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Risk factors for incorrect surgical count during surgery: An observational study
Author(s) -
Fang Juanmei,
Yuan Xi,
Fan Li,
Du Meilan,
Sui Wenjie,
Ma Wenxia,
Wang Haiying,
Pan Aifen
Publication year - 2021
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12942
Subject(s) - medicine , observational study , surgical procedures , incidence (geometry) , surgery , surgical emergency , surgical team , statistical analysis , general surgery , statistics , physics , mathematics , optics
Background Incorrect surgical counts are closely related to retained surgical items, which pose a threat to patients. However, the risk factors for incorrect surgical counts have not been identified yet. Aim To identify the risk factors associated with incorrect surgical counts during surgery in a tertiary hospital. Design An observational case–control study. Methods Seventy cases of incorrect surgical counts were reviewed in this study. Data were collected from January 1, 2014, to April 4, 2019. For each case, we included four randomly selected control cases involving the same surgical procedures by the same surgeon within a 6‐month period for comparison. The medical data of these cases were extracted for further statistical analysis. Results A higher incidence of incorrect surgical counts was observed among surgical counts performed between 8:00 a.m. to 12:00 a.m., emergency operations, prolonged procedures, and/or after addition of surgical items. Conclusion Prolonged surgical procedures, emergency operations, time of occurrence, and addition of surgical items were the risk factors related to incorrect surgical counts during surgery.