TY - JOUR
T1 - Surgical count process for prevention of retained surgical items
T2 - An integrative review
AU - Freitas, Patrícia Scotini
AU - Silveira, Renata Cristina de Campos Pereira
AU - Clark, Alexander Michael
AU - Galvão, Cristina Maria
N1 - Publisher Copyright:
© 2016 John Wiley & Sons Ltd.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Aims and objectives: To analyse the evidence reported in the literature concerning the surgical count process for surgical sponges, surgical instruments and sharps and to identify knowledge gaps for future research on the surgical count process. Background: The surgical count process stands out among the practices advocated by the World Health Organization to ensure surgical safety. The literature indicates that this practice should be performed in all surgical processes. However, surgical items are still retained. Design: Integrative review. Methods: The literature search was conducted in the PubMed, CINAHL and LILACS databases and included studies on the surgical count process published in English, Spanish and Portuguese from January 2003-December 2013. Results: A total of 28 primary studies were included in the sample, allowing the knowledge on the surgical count process to be summarised and grouped into three categories: risk factors for retained surgical items, how the surgical count process should be performed in the intraoperative period and the accompanying technologies that collaborate to improving the manual count process. Conclusions: The correct implementation of the surgical count process by the perioperative nurse may contribute to preventing retained surgical items, thereby improving surgical patient safety. Relevance to clinical practice: Nurses can use this review to assist in decision-making directed towards preparing, updating and implementing a reliable system for the surgical count process based on recent evidence because the perioperative nurse plays a key role in the implementation of this practice in health services.
AB - Aims and objectives: To analyse the evidence reported in the literature concerning the surgical count process for surgical sponges, surgical instruments and sharps and to identify knowledge gaps for future research on the surgical count process. Background: The surgical count process stands out among the practices advocated by the World Health Organization to ensure surgical safety. The literature indicates that this practice should be performed in all surgical processes. However, surgical items are still retained. Design: Integrative review. Methods: The literature search was conducted in the PubMed, CINAHL and LILACS databases and included studies on the surgical count process published in English, Spanish and Portuguese from January 2003-December 2013. Results: A total of 28 primary studies were included in the sample, allowing the knowledge on the surgical count process to be summarised and grouped into three categories: risk factors for retained surgical items, how the surgical count process should be performed in the intraoperative period and the accompanying technologies that collaborate to improving the manual count process. Conclusions: The correct implementation of the surgical count process by the perioperative nurse may contribute to preventing retained surgical items, thereby improving surgical patient safety. Relevance to clinical practice: Nurses can use this review to assist in decision-making directed towards preparing, updating and implementing a reliable system for the surgical count process based on recent evidence because the perioperative nurse plays a key role in the implementation of this practice in health services.
KW - Brazil
KW - Evidence-based practice
KW - Integrative review
KW - Patient safety
KW - Perioperative nursing
KW - Retained surgical items
KW - Sharps
KW - Surgical count process
KW - Surgical instruments
KW - Surgical sponges
UR - http://www.scopus.com/inward/record.url?scp=84971370423&partnerID=8YFLogxK
U2 - 10.1111/jocn.13216
DO - 10.1111/jocn.13216
M3 - Review article
C2 - 27104785
AN - SCOPUS:84971370423
SN - 0962-1067
VL - 25
SP - 1835
EP - 1847
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 13-14
ER -