The Hidden Costs of Reconciling Surgical Sponge Counts.
AORN J
; 102(5): 498-506, 2015 Nov.
Article
em En
| MEDLINE
| ID: mdl-26514707
ABSTRACT
Retained surgical sponges are serious adverse events that can result in negative patient outcomes. The primary method of prevention is the sponge count. Searching for sponges to reconcile counts can result in inefficient use of OR time. The purpose of this descriptive study was to estimate the cost of nonproductive OR time (ie, time spent not moving forward with the surgical procedure) spent reconciling surgical sponge counts and the cost of using radiography to rule out the presence of retained sponges. We included 13,322 patient surgeries during a nine-month period. Perioperative personnel required from one to 90 minutes of additional time to reconcile each of 212 incorrect/unresolved counts. The total annualized cost of OR time spent searching for sponges and ruling out the presence of potentially retained sponges using radiography was $219,056. These costs should be included in comprehensive cost analyses when considering alternatives to supplement the surgical count.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Tampões de Gaze Cirúrgicos
/
Custos de Cuidados de Saúde
/
Erros Médicos
/
Corpos Estranhos
Tipo de estudo:
Health_economic_evaluation
Limite:
Humans
Idioma:
En
Revista:
AORN J
Ano de publicação:
2015
Tipo de documento:
Article