Which of the following strategies is recommended to reduce the occurrence of retained surgical items?

Avoiding distractions during the counting process is crucial in reducing the occurrence of retained surgical items. This strategy emphasizes the importance of maintaining full attention and focus during the counting of surgical instruments, sponges, and other items. Distractions can lead to errors in counting, which may increase the risk of leaving behind a surgical item inside the patient.

The counting process is typically performed at various stages during a surgical procedure, including before the incision, during the surgery, and at closure. By minimizing distractions, all team members can participate effectively and ensure that counts are accurate. This collective focus helps to reinforce the accountability of each team member involved in the process, enhancing the overall safety of the surgical procedure.

Using verbal cues for counting can complement this strategy but does not replace the need for an undistracted environment. Reducing the number of team members present is generally not a recommended strategy, as it could limit communication and shared responsibility for counts. Counting items only after surgery is counterproductive, as it would not allow for timely resolutions if discrepancies are found. Therefore, maintaining a distraction-free environment during the counting process is the most effective approach for preventing retained surgical items.