The scenario is one of a patient’s worst nightmares: They go into the hospital for surgery and leave with a lot more than they bargained for–a foreign object left inside the surgical site. Left unnoticed, it could result in numerous medical complications, including infection, bowel perforation, abscess, undue pain, return to surgery and even death.
“It is estimated that 1,500 to 2,000 retained surgical item (RSI) incidents–where an object like a sponge or gauze is left inside a patient after a surgical procedure–occur each year in the United States. It is a dangerous, and often very costly, medical error,” explained Jeffrey Port, M.D., associate professor of cardiothoracic surgery and associate attending surgeon in the division of thoracic surgery at New York Presbyterian-Weill Cornell Medical Center in New York City.
Jeffrey Port, M.D., founder of RF Surgical Systems, reported that between 1,500 – 2,000 incidents of retained surgical items (RSIs) occur ever year in the United States.
“According to The Joint Commission, objects accidentally left inside a patient during surgery is among the top 10 sentinel events reported,” Port continued. “The number of RSIs nearly doubled in 2010 compared with 2008.”
With The Joint Commission’s continued focus on patient safety and the investigation of sentinel events, as well as payers’ denial of reimbursement for hospital-acquired conditions, prevention of RSIs has become even more critical. New technology has been developed to enhance clinicians’ ability to mitigate the risk of surgical instrument retention and protect patient safety.
“Combining standardized counting procedures with technology and improving communication are key processes for prevention of RSI,” explained Lisa Spruce, RN, DNP, director, evidence-based perioperative practice, with the Association of preoperative Nurses (AORN). “We have been using radiological verification for years to detect radiopaque soft goods and instruments. Today we have radiofrequency detection technology that can detect radiofrequency-tagged material that is used inside the patient. When a patient is scanned using this technology it will alert the surgical team that an item has remained inside the patient.”
One such technology is the RF Assure Detection System, developed by Bellevue, Washington-based RF Surgical Systems, Inc., which Port founded.
The RF Assure Detection System features an automatic detection mat for “hands-free” patient scanning that can speed up searches and verify a nurse’s count of surgical items.
“The RF Assure Detection System helps to eliminate the risk of an RSI by serving as an added verification and security for manual counting of surgical materials by OR staff,” Port explained. “The surgical count is an important process in the OR, but it’s one that can sometimes be compromised by distraction, multitasking, time limitations and human error–especially in bariatric, cardiac or trauma cases where risk for RSIs is higher.”
ü RF Surgical Detection Technology uses a low energy radio frequency signal capable of locating misplaced surgical items prior to wound closure through blood, dense tissue, bone and performs well near metals.
System Benefits
Benefits of the RF Surgical Detection System.
- Helps prevent retained surgical sponges prior to wound closure.
- Protects patient and OR staff during high risk open cases such as bariatric, cardiac and time pressurized trauma cases.
- Allows for the early detection of missing items lowering unnecessary X-rays and associated anesthesia time.
- Simplified reporting feature stores evidence of scanning and records a unique confirmation number linked to the patient M.R.
EASE OF USE
- RF Assure hands free scanning provides consistency and eliminates the potential for human errors.
- Detection mat is conveniently positioned underneath the surgical table covers which is unobtrusive to the surgical staff, saving time and valuable OR space.
- Intuitive Graphical User Interface delivers fast and simple feedback while minimizing the level of stress and distraction to the OR staff.
STAFF SAFETY & CONFIDENCE
- Complies with latest AORN and JCAHO initiatives.
- Helps confirm sponge count accuracy that can be compromised by busy OR distraction and multitasking.
- Helps limit staff exposure to biologic hazardous material.
- Quickly validates “time-out” for closing counts in seconds.
- Improves staff wound closure confidence.
ACCURACY & RELIABILITY
- RF Detection Technology uses low frequency (145Khz) passive tags which are known to perform well in fluids and near metals. The technology is currently used in over 1,000 ORs every day.
- RF Detect tags do not require programming which eliminates the possibility of readability errors.
- Automatic Detection Mat reduces human errors with “hands free” scanning.
- Early detection improves the outcome of manual counting protocols.
- Detection mat and wand can be used to gain detection coverage, specially on high BMI and cardiac cases.
COST EFFECTIVE
- Increase intraoperative efficiency by improving time to resolve miscounts.
- Early detection can reduce the number of unnecessary x-rays, anesthesia time and overall OR time.
ECO FRIENDLY
ü Reusable Blair-Port wand and RF Assure Detection mat reduces waste in landfills.
Technology Reducing the Risk of Retained Surgical Instruments
The scenario is one of a patient’s worst nightmares: They go into the hospital for surgery and leave with a lot more than they bargained for–a foreign object left inside the surgical site. Left unnoticed, it could result in numerous medical complications, including infection, bowel perforation, abscess, undue pain, return to surgery and even death.
“It is estimated that 1,500 to 2,000 retained surgical item (RSI) incidents–where an object like a sponge or gauze is left inside a patient after a surgical procedure–occur each year in the United States. It is a dangerous, and often very costly, medical error,” explained Jeffrey Port, M.D., associate professor of cardiothoracic surgery and associate attending surgeon in the division of thoracic surgery at New York Presbyterian-Weill Cornell Medical Center in New York City.
Jeffrey Port, M.D., founder of RF Surgical Systems, reported that between 1,500 – 2,000 incidents of retained surgical items (RSIs) occur ever year in the United States.
“According to The Joint Commission, objects accidentally left inside a patient during surgery is among the top 10 sentinel events reported,” Port continued. “The number of RSIs nearly doubled in 2010 compared with 2008.”
With The Joint Commission’s continued focus on patient safety and the investigation of sentinel events, as well as payers’ denial of reimbursement for hospital-acquired conditions, prevention of RSIs has become even more critical. New technology has been developed to enhance clinicians’ ability to mitigate the risk of surgical instrument retention and protect patient safety.
“Combining standardized counting procedures with technology and improving communication are key processes for prevention of RSI,” explained Lisa Spruce, RN, DNP, director, evidence-based perioperative practice, with the Association of preoperative Nurses (AORN). “We have been using radiological verification for years to detect radiopaque soft goods and instruments. Today we have radiofrequency detection technology that can detect radiofrequency-tagged material that is used inside the patient. When a patient is scanned using this technology it will alert the surgical team that an item has remained inside the patient.”
One such technology is the RF Assure Detection System, developed by Bellevue, Washington-based RF Surgical Systems, Inc., which Port founded.
The RF Assure Detection System features an automatic detection mat for “hands-free” patient scanning that can speed up searches and verify a nurse’s count of surgical items.
“The RF Assure Detection System helps to eliminate the risk of an RSI by serving as an added verification and security for manual counting of surgical materials by OR staff,” Port explained. “The surgical count is an important process in the OR, but it’s one that can sometimes be compromised by distraction, multitasking, time limitations and human error–especially in bariatric, cardiac or trauma cases where risk for RSIs is higher.”
ü RF Surgical Detection Technology uses a low energy radio frequency signal capable of locating misplaced surgical items prior to wound closure through blood, dense tissue, bone and performs well near metals.
System Benefits
Benefits of the RF Surgical Detection System.
- Helps prevent retained surgical sponges prior to wound closure.
- Protects patient and OR staff during high risk open cases such as bariatric, cardiac and time pressurized trauma cases.
- Allows for the early detection of missing items lowering unnecessary X-rays and associated anesthesia time.
- Simplified reporting feature stores evidence of scanning and records a unique confirmation number linked to the patient M.R.
EASE OF USE
- RF Assure hands free scanning provides consistency and eliminates the potential for human errors.
- Detection mat is conveniently positioned underneath the surgical table covers which is unobtrusive to the surgical staff, saving time and valuable OR space.
- Intuitive Graphical User Interface delivers fast and simple feedback while minimizing the level of stress and distraction to the OR staff.
STAFF SAFETY & CONFIDENCE
- Complies with latest AORN and JCAHO initiatives.
- Helps confirm sponge count accuracy that can be compromised by busy OR distraction and multitasking.
- Helps limit staff exposure to biologic hazardous material.
- Quickly validates “time-out” for closing counts in seconds.
- Improves staff wound closure confidence.
ACCURACY & RELIABILITY
- RF Detection Technology uses low frequency (145Khz) passive tags which are known to perform well in fluids and near metals. The technology is currently used in over 1,000 ORs every day.
- RF Detect tags do not require programming which eliminates the possibility of readability errors.
- Automatic Detection Mat reduces human errors with “hands free” scanning.
- Early detection improves the outcome of manual counting protocols.
- Detection mat and wand can be used to gain detection coverage, specially on high BMI and cardiac cases.
COST EFFECTIVE
- Increase intraoperative efficiency by improving time to resolve miscounts.
- Early detection can reduce the number of unnecessary x-rays, anesthesia time and overall OR time.
ECO FRIENDLY
ü Reusable Blair-Port wand and RF Assure Detection mat reduces waste in landfills.