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call2actionpicSAFE ACCOUNT Campaign
Minnesota Hospital Association is conducting "SAFE ACCOUNT," a statewide campaign focusing on counting and accounting for surgical items used in the operating room in an effort to prevent them from being unintentionally left behind in patients.

Following are resources hospitals are sharing, along with more information about the campaign.
(See SAFE ACCOUNT Resource Tool Kit, bottom of this page.)

General

  • new-graphicCalendar of Event: [DOC]
  • Roadmap to Preventing Retainable Objects in the O.R.: [PDF]
  • Retained Foreign Object Overview Article: [PDF]

Project Tools

  • new-graphicAccounting for Packed Items: [DOC]

Conference presentations

MHA conference calls

Safe Account Campaign Kick-Off, Oct. 27, 2009

  • "Welcome and Overview of the SAFE ACCOUNT Initiative," Julie Apold, director of patient safety, Minnesota Hospital Association: [PPT]
  • "Learnings from Minnesota - Retained Objects," Diane Rydrych, assistant director, division of health policy, Minnesota Department of Health: [PPT]
  • "The ACCOUNT Bundle," Dana Langness, RN, BSN, MA, senior director, perioperative services, Regions Hospital, St. Paul: [PPT]
  • "Strategies for Implementing the ACCOUNT Bundle," Carol Hamlin, RN, MSN, director, departmental performance, University of Minnesota Medical Center, Fairview, Minneapolis; and Dana Langness, Regions Hospital: [PPT]
  • "Technology Adjuncts to Preventing Retained Foreign Objects," Steven Meisel, PharmD, patient safety officer, Fairview Health Services, Minneapolis: [PPT]
  • "Retained Surgical Sponges, Process Improvement for Patient Safety," Leon Josephs, M.D., chief of surgery, St. Vincents Hospital, Worchester, MA: [PPT]
  • "Sponge Accounting Systems," Larry Asplin, RN, MS, CNOR, clinical director surgery, St. Cloud Hospital: [PDF]
  • "RFO Prevention: The Mayo Story," James D. Clark, MSN, RN, nursing education specialist; Sarah R. Pool, RN, MS, resource nurse manager; and Cheryl A. Weisbrod, MSN, RN, nurse administrator, surgical services, Mayo Clinic, Rochester: [PPT]

Safe-Account-graphic

You may copy, translate, distribute and present the following SAFE ACCOUNT Tool Kit items as long as you reference the Minnesota Hospital Association as the source of this material. If the tool is hospital-specific, please also cite the hospital as a source.


 

ACCOUNT-graphic

  • Team Roles: [PPT]
  • Observational Audit Form - Example 1: [DOC]
  • Observational Audit Form - Example-2: [XLS]
  • RFO Plan Poster: [DOC]
  • Patient Education: [DOC]

ACCOUNT-graphic

Team Communication:

  • Developing OR Partnerships: [DOC]
  • Briefing Article: [DOC]
  • SBAR Report: [DOC]
  • White Board Example: [XLS]
  • White Board Example 2: [PDF]
  • Count Board Sample Policy: [PDF ]
  • Communication - "Over the Sink": [DOC ]
  • Communication Stop Sign: [PDF ]

Pre-Procedure:

  • Nomenclature: [PPT]
  • Surgical Suite Inspection: [DOC]
  • Kick Buckets: [PPT]

The Count:

  • Generic Count Policy: [DOC]
  • Count Principles; [DOC]
  • Sample Policy - Regions: [DOC]
  • Sample Policy - Mayo: [PDF]
  • Count Sheet Example: [PDF]
  • Counting Electronic Documentation: [DOC]

During the Procedure:

  • White Board with Tucked Items: [XLS]
  • Packing Audit Tool: [DOC]

End of Procedure:

  • Safety Alert - Packed Items: [PDF]
  • Miscount Report: [PDF]
  • Methodical Wound Exploration: [PDF]
  • Plastic Hanging Sponge Holders: [PDF]

Reconcile:

  • Generic Count Policy: [DOC]
  • Guidelines for Intra-operative Radiographs: [PDF]
  • X-ray for Retained Foreign Objects Policy: [PDF]

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