Retained Surgical Items: Lessons From Australian Case Law Of Items Unintentionally Left Behind In Patients After Surgery

JOURNAL OF LAW AND MEDICINE(2019)

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Abstract
The retention of items within a patient after surgery is considered to be a serious issue within the health care community. Termed a "sentinel event", a retained surgical item (RSI) is one of eight reportable adverse events deemed to have the potential to seriously undermine the health care system in the eyes of the public. Yet despite the gravity of these events, there has been little opportunity for the courts to examine the liability issues surrounding RSIs. This article reviews the limited case law in this area and analyses the key legal issues which arise in claims for redress, including civil, criminal and disciplinary liability, involving those who have suffered harm from RSIs.
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Key words
unintentional retained surgical item, unintentional retained foreign body, RSI, sentinel event, medical negligence, patient safety, perioperative practice, perioperative nursing
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