Evidence map›Paper›PMID 42583682›Full record

ArticleJournal of nursing management2026

Perioperative Nursing Management of Unintended Retained Foreign Object-Related Events in Neurosurgery: Insights From a 16-Year Study in China.

Chao Du, Shuo Zhang, Shenghua Lu, Dan Liu, Jing Li, Wei Wang, Hongling Jiao, Xiaonan Liu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Chao DuDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China, ccmu.edu.cn.
Shuo ZhangDepartment of Operating Room, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China, ccmu.edu.cn.
Shenghua LuDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China, ccmu.edu.cn.
Dan LiuDepartment of Operating Room, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China, ccmu.edu.cn.
Jing LiDepartment of Operating Room, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China, ccmu.edu.cn.
Wei WangDepartment of Operating Room, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China, ccmu.edu.cn.
Hongling JiaoDepartment of Operating Room, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China, ccmu.edu.cn.
Xiaonan LiuDepartment of Operating Room, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China, ccmu.edu.cn.ORCID https://orcid.org/0009-0005-8685-8001

Funding

Beijing Tiantan Hospital 2020-YQN-09
6 · The paper itself

Abstract

backgroundThis retrospective study aimed to investigate the frequency and characteristics of unintended retained foreign object (URFO)-related events in a single-center neurosurgical operating room, focusing on surgical and intraoperative team-related variables to provide insights into improving operative safety and nursing management.

methodsWe analyzed 543 URFO-related 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-related events.

resultsURFO-related events were classified as cotton material (n = 132, 24%), needle (n = 156, 29%), device fragments (n = 151, 28%), and device loss (n = 104, 19%). Cotton pads (Type S) and dura suture needles (Type 4-0) were most frequently involved in their respective categories. Pattern analysis showed that URFO-related events were more commonly observed in brain tumor surgeries, procedures lasting ≥ 6 h, and in operations involving relatively less experienced surgical and nursing staff.

conclusionURFO-related events were rare but represent important perioperative safety incidents reflecting potential near-miss failures in surgical item management. These events demonstrated distinct procedural and team-related patterns, particularly in complex and prolonged neurosurgical procedures. The findings highlight key risk-prone 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. IMPLICATIONS FOR NURSING MANAGEMENT: 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.

Indexed as

Foreign BodiesNeurosurgeryNeurosurgical ProceduresPerioperative NursingAdultAgedChinaFemaleHumansLogistic ModelsMaleMiddle AgedRetrospective Studiesadverse eventsneurosurgerynurse managementperioperative teamretained foreign objectsurgical safety

Identifiers

PMID42583682
PMCPMC13463234

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.