RF Assure® DETECTION TECHNOLOGY: CLINICALLY PROVEN SAFETY, ACCURACY AND COST EFFECTIVENESS
Study results support the RF Assure Detection System's accuracy, ease of use, efficiency and overall performance in real clinical environments.
The Hidden Costs of Reconciling Surgical Sponge Counts
The financial impact of miscount inefficiency
Steelman et al. AORN Journal, 2015.
Retained surgical sponges are serious adverse events that can result in negative patient outcomes. The primary method of prevention is the sponge count. Searching for sponges to reconcile counts can result in inefficient use of OR time. The purpose of this descriptive study was to estimate the cost of nonproductive OR time (ie, time spent not moving forward with the surgical procedure) spent reconciling surgical sponge counts and the cost of using radiography to rule out the presence of retained sponges. We included 13,322 patient surgeries during a nine-month period. Perioperative personnel required from one to 90 minutes of additional time to reconcile each of 212 incorrect/unresolved counts. The total annualized cost of OR time spent searching for sponges and ruling out the presence of potentially retained sponges using radiography was $219,056. These costs should be included in comprehensive cost analyses when considering alternatives to supplement the surgical count.READ THE FULL STUDY
Victoria M. Steelman, PhD, RN, CNOR, FAAN, Ann G. Schaapveld, BSN, RN, Yelena Perkhounkova, PhD, Hillary E. Storm, MSN, RN, CNOR, Michelle Mathias, BSN, RN. "The Hidden Costs of Reconciling Surgical Sponge Counts." n.d.: n. pag. AORN Journal. Web. 12 Nov 2015.
Preventing Retained Surgical Sponges: Clinical and Economic Considerations
A General Surgery News Special Report
Boyd, Lottenberg, General Surgery News 2015.
A retained surgical sponge (RSS) is a serious medical error associated with significant complications and high health care costs. However, this phenomenon is entirely preventable. This monograph discusses the clinical and economic impact of RSSs, as well as radiofrequency-based adjunct technology as a cost-effective means to aid in the detection of a RSS.READ THE FULL STUDY
Boyd, Carl, MD, and Larry Lottenberg, MD. "Preventing Retained Surgical Sponges: Clinical and Economic Considerations." n.d.: n. pag. General Surgery News. Web. 16 June 2015.
A review of the incidence, risk factors, morbidity, and implications of retained vaginal sponges, and the technology available to help prevent them.
AN UNWANTED POSTPARTUM GIFT: THE ISSUE OF RETAINED VAGINAL SPONGES AND GAUZES AFTER VAGINAL BIRTH
Chapa, Gynecol Obstet (Sunnyvale) 2014.
2014: Gossyphiboma refers to surgical items, including surgical gauzes and sponges, unintentionally left inside a patient during a surgical or other invasive procedure. The exact incidence is unknown as wide underreporting is suspected. Published evidence places the incidents between 1/7000 to 1/100 surgical procedures. It is been estimated thatthere are 1500 to 2000 retained surgical item cases a year in the United States. The incidence of retained surgical items is also linked to decreased patient satisfaction scores regarding the respective admission. The collection of patient satisfaction surveys for healthcare facilities in the US is not a new concept. Medicare began publishing patient satisfaction scores on its Hospital Compare website in 2008. Additionally, under the Center for Medicare and Medicaid services “value-based purchasing” proposal, Medicare introduced withholding of 1% of its payments to hospitals based on the facilities’ patient satisfaction scores. For this reason, along with the desire to pursue quality patient care, healthcare institutions are focusing on the prevention of retained surgical items. While much of the attention has historically been in the main operating theater, new focus has been placed on the prevention of retained items in the Labor and Delivery Suites.READ THE FULL CASE REPORT
Chapa H (2014) An Unwanted Postpartum Gift: The Issue of Retained Vaginal Sponges and Gauzes after Vaginal Birth. Gynecol Obstet (Sunnyvale) 4: 252. doi:10.4172/2161-0932.1000252.
Cost savings and cost avoidance outweigh implementation costs at a rate of greater than 3:1.
RETAINED SURGICAL SPONGES: FINDINGS FROM INCIDENT REPORTS AND A COST-BENEFIT ANALYSIS OF RADIO FREQUENCY TECHNOLOGY
Williams et al. JACS, 2014.
2014: This is the first published study to analyze the occurrence of RSIs, the methods of prevention and the costs involved. Incident reports entered into the UHC Safety Intelligence™ database on incorrect surgical counts and RSIs were analyzed. Reported cases of retained surgical sponges (RSSs) at organizations that use radio frequency (RF) technology and those that do not were compared. A cost-benefit analysis on adopting RF technology was also conducted. The results showed that five organizations that implemented RF technology between 2008 and 2012 collectively demonstrated a 93% reduction in the rate of reported RSSs. By comparison, there was a 77% reduction in the rate of retained sponges at 5 organizations that do not use RF technology. UHC's cost-benefit analysis showed that the savings in X-rays and time spent in the operating room and in the medical and legal costs that were avoided outweighed the expenses involved in using RF technology. Conclusions are that current standards for manual counting of sponges and the use of radiographs are not sufficient to prevent the occurrence of RSSs; study data supports the use of adjunct technology and it is recommend that hospitals evaluate and consider the use of an adjunct technology.PURCHASE THE FULL STUDY
Williams TL, Tung DK, Steelman VM, Chang PK, Szekendi MK, Retained Surgical Sponges: Findings from Incident Reports and a Cost-Benefit Analysis of Radiofrequency Technology, Journal of the American College of Surgeons (2014), doi: 10.1016/ j.jamcollsurg.2014.03.052.
No retained surgical sponges in 2,285 cases when RF Surgical Detection Technology was employed as an adjunct to manual sponge counting.
Effectiveness of Radio Frequency Surgical Detection as an Adjunct to Manual Tracking of Operative Sponges: A Prospective Trial of 2,285 Patients
Rupp et al. JACS, 2012.
2012: A study conducted by researchers from the University of North Carolina in Chapel Hill was published in the Journal of the American College of Surgeons. In the largest prospective study of its kind, 2,285 patients were enrolled and RF Surgical detection technology was deployed to assess the use of a radio frequency detection system (RFDS) into existing laparotomy sponge- and Raytec-counting protocols for the detection of RSIs. The study concluded that not only is a RFDS a positive addition to operating room protocol, but also helps identify risk factors for miscounts and at-risk surgical populations.VIEW COMPLETE ABSTRACTPURCHASE THE FULL STUDY
University of North Carolina at Chapel Hill School of Medicine: Christopher C. Rupp, MD; Mary J. Kagarise, RN, MSPH; Anthony A. Meyer, MD, PhD; Hong Jin Kim, MD.
University of North Carolina Hospitals; Stella M. Nelson, RN, MA; Susan Phillips, RN, MBA, CNOR; Janet Chadwick, RN, MBA; Tamara Petty, RN.
100% sensitivity and specificity far surpasses surgical counts and X-rays.
Sensitivity of detection of radio frequency surgical sponges: a prospective, cross-over study
Steelman et al. AMJSURG, 2011.
This study is the first published report to determine the sensitivity and specificity of RF technology for identification of retained surgical sponges in a broad range of subjects. The sensitivity and specificity of the RF sponge detection technology were found to be 100%. This level of accuracy far surpasses that of a surgical count and is greater than intraoperative radiography. Therefore, it is an appropriate option to consider when redesigning health care systems to prevent "never events" and enhance patient safety.PURCHASE THE FULL STUDY
Victoria M. Steelman, Ph.D., R.N., C.N.O.R., F.A.A.N. *A Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, VA Quality Scholar Fellowship; b Center for Research in the Implementation of Innovative Strategies in Practice, VA Medical Center, Iowa City, IA, US.
A solution to prevent "never events" and enhance patient safety.
Assessment of Radio Frequency Device Sensitivity for the Detection of Retained Surgical Sponges in Patients with Morbid Obesity
Steelman et al. ARCH SURG, 2010
2012 - A study conducted by researchers from the University of Iowa was published in the Archives of Surgery. They conducted a prospective, crossover, double-blinded study to evaluate the sensitivity and specificity of RF Surgical's detection technology (both the RF Mat and RF Wand) in patients with morbid obesity. In the most comprehensive study of its kind, patients with various body habitus up to 78.8 kg/m2 (BMI) were enrolled and scanned. Overall, the study concluded that the sensitivity and specificity of RF device technology (both the RF Mat and RF Wand) are much higher than those of surgical sponge counts or published findings on the use of intraoperative radiographs to identify retained surgical sponges. The researchers also cited that "…both the RF Mat and the RF Wand are appropriate options to consider when implementing changes to promote patient safety" in the operating room.PURCHASE THE FULL ARTICLE
Victoria M. Steelman, PhD; Mohammad H. Alasagheirin, MSN, RN, College of Nursing, The University of Iowa, Iowa City.