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BMJ 2006;332:121 (14 January), doi:10.1136/bmj.332.7533.121-b
| The first 150 words of the full text of this article appear below. |
EditorI am not convinced that the method of spoon surveillance used by Lim et al (scanning desktops and other immediately visible surfaces) is entirely adequate.1
Not unlike the errant single socks cited by multiple other respondents on bmj.com,2 teaspoons are unlikely to remain on immediately visible surfaces. Inevitable entropy aside, the teaspoon is a uniquely versatile implement (a search on www.google.com of "teaspoon" (30 December 2005, 1746 eastern standard time (EST)) yielded 7.2 million results; a search of "use a teaspoon" (quotes included) 15 700 (30 December 2005, 1748 hrs EST)).
Teaspoons in my own department are used to prop open doors, pry open file cabinets, and strategically position mousetraps in that annoyingly narrow space between the refrigerator and the wall. Scanning only visible surfaces may well result in undercounting of remaining spoons, or in counting only those utensils still used for stirring.
As it is unclear what exactly
David A Silver, fellow in cardiothoracic and intensive care anaesthesia
Brigham and Women's Hospital, Boston, MA 02115, USA dsilver1@partners.org