The Joint Commission issued a Sentinel Event Alert urging health centers to re-assess policy and practice to avoid mistakenly leaving items in a patient’s body after surgery.
Yes, it happens more often than you’d expect, even with the high level of proficiency and # of eyes on the patient, unintended retention of foreign objects (URFOs) or retained surgical items (RSIs), happens. The impact on patient safety is obviously massive with the possibility of physical and emotional issues.