Laparoscopic Procedures That Emergently Convert to Open Procedures Place the Patient

question 17

Multiple Choice

Laparoscopic procedures that emergently convert to open procedures place the patient at risk for unintentional retained surgical items (RSIs) .What new and evolving risk reduction strategy could prevent RSIs and frustrating,time-consuming miscount adventures at the end of these procedures?

• A) Creating precounted laparotomy sets with only the few necessary instruments
• B) Performing radiologic surveillance on all conversion procedures at closure
• C) Counting all instruments including a laparotomy set before the laparoscopy
• D) Replacing or tagging sponges and laparotomy instruments with radiofrequency identification (RFID) chips

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Definitions:

Instrument

A formal legal document that evidences an agreement, right, or obligation.

Authorized Representative

An individual who has been formally empowered to act on behalf of another person or organization.

Negotiated

The process through which parties discuss and reach a mutual agreement on the terms of a deal or contract.

Organization

A group of people with a particular purpose, such as a business or government department, organized for collective action.