Introductions During Time-outs: Do Surgical Team Members Know One Another's Names?

Birnbach, David J.; Rosen, Lisa F.; Fitzpatrick, Maureen; Paige, John T.; Arheart, Kristopher L.

doi:10.1016/j.jcjq.2017.03.001

Cited by 18 publications

(29 citation statements)

References 26 publications

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“…This persists despite efforts to formalize this, as done with staff introductions during surgical time out procedures. A recent study showed that while 98% of the operating team knew the name of the attending surgeon, the attending surgeon only identified 44% of the OR staff correctly and identified their resident correctly only 68% of the time . Much of this hierarchical behavior is entrenched in medicine and may take a significant time and effort to change.…”

Section: A Systems View Of Errormentioning

confidence: 99%

Incident learning in radiation oncology: A review

Ford

Evans

2018

Medical Physics

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Incident learning is a key component for maintaining safety and quality in healthcare. Its use is well established and supported by professional society recommendations, regulations and accreditation, and objective evidence. There is an active interest in incident learning systems (ILS) in radiation oncology, with over 40 publications since 2010. This article is intended as a comprehensive topic review of ILS in radiation oncology, including history and summary of existing literature, nomenclature and categorization schemas, operational aspects of ILS at the institutional level including event handling and root cause analysis, and national and international ILS for shared learning. Core principles of patient safety in the context of ILS are discussed, including the systems view of error, culture of safety, and contributing factors such as cognitive bias. Finally, the topics of medical error disclosure and second victim syndrome are discussed. In spite of the rapid progress and understanding of ILS, challenges remain in applying ILS to the radiation oncology context. This comprehensive review may serve as a springboard for further work.

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Section: A Systems View Of Errormentioning

confidence: 99%

Incident learning in radiation oncology: A review

Ford

Evans

2018

Medical Physics

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“…Eighty-three per cent (n=98) of the sample population had more than one year of job experience (Table 1). The mean scores of the staff's opinions introduced" to be important 12,13,14 . This was similar to our findings; staff perceived this item as one of the least important.…”

Section: Resultsmentioning

confidence: 99%

“…This is supported by Rydenfältet et al's 10 results, which showed that TIME-OUT is not always applied and may be seen as a double-checking routine. OR staff usually do not consider "team members introduced" to be important 12,13,14 . This was similar to our findings; staff perceived this item as one of the least important.…”

Section: Resultsmentioning

confidence: 99%

“…The questionnaire consisted of questions about participant's characteristics, including their gender, age, job role, and years of job experience 11,12,13 . The responders' opinions regarding every item on the WHO Surgical Safety Checklist were evaluated on a 5-point scale with the higher score indicating that they viewed that item to be of greater importance.…”

Section: The Questionnairementioning

confidence: 99%

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Ameliyathane ve cerrahi servis çalışanlarının DSÖ Güvenli Cerrahi Kontrol Listesine ilişkin düşünceleri

Önler¹,

Yıldız²,

Arar³

et al. 2020

Namık Kemal Tıp Dergisi

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This research is aimed at evaluating operating room and surgical ward staff's opinions regarding the WHO surgical safety checklist. Materials and Methods: The questionnaire includes questions about gender, age, job role, and years of experience. Every item on the checklist was evaluated, and responders were permitted to provide freehand comments on the subject. The researchers visited a hospital and collected data from December 2017-January 2018. The sample population includes 27 surgeons, 34 anaesthetists, and 19 operating room and 38 surgical ward nurses at a university hospital in western Turkey. The collected data were analysed using SPSS 18.0 with frequencies, percentages, mean, and standard deviation. Results: Of the sample population 61% were women, 47% were under 30 years old, and 83.1% had over 1 year of job experience. The mean score of item importance varied from 4.25 to 4.79. The items "patient's identity, procedure, operation site verification" (4.79±0.50) and "preoperative fasting" (4.76±0.53) had the highest scores. "Blood glucose control" (4.25±1.08) and "team members introduced" (4.32±0.53) had the lowest scores. It was suggested that "allergy" and "prophylaxis of antibiotic and deep vein thrombosis" be transferred to the "before the patients leave the ward" section. It was also suggested to add a compact checklist for local and emergency surgeries and employ artificial intelligence, like chatbots, to prevent surgery from starting before the checklist is completed. Conclusion: All checklist items were considered necessary. However, "Patient's identity, procedure and site verification" was perceived as the most important item on the checklist. It was also suggested to add a compact checklist for local and emergency surgeries.

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“…The AORN “Guideline for team communication” states that the health care organization should establish and implement a standardized briefing process before the surgical procedure . The briefing is a communication tool that helps the team develop a shared mental model that facilitates timely communication and response by each team member to changes in the surgical plan . Research supports creating a standardized process aided by the use of a checklist .…”

Section: Preoperative Briefingmentioning

confidence: 99%

Clinical Issues—March 2018

Fearon¹

2018

AORN Journal

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Introductions During Time-outs: Do Surgical Team Members Know One Another's Names?

Cited by 18 publications

References 26 publications

Incident learning in radiation oncology: A review

Incident learning in radiation oncology: A review

Ameliyathane ve cerrahi servis çalışanlarının DSÖ Güvenli Cerrahi Kontrol Listesine ilişkin düşünceleri

Clinical Issues—March 2018

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