Errors typically happen in conditions with uncertainty and distractions
Procedure complicated and prolonged
Out of hours
Change of teams
The process relies on counting them before and after the procedure
Counting is subject to
confirmation bias and human error
When a surgical item was accidentally left in,
88% of the times the counts were thought to be correct (falsely, of course)*
* Research by WHO check pioneer Dr Atul Gawande
Video coming soon
Shows how the first working prototype works.
Changes and iterations in progress...
powered by Usability studies and Human factors expertise
James Dyson did it 5127 times
We reckon we will need about 10 before we have the final thing......
Why do surgical swabs still get left in unintentionally ?
If one uses loose swabs, one is likely to lose swabs
Ensure Correct Counts
Engineered Design Solution