2.50
Hdl Handle:
http://hdl.handle.net/10755/162010
Category:
Abstract
Type:
Presentation
Title:
Using a Count Checklist to Learn About Near Misses
Author(s):
Canacari, Elena; Afonso, Kevin; Cody, Jane; DiTullio, Barbara; Guglielmi, Charlotte L.; Heck Tassone, Deborah
Author Details:
Elena G. Canacari, RN, CNOR, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA, email: ecanacar@bidmc.harvard.edu; Kevin Afonso, BSBA; Jane Cody, BS; Barbara DiTullio, BSN, MA, RN; Charlotte L. Guglielmi, BSN, MA, RN, CNOR; Deborah Heck Tassone, MS, RN, CNOR
Abstract:
Poster presented at AORN's 58th Annual Congress: Incorrect counts, with the potential for retained surgical items, were identified primarily via the hospital-wide Patient Safety Reporting System which made analysis and determination of how big the issue was difficult to ascertain. In 2008, at the recommendation of the perioperative multidisciplinary Patient Safety Culture Task Force, a counts reconciliation checklist was implemented as a pilot in the 38 operating rooms at BIDMC. The purpose of the checklist was to standardize the reconciliation process for count discrepancies. Although the intent of the checklist was honorable, the paper process made analyzing and quantifying the data an arduous task. In March 2010, the counts documentation was incorporated into the electronic intraoperative record. As an incorrect count is detected and documented, the Count Reconciliation Checklist is automatically generated. A visual alert cues resource staff that assistance is needed to reconcile the count. As a result, count discrepancies are easily identified, quantified, and studied. Incorrect counts are reported by type, potential cause, near misses, and resolution. The entire team has accepted accountability for the process used to locate a missing item as circulator, surgeon, and scrub all record steps taken to facilitate count resolution and all team members e-sign the Count Reconciliation Checklist. Data has helped to revise the process and documentation of the process; based on issues identified, it is helping leadership determine next steps and whether to purchase adjunct technologies to supplement manual count processes. Faculty Disclosure: Charlotte Gugliemi, AORN President 2010-2011
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing a Count Checklist to Learn About Near Missesen_GB
dc.contributor.authorCanacari, Elenaen_US
dc.contributor.authorAfonso, Kevinen_US
dc.contributor.authorCody, Janeen_US
dc.contributor.authorDiTullio, Barbaraen_US
dc.contributor.authorGuglielmi, Charlotte L.en_US
dc.contributor.authorHeck Tassone, Deborahen_US
dc.author.detailsElena G. Canacari, RN, CNOR, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA, email: ecanacar@bidmc.harvard.edu; Kevin Afonso, BSBA; Jane Cody, BS; Barbara DiTullio, BSN, MA, RN; Charlotte L. Guglielmi, BSN, MA, RN, CNOR; Deborah Heck Tassone, MS, RN, CNORen_US
dc.identifier.urihttp://hdl.handle.net/10755/162010-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Incorrect counts, with the potential for retained surgical items, were identified primarily via the hospital-wide Patient Safety Reporting System which made analysis and determination of how big the issue was difficult to ascertain. In 2008, at the recommendation of the perioperative multidisciplinary Patient Safety Culture Task Force, a counts reconciliation checklist was implemented as a pilot in the 38 operating rooms at BIDMC. The purpose of the checklist was to standardize the reconciliation process for count discrepancies. Although the intent of the checklist was honorable, the paper process made analyzing and quantifying the data an arduous task. In March 2010, the counts documentation was incorporated into the electronic intraoperative record. As an incorrect count is detected and documented, the Count Reconciliation Checklist is automatically generated. A visual alert cues resource staff that assistance is needed to reconcile the count. As a result, count discrepancies are easily identified, quantified, and studied. Incorrect counts are reported by type, potential cause, near misses, and resolution. The entire team has accepted accountability for the process used to locate a missing item as circulator, surgeon, and scrub all record steps taken to facilitate count resolution and all team members e-sign the Count Reconciliation Checklist. Data has helped to revise the process and documentation of the process; based on issues identified, it is helping leadership determine next steps and whether to purchase adjunct technologies to supplement manual count processes. Faculty Disclosure: Charlotte Gugliemi, AORN President 2010-2011en_GB
dc.date.available2011-10-27T08:44:14Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:44:14Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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