Retained Surgical Item or Unretrieved Device Fragment Using Linked Data

Identifying Attributes

Care Settings
Hospital Care
Country
Organisation for Economic Co-operation and Development
Publishing Organisation
Organisation for Economic Co-operation and Development (OECD): Healthcare Quality and Outcomes (HCQO) indicators
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Complications and Adverse Events

Defining Attributes

Definition

The number of discharges (complications during the surgical admission, readmissions into the same hospital, readmissions into different hospitals) in which a surgical item or device fragment was retained during the procedure.

Numerator

Discharges (NUM1 + NUM2 + NUM3) among cases defined in the denominator with ICD code for foreign body left in during procedure in a secondary diagnosis field during the surgical admission (see ICD codes). • NUM1: complications during the surgical admissions • NUM2: readmissions into the same hospital • NUM3: readmissions into different hospitals

Denominator

All patients aged 15 and older with any surgical and medical discharges (including PDX and short LOS).

Exclusions

From NUM1 only: • PDX - with ICD- code for foreign body left in during procedure in a) the principal diagnosis field or b) secondary diagnosis present on admission (if known). • LOS - with a length of stay less than 24 hours where patient is discharged alive (in those countries where a timestamp of admission or discharge is not available, cases with a length of stay of 0 days shall be excluded). From NUM2 and NUM3: • Admission occurs more than 30 days after a previous one (matched record is not readmission)

Use of Risk Adjustment
Yes
Risk Adjustments

Standardised (or adjusted) by age and sex.

Stratifications

By sex, age group (5-years) and country.

Collection and Reporting Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

Data requested from OECD countries

Frequency of Data Collection
Biennial
Frequency of Data Collection in Days
730
Reporting Methods

OECD Data Explorer Website and Health at a glance publications

Reporting Frequency
Biennial
Reporting Frequency in Days
730
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025