Errors typically happen in conditions with uncertainty and distractions
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Increased bleeding
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Procedure complicated and prolonged
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Out of hours
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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 ?
Concept Ideas Used:
-Ensure Correct Counts
-Make the right way - the easiest way
-Systems Approach
-Engineered Design Solution
-Device Shows Green when swabs plugged in
-Clips
-Auditory 'click'
-Visuals
-Tactile
-positive Feedback
-Safety II
-Process structured and disciplined for effectiveness
-Use of Loose swabs, likelihood to lose swabs
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 this space!
