United States Health Information Knowledgebase


Unintentional retained object

Data Element ID: DE495
Name: Unintentional retained object
Version: Hospital Version 1.1, Hospital Version 1.2
Data Element ISO Name: Adverse outcome_Surgery-Retained object_Unintentional,CD
Definition: Determination if the surgical adverse outcome was an unintentionally retained object.
Question: Was the surgical event a retained object?
Multiple Choice: No
Form Name: Surgery or Anesthesia
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Comments: None defined at this time
Description of Change: Changed the Data Element Question from "Was the surgical event an unintentionally retained object?" to "Was the surgical event a retained object?"
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: Answer this question only if the event is best described as a surgical event.
An incident occurs if the wound is closed (or the procedure is completed by the operating team) and a retained object is discovered thereafter, e.g., by x-ray, re-operation, development of symptoms, etc.
A near miss occurs when counts for an object type do not reconcile but no retained object of that type is discovered within the patient.
Format: N/A
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 3
Answer Code Answer ID Answer Value Code System Code System Name
A15 a Yes 2.16.840.1.113883. AHRQ Common Formats
A18 b No 2.16.840.1.113883. AHRQ Common Formats
Effective Date: 03/31/2010
Until Date: - -
Update Date: 04/03/2012
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: Data Element Question clarification
Administrative Status: Final
Administrative Status Date: 04/03/2012
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