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Improving communication at handover and transfer reduces retained swabs in maternity services
European Journal of Obstetrics, Gynecology, and Reproductive Biology
Objective: To reduce the incidence of retained vaginal swabs and near misses. Study design: A review of previous retained swab incidents and near misses in a large maternity unit identified handovers and transfers as a key point of vulnerability. Interventions were introduced to improve communication at handover from the delivery suite to theatre and from theatre to the high dependency unit. Process data was collected to monitor compliance. The outcome measures were the incidence of retaineddoi:10.1016/j.ejogrb.2017.11.006 pmid:29172067 fatcat:fefpb2ryqjecjb4gtq46zasw6y