Retenção inadvertida de itens cirúrgicos: entre protocolos e vulnerabilidades sistêmicas
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https://doi.org/10.5327/Z1414-44251128Abstract
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References
1. Cohen AJ, Lui H, Zheng M, Cheema B, Patino G, Kohn MA, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. https://doi.org/10.1001/jamanetworkopen.2021.7058 DOI: https://doi.org/10.1001/jamanetworkopen.2021.7058
2. The Joint Commission. Sentinel event data 2024 annual review [Internet]. Oakbrook Terrace: The Joint Commission; 2025 [acessado em 08 maio 2026]. Disponível em: https://digitalassets.jointcommission.org/api/public/content/eac7511986c0442a9c1ae04b1aa02cc0?v=ad34daa0
3. Birolini DV, Rasslan S, Utiyama EM. Retenção inadvertida de corpos estranhos após intervenções cirúrgicas. Análise de 4547 casos. Rev Col Bras Cir. 2016;43(1):12-7. https://doi.org/10.1590/0100-69912016001004 DOI: https://doi.org/10.1590/0100-69912016001004
4. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491-9. https://doi.org/10.1056/NEJMsa0810119 DOI: https://doi.org/10.1056/NEJMsa0810119
5. Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. https://doi.org/10.1002/aorn.14190 DOI: https://doi.org/10.1002/aorn.14190
6. Preventing an unintentionally retained surgical item. AORN J. 2024;120(1):40-1. https://doi.org/10.1002/aorn.14166 DOI: https://doi.org/10.1002/aorn.14166
7. Hollnagel E, Wears RL, Braithwaite J. From safety-I to safety-II: a white paper [Internet]. Odense: University of Southern Denmark; 2015 [acessado em 08 maio 2026]. Disponível em: https://www.england.nhs.uk/signuptosafety/wp-content/uploads/sites/16/2015/10/safety-1-safety-2-whte-papr.pdf
8. Treviso P, Siqueira MS, Souza AZC, Peralta T, Pereira MCO, Moriya GAA. Retenção de objetos intracavitários em procedimentos cirúrgicos: ações de segurança propostas por enfermeiros especialistas. Rev SOBECC. 2022;27:E2227777. https://doi.org/10.5327/Z1414-4425202227777 DOI: https://doi.org/10.5327/Z1414-4425202227777
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