Download PDF Free of Charge
Learn more about reducing the incidence of Retained Foreign Objects (RFOs).
Newsletter
Harvard Surgical Chiefs Endorse Automated Detection Technology for Retained Foreign Objects
Jul 31, 2013
Patient Safety Alert 12: Harvard Surgical Chiefs Endorse Automated Detection Technology for Retained Foreign Objects (PDF)
The AMC PSO has performed an in-depth analysis of patient safety events in the surgical setting and has identified emerging technologies and new strategies to complement existing patient safety protocols.
Alert
Subject matter experts discussed emerging technologies and new strategies that are now available to complement existing patient safety protocols aimed at reducing the incidence of Retained Foreign Objects (RFOs).
- These include: monitoring surgical items with bar coding or radiofrequency
PDF
AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
Learn with us
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
No Surgical Items Left Behind
Newsletter
While the occurrence is rare, Massachusetts reported rising rates of retained surgical items over the past several years.
Patient & Visitor De-escalation
Newsletter
Patient Safety Alert Issue 25: The AMC PSO convened a panel of safety leaders to review recent trends and discuss novel interventions to mitigate the risk for hospital workplace violence, especially from patients and visitors.
Medication Administration in the Ambulatory Setting
Newsletter
Patient Safety Alert Issue 26: The AMC PSO convened a panel of nursing leaders to review risks in the medication delivery processes in the ambulatory setting and discuss potential interventions aimed at mitigating the risks associated with medication administration.
Electronic Health Record Risks in the Emergency Department
Newsletter
Patient Safety Alert Issue 27: The AMC PSO convened a panel of Emergency Medicine thought leaders to identify significant areas of concern and to explore potential mitigation strategies for use of electronic health record risks in the Emergency Department
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice
News
Neonatal encephalopathy continues to be a significant risk for death and disability. To address this risk, regional guidelines were developed with the support of CRICO. A neonatal encephalopathy registry was also established. The aim of this study was to identify areas of variation in practice that could benefit from quality improvement projects.
Characterizing Malpractice Cases Involving Emergency Department Advanced Practice Providers, Physicians in Training, and Attending Physicians
News
Beth Israel Deaconess Medical Center’s emergency department experts collaborated with CRICO patient safety experts to co-author this study that was published in the Academic Emergency Medicine journal.
Surgeon’s Coaching Techniques in the Surgical Coaching for Operative Performance Enhancement (SCOPE) Program
News
CRICO Grants
CRICO-funded Surgical Coaching for Operative Performance Enhancement (SCOPE) was used to teach surgeons effective coaching techniques to guide peers.
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap
News
CRICO Grants
Many patient safety initiatives fail to be adopted and implemented, even when proven effective. This creates the well-recognized know-do gap—which occurs when health care workers know what should be done based on evidence vs. what takes place in practice. To address this issue, CRICO funded the development of a patient safety adoption framework and had it evaluated by leaders in quality and safety. The framework and its findings were published online in the Journal of Patient Safety in April 2023.