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We conclude that the simple act of performing a preprocedure checklist may be completed quickly, but that distractions are common. Despite distractions, there were no wrong-site or wrong-person surgeries reported at our hospital during the study period. It is common for ≥1 member of the operating room team to be actively distracted during time-out procedures, even though most time-outs are completed in under 1 minute. CONCLUSIONS:Ĭompliance with preincision time-outs is high at our institution, and nonroutine events are a rare occurrence. At least 1 member of the operating room team was actively distracted in 10.2% of the time-out procedures observed. Ten time-out procedures were stopped due to a safety concern. The most common reason for an interruption was to verify patient information. Review of the Acute Care CoP (C150-C343). Most time-outs were completed without interruption (92.8%). Overview of the CAH conversion process: coordinator of the survey senior management and medical staff/board as appropriate. Most observed time-outs were completed in <1 minute. An announcement was made to indicate the start of the time-out procedure in 163 of 166 observed surgeries. The time-out procedure was performed before the first incision in 100% of cases. For each time-out, the observers recorded compliance with each step, any nonroutine events that may have occurred, and whether any operating room team members were distracted. A variety of methods have been used to assess compliance with the perioperative time-out, but no standardized methodology with a reliable observer group currently exists. METHODS:ĭirect observations of surgical time-outs were performed on 166 nonemergent surgeries in 2016. Abstract Background: Surgical safety checklists, such as the perioperative time-out, have been shown to improve performance on a variety of patient safety measures. You can also complete an online submission. The helpline is available 24 hours a day, 7 days a week, in multiple languages. We sought to identify nonroutine events that occur during the time-out procedure in the operating room, including distractions and interruptions, deviations from protocol, and the problem-solving strategies used by operating room team members to mitigate them. To report a billing concern, please call the Compliance Helpline at 86 or 86. An interactive electronic time-out was implemented to increase surgical team compliance with the time-out procedure and to improve communication among team members in the operating room. Although the surgical pause or time-out is a required part of most hospitals’ standard operating procedures, little is known about the quality of execution of the time-out in routine clinical practice.
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