Interventions for the Prevention of Retained Surgical Items: A Systematic Review

Background: Retained surgical items (RSI) are preventable error events. Interest in reducing RSI is increasing globally because of increasing demand for safe surgery. While research of interventions to prevent RSI have been reported, no rigorous analysis of the type and effectiveness of intervention...

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Main Authors: Rattima Sirihorachai, Kate M. Saylor, Milisa Manojlovich
Other Authors: University of Michigan School of Nursing
Format: Review
Published: 2022
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/74873
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spelling th-mahidol.748732022-08-04T11:32:23Z Interventions for the Prevention of Retained Surgical Items: A Systematic Review Rattima Sirihorachai Kate M. Saylor Milisa Manojlovich University of Michigan School of Nursing University of Michigan, Ann Arbor Mahidol University Medicine Background: Retained surgical items (RSI) are preventable error events. Interest in reducing RSI is increasing globally because of increasing demand for safe surgery. While research of interventions to prevent RSI have been reported, no rigorous analysis of the type and effectiveness of interventions exists. This systematic review examines (1) what types of intervention have been implemented to prevent RSI; and (2) what is the effectiveness of those interventions. Methods: We performed a systematic review of PubMed, Embase, CINAHL, Cochrane Library, Scopus, ClinicalTrials.gov, Mednar, and OpenGrey databases. Two reviewers independently screened a total of 1,792 titles and abstracts, and reviewed 87 full-text articles, resulting in 17 articles in the final analysis. Study characteristics included qualitative and quantitative studies that examined the effectiveness of RSI prevention interventions for adult patients who undergo open surgery. The primary outcome was RSI and related error events. Results: Four studies and 13 quality improvement projects described RSI interventions categorized into four groups: (1) technology-based, (2) communication-based, (3) practice- or guideline-based, (4) interventions that fell into more than one category. Following guidance in the Quality Improvement minimum quality criteria set, the quality of all studies ranged from poor to fair. Heterogeneity in the interventions used and variable study quality limit our confidence in the interventions’ ability to reduce RSI. Conclusion: Since technology-based interventions may not be financially feasible in low and middle-income countries (LMIC), in those settings interventions that target the social system may be more appropriate. Rigorous methods to investigate local contexts and build knowledge are needed so that interventions to prevent RSI have a greater likelihood of success. 2022-08-04T04:32:23Z 2022-08-04T04:32:23Z 2022-02-01 Review World Journal of Surgery. Vol.46, No.2 (2022), 370-381 10.1007/s00268-021-06370-3 14322323 03642313 2-s2.0-85119012960 https://repository.li.mahidol.ac.th/handle/123456789/74873 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85119012960&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Medicine
spellingShingle Medicine
Rattima Sirihorachai
Kate M. Saylor
Milisa Manojlovich
Interventions for the Prevention of Retained Surgical Items: A Systematic Review
description Background: Retained surgical items (RSI) are preventable error events. Interest in reducing RSI is increasing globally because of increasing demand for safe surgery. While research of interventions to prevent RSI have been reported, no rigorous analysis of the type and effectiveness of interventions exists. This systematic review examines (1) what types of intervention have been implemented to prevent RSI; and (2) what is the effectiveness of those interventions. Methods: We performed a systematic review of PubMed, Embase, CINAHL, Cochrane Library, Scopus, ClinicalTrials.gov, Mednar, and OpenGrey databases. Two reviewers independently screened a total of 1,792 titles and abstracts, and reviewed 87 full-text articles, resulting in 17 articles in the final analysis. Study characteristics included qualitative and quantitative studies that examined the effectiveness of RSI prevention interventions for adult patients who undergo open surgery. The primary outcome was RSI and related error events. Results: Four studies and 13 quality improvement projects described RSI interventions categorized into four groups: (1) technology-based, (2) communication-based, (3) practice- or guideline-based, (4) interventions that fell into more than one category. Following guidance in the Quality Improvement minimum quality criteria set, the quality of all studies ranged from poor to fair. Heterogeneity in the interventions used and variable study quality limit our confidence in the interventions’ ability to reduce RSI. Conclusion: Since technology-based interventions may not be financially feasible in low and middle-income countries (LMIC), in those settings interventions that target the social system may be more appropriate. Rigorous methods to investigate local contexts and build knowledge are needed so that interventions to prevent RSI have a greater likelihood of success.
author2 University of Michigan School of Nursing
author_facet University of Michigan School of Nursing
Rattima Sirihorachai
Kate M. Saylor
Milisa Manojlovich
format Review
author Rattima Sirihorachai
Kate M. Saylor
Milisa Manojlovich
author_sort Rattima Sirihorachai
title Interventions for the Prevention of Retained Surgical Items: A Systematic Review
title_short Interventions for the Prevention of Retained Surgical Items: A Systematic Review
title_full Interventions for the Prevention of Retained Surgical Items: A Systematic Review
title_fullStr Interventions for the Prevention of Retained Surgical Items: A Systematic Review
title_full_unstemmed Interventions for the Prevention of Retained Surgical Items: A Systematic Review
title_sort interventions for the prevention of retained surgical items: a systematic review
publishDate 2022
url https://repository.li.mahidol.ac.th/handle/123456789/74873
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