344 - Increasing Patient Safety in the Operating Room by Using Radio Frequency Technology
Description: In the operating room (OR), an ongoing issue of retained surgical items (RSIs) has been identified as a patient safety concern. The purpose of this direct practice improvement (DPI) project was to determine if a relationship exists between the implementation of a re-education of the OR staff in the use of radio frequency identification (RFID), communication and surgical counts and a change in staff utilization and compliance with RFID. The intervention included an overview of RFID practices and its positive impact on the reduction of RSIs, review of hospital policy, and demonstration of competency. Reason’s model and Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS) served as a theoretical framework for the project. Thirty audits (N=30), that reviewed RFID use in conjunction with the surgical count, were completed before and after the educational intervention to measure RFID compliance. Post education data analysis showed increased compliance in the use of RFID with demonstration of improved staff understanding of the process illustrating a relationship between the re-education and the practice, with an increase in compliance from 65% before education to 100% after education using the Pearson Correlation test (p<0.05). The results of this project support there was a positive correlation between the implementation of the re-education intervention and compliance with RFID. Despite the positive correlational findings of this project, further investigation and a longer time frame is recommended in order to further support using this practice at other facilities. Keywords: Retained surgical items, RSIs, surgical counts, RFID, radio frequency technology, patient safety.