Errors typically happen in conditions with uncertainty and distractions
  • Increased bleeding
  • Procedure complicated and prolonged
  • Out of hours
  • Change of teams
Close up of medical surgical equipment o
Right hand wearing latex surgical glove
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
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James Dyson did it 5127 times
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We reckon we will need about 10 before we have the final thing......

 

Why do surgical swabs still get left in unintentionally ?
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Image by Kelly Sikkema
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Young surgeon Indian woman in blue unifo
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Smiling medical personel
If one uses loose swabs, one is likely to lose swabs

Ensure   Correct   Counts

Auditory  'click'
Visual

Engineered Design Solution

Feedback

Tactile
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Clips

Handwriting text writing Lost And Found.
Device shows green when  swabs plugged in 
We can't reveal a lot at present....
A simple cost-effective design solution is on its way 
When clinical studies start, we will tell you ...
So, Watch the space! 
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Make the right way -  the easiest way
Makes the process structured
Adds that discipline to make it work

Systems approach

Safety II