{"id":474202,"date":"2026-10-23T05:28:28","date_gmt":"2026-10-23T05:28:28","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-tx\/474202\/"},"modified":"2026-10-23T05:28:28","modified_gmt":"2026-10-23T05:28:28","slug":"ut-southwestern-reported-18-retained-object-errors-in-18-months","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-tx\/474202\/","title":{"rendered":"UT Southwestern reported 18 retained object errors in 18 months"},"content":{"rendered":"<p>Among Texas hospitals and ambulatory surgery centers, one facility stood out with an unusually high number of surgical \u201cnever event\u201d errors.<\/p>\n<p>That facility also happens to be the <a href=\"https:\/\/www.dallasnews.com\/business\/health-care\/article\/us-news-best-hospitals-22369527.php\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">No. 1 hospital<\/a> in Dallas-Fort Worth, according to U.S. News &amp; World Report\u2019s rankings, and No. 2 in the state of Texas.<\/p>\n<p>Over the most recent 18 months of reporting \u2014 from July 2024 through December 2025 \u2014 UT Southwestern Medical Center reported 19 <a href=\"https:\/\/www.dallasnews.com\/projects\/2026\/texas-surgical-errors-medical-malpractice\/\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">\u201cnever events.\u201d<\/a> That included 18 reports of objects left in a patient after surgery. That\u2019s an average of one unintentionally retained object per month.<\/p>\n<p class=\"uiTextSmall f aic jcc\">Article continues below this ad<\/p>\n<p>UT Southwestern spokesperson Russell Rian did not respond to repeated requests for an interview with a representative of the medical center. He did send an emailed comment about the medical center\u2019s retained object reports.<\/p>\n<p>\u201cUT Southwestern considers patient safety of paramount concern,\u201d Rian wrote. The comment then explained UT Southwestern\u2019s reporting process \u2014 which it believes is more expansive than other institutions\u2019 \u2014 and whittled down the reported number to account for mistaken reports.<\/p>\n<p>Retained objects \u2014 when a surgical team <a href=\"https:\/\/www.dallasnews.com\/business\/health-care\/2025\/08\/13\/dallas-doctors-left-surgical-tool-inside-patients-body-lawsuit-alleges\/\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">accidentally leaves behind<\/a> a sponge or an instrument or another surgical item \u2014 are in a category of errors sometimes referred to as \u201cnever events.\u201d Surgical never events, including retained object as well as wrong site, wrong surgery and wrong patient errors, were the focus of a months-long <a href=\"https:\/\/www.dallasnews.com\/projects\/2026\/texas-surgical-errors-medical-malpractice\/\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">investigation <\/a>from The Dallas Morning News, which looked into <a href=\"https:\/\/www.dallasnews.com\/news\/investigations\/article\/texas-patients-surgery-errors-never-events-22475801.php\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">why these errors happen<\/a> and how patients fare after the fact.<\/p>\n<p>That <a href=\"https:\/\/www.dallasnews.com\/news\/investigations\/\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">investigation<\/a> included analysis of state data on \u201c<a href=\"https:\/\/www.dshs.texas.gov\/disease-surveillance-epidemiology-section\/healthcare-safety-unit\/preventable-adverse-events\/pae-reporting\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">preventable adverse events<\/a>,\u201d which includes these four surgical never events.<\/p>\n<p>Of the Texas facilities that filed reports, UT Southwestern had the highest number of surgical never events in the state. One of those errors was a wrong surgery error. The rest were retained objects.<\/p>\n<p class=\"uiTextSmall f aic jcc\">Article continues below this ad<\/p>\n<p><img alt=\"Needles are removed from packaging during a spinal surgery in North Texas, Tuesday, June 30, 2026.\" loading=\"lazy\"   style=\"aspect-ratio:3 \/ 2\" class=\"x100 y100 opc bgpc ofcv bgscv block bg-gray200 mnh0px fill\"\/><\/p>\n<p>Needles are removed from packaging during a spinal surgery in North Texas, Tuesday, June 30, 2026.<\/p>\n<p>Smiley N. Pool\/The Dallas Morning News<\/p>\n<p>A total of five of the 18 retained object reports, Rian wrote, were erroneous \u2014 three were duplicates and two were clerical errors. Rian did not respond to a follow-up question about whether the medical center submitted corrected data to the state after identifying the duplicates and clerical errors.<\/p>\n<p>Of the remaining 13 reports, Rian wrote, 11 were \u201cno harm events.\u201d All involved patients, Rian wrote, were informed and made aware.<\/p>\n<p>Over the course of the 18 months, Rian wrote, UT Southwestern performed more than 86,000 surgeries \u2014 meaning the retained object incidents were a tiny fraction of the overall surgery count.<\/p>\n<p>Other large <a href=\"https:\/\/www.dallasnews.com\/business\/health-care\/\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">hospitals<\/a> in Texas \u2014 Memorial Hermann-Texas Medical Center in Houston, Houston Methodist Hospital, Methodist Hospital in San Antonio and University Hospital in San Antonio \u2014 each reported one-third or less of the number of never events in the same time period.<\/p>\n<p class=\"uiTextSmall f aic jcc\">Article continues below this ad<\/p>\n<p>Statewide, the facility with the second-highest count was Texas Health Harris Methodist Hospital in Fort Worth with 12 never events reported over the 18-month period. The third-highest was CHRISTUS Mother Frances Hospital in Tyler with 11 never events reported.<\/p>\n<p>The health systems for both of those hospitals, in separate statements, described error reporting as a step toward improved patient safety.<\/p>\n<p>&#8220;Our goal is to prevent safety events from ever occurring and we take them very seriously when they do,&#8221; Texas Health spokesperson Kimberly Walton wrote in a statement. &#8220;These events are self-reported and evaluated to identify opportunities for improvement.&#8221;<\/p>\n<p>&#8220;We encourage our caregivers to speak up and report concerns,&#8221; CHRISTUS Health spokesperson C.C. Gonzalez-Kurz wrote in a statement, &#8220;because that is how safe systems are built.&#8221;<\/p>\n<p>Data issues<\/p>\n<p>The News\u2019 analysis of never events in Texas covered only the last 18 months. There\u2019s a reason.\u00a0<\/p>\n<p class=\"uiTextSmall f aic jcc\">Article continues below this ad<\/p>\n<p>The Texas Department of State Health Services, which collects and maintains the <a href=\"https:\/\/txhsn.dshs.texas.gov\/\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">preventable adverse event data<\/a> hospitals and surgery centers submit every six months, told The News over email it only retains publicly releasable facility-specific reports for the most recent 18 months.\u00a0<\/p>\n<p>That means the public cannot <a href=\"https:\/\/www.dallasnews.com\/business\/health-care\/article\/texas-hospital-ratings-22315225.php\" data-link=\"native\" rel=\"noopener nofollow\" target=\"_blank\" class=\"\">compare facilities<\/a> to one another over a longer stretch of time. It also means it\u2019s impossible to know if UT Southwestern Medical Center\u2019s most recent retained object numbers are a fluke or part of a larger trend.<\/p>\n<p>In addition to the lack of public-facing facility-specific data, the dataset also does not include every hospital and surgery center in the state.<\/p>\n<p>Most Texas hospitals and ambulatory surgery centers are required to file reports with the state, detailing preventable adverse events. A large chunk of facilities don\u2019t submit their data.<\/p>\n<p>The state\u2019s two most recent annual reports show 65% of facilities turned in their reports in 2024 and 46% did so in 2023.<\/p>\n<p class=\"uiTextSmall f aic jcc\">Article continues below this ad<\/p>\n<p>That means UT Southwestern Medical Center has the highest number of retained objects only among facilities that did report. (Because the 2025 annual report had not been posted by the state as of early October, it\u2019s not clear what percentage of facilities filed their data during the timeframe.)<\/p>\n<p>Even the higher percentage in the most recent report \u2014 65% of facilities in 2024 \u2014 still leaves more than a third of health care facilities failing to respond.<\/p>\n<p>The News requested an interview with the Texas Department of State Health Services, to discuss the response rate. A spokesperson for the agency initially acknowledged the request but then did not respond to follow-up emails.<\/p>\n<p>There\u2019s a final data concern UT Southwestern raised in Rian\u2019s email comment. The hospital system believes, Rian wrote, other hospitals are less thorough in reporting retained objects.<\/p>\n<p class=\"uiTextSmall f aic jcc\">Article continues below this ad<\/p>\n<p>If there is variation in the way facilities report their errors, it makes it difficult \u2014 or impossible \u2014 to compare numbers across the dataset.\u00a0<\/p>\n<p>Why does data matter?<\/p>\n<p>Between facilities failing to report entirely and broader concerns about the consistency of the data, patient safety experts say the actual number of preventable surgical errors is likely significantly higher than what\u2019s reported.<\/p>\n<p>Lillee Gelinas, the patient safety director at the Texas College of Osteopathic Medicine in Fort Worth, said reporting in outpatient areas, including ambulatory surgery centers, is particularly spotty. As a result, no one knows how many patients are harmed by preventable errors each year.<\/p>\n<p>\u201cThat\u2019s the scary part,\u201d Gelinas said. \u201cIt\u2019s terribly underreported.\u201d<\/p>\n<p>Michael Ramsay, a retired Dallas-based anesthesiologist and the CEO of the Patient Safety Movement Foundation, said real-time, complete data is a necessity if healthcare facilities are going to improve.<\/p>\n<p>Without reliable and complete data, \u201cPeople don\u2019t react,\u201d Ramsay said. \u201cIn other words, they don\u2019t correct the problem.\u201d<\/p>\n<p>Dr. Bryan Alsip is the chief medical officer at University Health, the public hospital system for Bexar County. Under his watch, the health system has focused extensively on patient safety. University Hospital is among the facilities reporting adverse events to the state, according to the publicly available reports. Alsip said that type of transparency is a necessity.<\/p>\n<p>\u201cWe need to be accountable for errors,\u201d Alsip said, \u201csimply because we cannot get better if we&#8217;re not transparent internally as well as externally.\u201d<\/p>\n<p>Leaders at Houston Methodist had a similar view of transparency as a prerequisite of patient safety.<\/p>\n<p>\u201cWe know that quality without transparency doesn\u2019t exist,\u201d said Dr. A. Osama Gaber, the surgery chair at Houston Methodist Hospital. \u201cIf somebody wants to hide their errors \u2026 they\u2019re going to make more.\u201d<\/p>\n<p>The Dallas Morning News&#8217; Under the Knife investigation is part of the Association of Health Care Journalists&#8217; U.S. Health System Reporting Fellowship, supported by The Commonwealth Fund.<\/p>\n","protected":false},"excerpt":{"rendered":"Among Texas hospitals and ambulatory surgery centers, one facility stood out with an unusually high number of surgical&hellip;\n","protected":false},"author":2,"featured_media":474203,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[102,104,103],"class_list":["post-474202","post","type-post","status-publish","format-standard","has-post-thumbnail","category-dallas","tag-dallas","tag-dallas-headlines","tag-dallas-news"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/474202","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/comments?post=474202"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/474202\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media\/474203"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media?parent=474202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/categories?post=474202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/tags?post=474202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}