title: Retained swabs? A never event or a 'clever' event that has the potential to act as a fundamental driver to improve practice and systems.
abstract: 'Never events' are definable, known sources of risk for which there is existing national guidance and/or safety recommendations on how the event can be prevented, there is support for implementation and as such should be largely preventable if the guidance is implemented (DH 2011).
authors.affiliation: Association for Perioperative Practice, Daisy Ayris House, 42 Freemans Way, Harrogate HG3 1DH. president@afpp.org.uk
authors.forename: Tracy
authors.initials: T
authors.lastname: Coates
mesh_terms: D017408:Guidelines as Topic; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D011787:Quality of Health Care