Tuesday, September 6, 2011

Excela Health Selects RF Surgical to Reduce Retained Surgical Errors

RF Assure Detection System Helps Hospitals Improve Patient Safety

By Bob Stiles
Pittsburgh Tribune Review

By waving an instrument that resembles a big soap bubble wand, Excela Health medical staff can tell if a sponge has been mistakenly left inside a patient during surgery. They began using the RF Assure Detection System in its three hospitals in Westmoreland County and the Norwin Medical Commons.

The surgical team either passes the wand over the patient or places a mat under the patient to locate a forgotten sponge. The instruments activate microchips -- the size of a pea -- that have been inserted into the sponges. A beep or sustained tone sounds if the devices detect a sponge. "We're the first health system in the area to use it," said Jesse Hixson, Excela perioperative nurse manager. The process takes about six seconds, and the sponges add a $15 cost to a surgery, Hixson said.


A left-behind sponge, which looks like gauze, can cause discomfort, infection or even death.
"We're trying to do things for patient safety," said Dr. Marc Costa, chairman of Excela's department of surgery. "We want to make sure leaving behind a sponge doesn't happen."
Sponges are used in surgery when a cavity is opened, such as a chest or abdomen. Typically, surgeons will use about 15 sponges; the number jumps to 100 during an open-heart operation, Hixson said.

A sponge is left behind once in every 1,500 cases, according to RF Surgical Systems Inc., the Bellevue, Wash., company that makes the detection system. Some studies put the number at one in 5,000 cases.Before an operation, a circulatory nurse and a scrub technician count sponges and medical instruments, and the count is repeated when the surgery is finished, Costa said.

According to RF Surgical, its system is used in hospitals in Cincinnati, Los Angeles and Philadelphia, among others. There is no cost for the devices but hospitals must purchase the special sponges from the company. The detection instruments are used at different times during the operation, and records of the checks are kept on file."(The detection system) is used to supplement our count, not replace the counting process," Hixson said. "There's no excuse for (sponge errors) to happen."

"And we don't want it to happen," said Marci Cook, Excela vice president of perioperative service.

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