Outpatient Surgery Magazine

Almost Left Behind - Subscribe to Outpatient Surgery Magazine - April 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A P R I L 2 0 1 8 Editor's Page Dan O'Connor T his issue fea- tures back-to- back articles on never events — retained objects and wrong-site surgery. It's refreshing that both are first-person accounts bravely told by a nurse and a sur- geon you'd certainly excuse if they passed on the chance to talk about how they messed up. But in swallowing their foolish pride and mustering the courage to show they're fallible, they rose above medicine's blame-and-shame culture that makes it nearly impossible to admit mistakes — not I made a mistake, but I am a mistake — let alone learn from them and prevent them happening again to another patient and provider. • In "Almost Left Behind" on p. 18, Jean Campbell, MSN, RN, the assistant manager and clinical educator of surgical services at Alton (Ill.) Memorial Hospital, takes us along on her investigation into how an OR team closed a patient with 2 sponges inside her. Though tech- nically a near miss because the patient was still in the OR when they realized the error, they had to put the patient back under and reopen to get the sponges out. • In "The Ink Must Go Where the Knife Will Cut" on p. 22, hand and arm surgeon David Ring, MD, PhD, tells for the umpteenth time how he performed the wrong hand surgery procedure. Dr. Ring says he felt We All Make Mistakes, But Few Talk About Them Two brave authors in this issue open up about their never events.

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