicri:level="4"><nlm:affiliation>InCHOIR-International Center for Health Outcomes and Innovation Research, Department of Surgery, Columbia University, 600 W. 168th Street, New York, NY 10032, USA. ne30@columbia.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>InCHOIR-International Center for Health Outcomes and Innovation Research, Department of Surgery, Columbia University, 600 W. 168th Street, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Moskowitz, Alan" sort="Moskowitz, Alan" uniqKey="Moskowitz A" first="Alan" last="Moskowitz">Alan Moskowitz</name></author><author><name sortKey="Gelijns, Annetine" sort="Gelijns, Annetine" uniqKey="Gelijns A" first="Annetine" last="Gelijns">Annetine Gelijns</name></author><author><name sortKey="Weinberg, Alan" sort="Weinberg, Alan" uniqKey="Weinberg A" first="Alan" last="Weinberg">Alan Weinberg</name></author><author><name sortKey="Curty, James" sort="Curty, James" uniqKey="Curty J" first="James" last="Curty">James Curty</name></author><author><name sortKey="Rabin Fastman, Barbara" sort="Rabin Fastman, Barbara" uniqKey="Rabin Fastman B" first="Barbara" last="Rabin-Fastman">Barbara Rabin-Fastman</name></author><author><name sortKey="Kaplan, Harold" sort="Kaplan, Harold" uniqKey="Kaplan H" first="Harold" last="Kaplan">Harold Kaplan</name></author><author><name sortKey="Cooper, Mary" sort="Cooper, Mary" uniqKey="Cooper M" first="Mary" last="Cooper">Mary Cooper</name></author><author><name sortKey="Fowler, Dennis" sort="Fowler, Dennis" uniqKey="Fowler D" first="Dennis" last="Fowler">Dennis Fowler</name></author><author><name sortKey="Emond, Jean C" sort="Emond, Jean C" uniqKey="Emond J" first="Jean C" last="Emond">Jean C. Emond</name></author><author><name sortKey="Greco, Giampaolo" sort="Greco, Giampaolo" uniqKey="Greco G" first="Giampaolo" last="Greco">Giampaolo Greco</name></author></analytic><series><title level="j">Annals of surgery</title><idno type="ISSN">0003-4932</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chi-Square Distribution</term><term>Coronary Artery Bypass (instrumentation)</term><term>Foreign Bodies (prevention & control)</term><term>Humans</term><term>Medical Errors (prevention & control)</term><term>Operating Rooms</term><term>Regression Analysis</term><term>Sensitivity and Specificity</term><term>Surgical Instruments</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Analyse de régression</term><term>Blocs opératoires</term><term>Corps étrangers ()</term><term>Erreurs médicales ()</term><term>Humains</term><term>Instruments chirurgicaux</term><term>Loi du khi-deux</term><term>Pontage aortocoronarien (instrumentation)</term><term>Sensibilité et spécificité</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Coronary Artery Bypass</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Foreign Bodies</term><term>Medical Errors</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chi-Square Distribution</term><term>Humans</term><term>Operating Rooms</term><term>Regression Analysis</term><term>Sensitivity and Specificity</term><term>Surgical Instruments</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Analyse de régression</term><term>Blocs opératoires</term><term>Corps étrangers</term><term>Erreurs médicales</term><term>Humains</term><term>Instruments chirurgicaux</term><term>Loi du khi-deux</term><term>Pontage aortocoronarien</term><term>Sensibilité et spécificité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Preventing retained foreign bodies is critical for patient safety. However, the value of counting surgical instruments and the reliability of the information provided have never been quantified. This study examines the diagnostic characteristics of counting and its impact on surgical costs.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18156916</PMID><DateCompleted><Year>2008</Year><Month>02</Month><Day>21</Day></DateCompleted><DateRevised><Year>2007</Year><Month>12</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4932</ISSN><JournalIssue CitedMedium="Print"><Volume>247</Volume><Issue>1</Issue><PubDate><Year>2008</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann. Surg.</ISOAbbreviation></Journal><ArticleTitle>Managing the prevention of retained surgical instruments: what is the value of counting?</ArticleTitle><Pagination><MedlinePgn>13-8</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Preventing retained foreign bodies is critical for patient safety. However, the value of counting surgical instruments and the reliability of the information provided have never been quantified. This study examines the diagnostic characteristics of counting and its impact on surgical costs.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We examined data from the Medical Event Reporting System-Total HealthSystem (MERS-TH), administrative hospital, and the New York State Cardiac Surgery Report databases (2000-2004). The cost per count discrepancy was examined by studying a cohort of patients undergoing coronary artery bypass graft (CABG) surgery. Linear and logistic multivariable regression models were used for statistical analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 153,263 operations, there were 1062 count discrepancies. The rate of retained items was 1 of 7000 surgeries or 1 of 70 discrepancy cases. Final count discrepancies identified 77% and prevented 54% of retained items. The sensitivity of counting was 77.2%, specificity was 99.2%, but the positive predictive value was only 1.6%. Count discrepancies increased with surgery duration, late time procedures, and number of nursing teams. Bypass time, intravenous nitroglycerin injections, or myocardial infarction in the previous 24 hours were independent predictors of count discrepancies in CABG surgery. The incremental OR cost for CABG because of a count discrepancy was $932. Nationally, this would amount to an additional $24 million/yr in OR CABG cost.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study, for the first time, quantifies the diagnostic accuracy of counting and defines the parameters against which alternative strategies of prevention should be measured, before being adopted in standard practice.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Egorova</LastName><ForeName>Natalia N</ForeName><Initials>NN</Initials><AffiliationInfo><Affiliation>InCHOIR-International Center for Health Outcomes and Innovation Research, Department of Surgery, Columbia University, 600 W. 168th Street, New York, NY 10032, USA. ne30@columbia.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moskowitz</LastName><ForeName>Alan</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Gelijns</LastName><ForeName>Annetine</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Weinberg</LastName><ForeName>Alan</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Curty</LastName><ForeName>James</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Rabin-Fastman</LastName><ForeName>Barbara</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Kaplan</LastName><ForeName>Harold</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Cooper</LastName><ForeName>Mary</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Fowler</LastName><ForeName>Dennis</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Emond</LastName><ForeName>Jean C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Greco</LastName><ForeName>Giampaolo</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>U18 HS 11905-03</GrantID><Acronym>HS</Acronym><Agency>AHRQ HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Ann Surg. 2008 Jan;247(1):19-20</RefSource><PMID Version="1">18156917</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001026" MajorTopicYN="N">Coronary Artery Bypass</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005547" MajorTopicYN="N">Foreign Bodies</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019300" MajorTopicYN="N">Medical Errors</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009873" MajorTopicYN="N">Operating Rooms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013525" MajorTopicYN="Y">Surgical Instruments</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>12</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>2</Month><Day>22</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>12</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18156916</ArticleId><ArticleId IdType="doi">10.1097/SLA.0b013e3180f633be</ArticleId><ArticleId IdType="pii">00000658-200801000-00003</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region><settlement><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><noCountry><name sortKey="Cooper, Mary" sort="Cooper, Mary" uniqKey="Cooper M" first="Mary" last="Cooper">Mary Cooper</name><name sortKey="Curty, James" sort="Curty, James" uniqKey="Curty J" first="James" last="Curty">James Curty</name><name sortKey="Emond, Jean C" sort="Emond, Jean C" uniqKey="Emond J" first="Jean C" last="Emond">Jean C. Emond</name><name sortKey="Fowler, Dennis" sort="Fowler, Dennis" uniqKey="Fowler D" first="Dennis" last="Fowler">Dennis Fowler</name><name sortKey="Gelijns, Annetine" sort="Gelijns, Annetine" uniqKey="Gelijns A" first="Annetine" last="Gelijns">Annetine Gelijns</name><name sortKey="Greco, Giampaolo" sort="Greco, Giampaolo" uniqKey="Greco G" first="Giampaolo" last="Greco">Giampaolo Greco</name><name sortKey="Kaplan, Harold" sort="Kaplan, Harold" uniqKey="Kaplan H" first="Harold" last="Kaplan">Harold Kaplan</name><name sortKey="Moskowitz, Alan" sort="Moskowitz, Alan" uniqKey="Moskowitz A" first="Alan" last="Moskowitz">Alan Moskowitz</name><name sortKey="Rabin Fastman, Barbara" sort="Rabin Fastman, Barbara" uniqKey="Rabin Fastman B" first="Barbara" last="Rabin-Fastman">Barbara Rabin-Fastman</name><name sortKey="Weinberg, Alan" sort="Weinberg, Alan" uniqKey="Weinberg A" first="Alan" last="Weinberg">Alan Weinberg</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Egorova, Natalia N" sort="Egorova, Natalia N" uniqKey="Egorova N" first="Natalia N" last="Egorova">Natalia N. Egorova</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/MersV1/Data/PubMed/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001F79 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd -nk 001F79 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= MersV1
|flux= PubMed
|étape= Checkpoint
|type= RBID
|clé= pubmed:18156916
|texte= Managing the prevention of retained surgical instruments: what is the value of counting?
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:18156916" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a MersV1
| This area was generated with Dilib version V0.6.33. |  |