These strategies are aligned with AORN’s current recommended practices for the prevention of retained surgical items:
1. Alter traditional vocabulary. AORN recommends changing vocabulary, such as “counts” and “sweep,” with “accounting” and “methodical wound exam.” These terms place a greater emphasis on comprehensive prevention of retained surgical items.
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2. Acknowledge every role within the surgical team. There should be mutual respect and trust among surgical team members. A cohesive team effort will further ensure retained surgical items never occur.
3. Establish concrete policies. Policies should be concrete, straight-forward and clear. There can be no room for error.
4. Utilize opportunities for improvement. Surgical leaders should document near-misses or retained surgical items, conduct an investigation and implement corrective action steps.
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