![]() ![]() Prospective multicentre trials to assess efficacy of new technologies aiding manual counting should be undertaken if this medical error is to be eliminated completely. Vigilance among operating theatre personnel is paramount if RSI is to be prevented. When it comes to a surgery there are a lot of instruments that are used and using the wrong one can lead to different results. Computer assisted counting of sponges using barcodes and gauze sponges tagged with a radiofrequency identification device aiding manual counting have been trialled recently, with success. ![]() The existing strategy for prevention is manual counting of sponges and instruments undertaken by surgical personnel. Risk factors include emergency operations, operations involving unexpected change in procedure, raised body mass index, and a failure to perform accurate sponge and instrument counts. Study Surgery Instruments using smart web & mobile flashcards created by top students, teachers, and professors. Clinical presentation is varied, leading to avoidable morbidity, and the error is indefensible medicolegally. Sponges are the most commonly retained item when compared with needles and instruments. The overall incidence of RSI is low although its incidence is substantially higher in operations performed on open cavities. Studies outlining the incidence, risk, management and attempts to prevent RSI following surgical intervention were retrieved. The aim of this review was to elucidate the extent of the problem of RSI and to identify preventative strategies.Ī comprehensive literature search was performed on MEDLINE(®), Embase™, the Science Citation Index and Google™ Scholar for articles published in English between January 2000 and June 2012. Retained sponges and instruments (RSI) due to surgery are a recognised medical 'never event' and have catastrophic implications for patients, healthcare professionals and medical care providers.
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