RFO Prevention: The Mayo Story

Leadership Support Staff Buy-in Count Policy Staff Training Manual Count White Board Machine Counter Data Matrix Tagged Items

How Did We Get Here? White Boards Red Rules – Stop Sign Specific Steps in the Count Policy “Conscientious Count Campaign” Human Factors Expert Observations Financial Effects Analysis Speak-Up (tucked items)

Technology RFID Data-Matrix Coded Products 2 Year investigation and implementation process

Changes We Made Screen shots Tags

Training Trained Super-Users On-site Support from the company (1 per specialty with a pager)

Financial Implications Cost per Case: Unit Price Impact Baby Laps$2.30 more Laps$2.67 more Raytec$ 4.31 more Consumable Annual Impact Surgical volume for 2008 was 52,000+ Total Increased Costs to HSS = $729,00+ ~$14/surgical patient

The Sponges Unique label Data matrix code ID number Virtually impossible to remove label If cannot scan, can manually enter into the counter

Sponge Counter and Software Color touch-screen 10 hour battery life Modifiable user settings Audio & visual cues Hand-held or hands-free modes

Count In

Count Out

Patie n t S a f et y