Effectiveness of a Radiofrequency Detection System as an Adjunct to Manual Counting Protocols for Tracking Surgical Sponges: A Prospective Trial of 2,285.

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Effectiveness of a Radiofrequency Detection System as an Adjunct to Manual Counting Protocols for Tracking Surgical Sponges: A Prospective Trial of 2,285 Patients  Christopher C. Rupp, MD, FACS, Mary J. Kagarise, RN, MSPH, Stella M. Nelson, RN, MA, CNOR, Allison M. Deal, MS, Susan Phillips, RN, MBA, CNOR, Janet Chadwick, RN, MBA, CNOR, Tamara Petty, RN, CNOR, Anthony A. Meyer, MD, PhD, FACS, Hong Jin Kim, MD, FACS  Journal of the American College of Surgeons  Volume 215, Issue 4, Pages 524-533 (October 2012) DOI: 10.1016/j.jamcollsurg.2012.06.014 Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 1 Flowchart of institutional counting process with incorporation of radiofrequency detection system (RFDS). *Includes surgical drapes, off surgical field, and in trash receptacle. Journal of the American College of Surgeons 2012 215, 524-533DOI: (10.1016/j.jamcollsurg.2012.06.014) Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 2 Distribution of primary surgical site for operations using radiofrequency detection system. Journal of the American College of Surgeons 2012 215, 524-533DOI: (10.1016/j.jamcollsurg.2012.06.014) Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 3 Basic type of operation performed. Journal of the American College of Surgeons 2012 215, 524-533DOI: (10.1016/j.jamcollsurg.2012.06.014) Copyright © 2012 American College of Surgeons Terms and Conditions

Figure 4 Flowchart of true retained surgical items, near misses, and miscounts with subset characterization of miscounted sponges. EPDs, emergency protocol deviations. Journal of the American College of Surgeons 2012 215, 524-533DOI: (10.1016/j.jamcollsurg.2012.06.014) Copyright © 2012 American College of Surgeons Terms and Conditions