title: Guideline Implementation: Prevention of Retained Surgical Items.
abstract: A surgical item unintentionally retained in a patient after an operative or other invasive procedure is a serious, preventable medical error with the potential to cause the patient great harm. Perioperative RNs play a key role in preventing retained surgical items (RSIs). The updated AORN "Guideline for prevention of retained surgical items" provides guidance for implementing a consistent, multidisciplinary approach to RSI prevention; accounting for surgical items; preventing retention of device fragments; reconciling count discrepancies; and using adjunct technologies to supplement manual count procedures. This article focuses on key points of the guideline to help perioperative personnel provide optimal care during a procedure. Key points addressed include taking responsibility for RSI prevention as a team; minimizing distractions, noise, and interruptions during counts; using consistent counting methods; reconciling discrepancies; and participating in performance-improvement activities. Perioperative RNs should review the complete guideline for additional information and for guidance in writing and updating policies and procedures.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Fencl
mesh_terms: D004509:Education, Nursing, Continuing; D005547:Foreign Bodies / Q000517:prevention & control*; D017408:Guidelines as Topic; D006801:Humans
keywords: count reconciliation; incorrect count; never event; retained surgical item