title: Retained surgical item identification on imaging studies: a training module for radiology residents.
abstract: OBJECTIVE
  Many hospitals experience one or more retained surgical item events per year, with risk of patient morbidity and medicolegal consequences. We hypothesized that the confidence and performance of the radiologist would be enhanced by prior training in retained surgical item detection and by prior exposure to commonly employed surgical instruments and devices.
  
  
  METHODS
  A training module for radiology residents was created through literature review, expert consultation, and imaging of commonly employed surgical instruments and devices. A survey assessing resident command of background knowledge, policy, and image-based retained surgical item questions was created. Additionally resident confidence for hospital policy and retained surgical item identification was assessed. A pre-module survey and confidence questionnaire were administered to first- through fourth- year residents. For one month, the training module was available online for independent review. Subsequently, a post-module survey and confidence questionnaire were completed by participants. T tests were performed to evaluate pre- and posttest means for survey performance and confidence questions.
  
  
  RESULTS
  Mean post-module survey performance significantly improved compared with pre-module performance. Mean confidence levels for ability to incidentally identify a retained surgical item on a radiograph obtained for another indication and current understanding of the institution's policy regarding retained surgical items were also significantly increased.
  
  
  CONCLUSIONS
  The knowledge base, diagnostic performance, and confidence of radiology residents were significantly enhanced by online teaching module training in retained surgical item detection.
authors: Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 1800 Orleans Street, Body MRI, Room 143, Baltimore, MD, 21287, USA. kporte14@jhmi.edu.
authors: Kristin Kelly
authors: KK
authors: Porter
authors: Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 1800 Orleans Street, Body MRI, Room 143, Baltimore, MD, 21287, USA.
authors: Paul D
authors: PD
authors: Bailey
authors: Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 1800 Orleans Street, Body MRI, Room 143, Baltimore, MD, 21287, USA.
authors: Ryan
authors: R
authors: Woods
authors: Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 1800 Orleans Street, Body MRI, Room 143, Baltimore, MD, 21287, USA.
authors: William W
authors: WW
authors: Scott
authors: Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 1800 Orleans Street, Body MRI, Room 143, Baltimore, MD, 21287, USA.
authors: Pamela T
authors: PT
authors: Johnson
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D003952:Diagnostic Imaging; D005547:Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010820:Physicians; D058996:Quality Improvement; D011871:Radiology / Q000193:education*; D011795:Surveys and Questionnaires
keywords: Quality improvement; Resident education; Retained surgical item