 Data for individual patients will be recorded by the circulating nurses in a questionnaire embedded in the surgical log of Epic Systems, module Optime. The questionnaire will consist of three individual counts: initial closing, final closing, and additional count. If the first question, was a search required is answered yes, four subsequent questions will be asked: type of sponge, actions taken, number of minutes required, and the location of the sponge if found. Data will be retrieved from the Health Information System HIS using S.A.P. Business ObjectsTM surgical volume, surgical service and Crystal reports details about searches for sponges. Incorrect final closing counts are documented in the Patient Safety Net electronic event reporting system. Data will be retrieved from events reported within the category of count incomplete or not done and count incorrect. Data will be retrieved by HIS personnel and provided via a report to the Director of Clinical Functions responsible for the Main Operating Room. This report is part of the quality improvement program. Electronic data will be stored in the College of Nursing, the University of Iowa, on the colleges secure server. Data will be cleaned by a data manager and analyzed by the colleges statistician. 