{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:20:50Z","timestamp":1787757650637,"version":"build-2784847793"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                      <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/aorn70140-toc-0001-m.png\">\n                        <jats:alt-text>image<\/jats:alt-text>\n                      <\/jats:graphic>\n                    <\/jats:boxed-text>\n                  <\/jats:p>\n                  <jats:p>A retained surgical item (RSI) remains a serious patient safety risk in perioperative nursing, with surgical sponges representing the most common RSI. After an RSI event involving a sponge occurred at a large academic medical center, a root cause analysis identified the stacking of sponge bags as a contributing factor. The nurse innovator was tasked with finding a solution. A telescopic sponge\u2010counting system (SCS) prototype, featuring expandable arms, allowed visualization of 120 sponges without stacking bags. A three\u2010phase evaluation was conducted: a staff assessment of the standard SCS currently in use and testing of the initial SCS prototype in a simulated environment; beta testing the prototype in clinical practice; and chart audits comparing outcomes between the standard SCS and the prototype. The SCS prototype demonstrated improved visibility, functionality, safety, and staff satisfaction during practice. This SCS has the potential to reduce sponge\u2010related RSIs by eliminating the stacking of sponge bags.<\/jats:p>","DOI":"10.1002\/aorn.70140","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:20Z","timestamp":1787755580000},"page":"181-189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preventing Retained Surgical Items Through the Development of a Safer Telescopic Sponge\u2010Counting System"],"prefix":"10.1002","volume":"124","author":[{"given":"Lorie","family":"Hassel\u2010Chuang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mindy","family":"Stites","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa E.","family":"Guthrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Patient Safety Primer: Never events.Agency for Healthcare Research and Quality. 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