What is the significance of surgical counts conducted before and after an orthopedic procedure?

The primary significance of conducting surgical counts before and after an orthopedic procedure is to ensure that all instruments, sponges, and other items are accounted for. This practice is crucial in preventing retained foreign bodies, which can lead to severe complications, including infection, additional surgeries, prolonged hospital stays, and even legal ramifications for the surgical team. Maintaining a meticulous count serves as a safeguard for both the patient’s well-being and the surgical team's integrity. It reflects the high standards of patient safety and quality care in the surgical environment, which is especially critical in orthopedic surgery where various tools and materials are used extensively. This focus on accountability helps to reinforce a culture of safety within the surgical team.