{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T09:37:42Z","timestamp":1786527462858,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":223,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This retrospective study aimed to investigate the frequency and characteristics of unintended retained foreign object (URFO)\u2013related events in a single\u2010center neurosurgical operating room, focusing on surgical and intraoperative team\u2013related variables to provide insights into improving operative safety and nursing management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed 543 URFO\u2010related events from 444,252 neurosurgical procedures performed between 2008 and 2024, based on data from the institutional adverse event reporting system. Events were categorized by type, and clinical, procedural, and perioperative team characteristics were analyzed using multinomial logistic regression to identify patterns associated with different categories of URFO\u2010related events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      URFO\u2010related events were classified as cotton material (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009132, 24%), needle (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009156, 29%), device fragments (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009151, 28%), and device loss (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009104, 19%). Cotton pads (Type S) and dura suture needles (Type 4\u20100) were most frequently involved in their respective categories. Pattern analysis showed that URFO\u2010related events were more commonly observed in brain tumor surgeries, procedures lasting \u2265\u20096\u2009h, and in operations involving relatively less experienced surgical and nursing staff.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>URFO\u2010related events were rare but represent important perioperative safety incidents reflecting potential near\u2010miss failures in surgical item management. These events demonstrated distinct procedural and team\u2010related patterns, particularly in complex and prolonged neurosurgical procedures. The findings highlight key risk\u2010prone situations within the operative workflow and support the need for strengthened perioperative management and standardized preventive processes to enhance surgical safety and quality of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Establishing standardized adverse event monitoring systems and fostering structured safety awareness and procedural compliance may strengthen operating room safety management, enhance perioperative risk control, and improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/5532006","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T09:07:50Z","timestamp":1786525670000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative Nursing Management of Unintended Retained Foreign Object\u2013Related Events in Neurosurgery: Insights From a 16\u2010Year Study in China"],"prefix":"10.1155","volume":"2026","author":[{"given":"Chao","family":"Du","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuo","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenghua","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongling","family":"Jiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8685-8001","authenticated-orcid":false,"given":"Xiaonan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.12.047"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-018-0166-0"},{"key":"e_1_2_14_3_2","article-title":"Lost 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