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Evaluation

Are you evaluating an error in the surgical count during an operation?

Was the count error due to?

• one or more misplaced items?

• an error in documentation?

• an error in documentation?

Was there a change in personnel during surgery?

Was the operation an emergency or did it have a major problem?

Was there an unrecorded removal of items (fall to floor, removal of a surgical tray, etc)?

Were operating room personnel fatigued?

Time spent in resolving the error

minutes

Cost of OR time

dollars per hour

Cost of imaging studies performed

dollars

Results

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