The study demonstrated improvement of compliance using a scripted Time Out checklist and engagement of the GI procedure team after education. Sign in before induction of anaesthesia, ideally with surgeon present, but not essential, verbally verify, review with the patient when possible: Time out. The observations were completed prior to providing an education component and again after the completion of the education. A purposive, non-participant structured observation comparing the proportions between two separate groups (pre-and post-education intervention) was conducted with the GI procedural team at the New Mexico Veterans Health Care System (NMVAHCS). Literature has shown that team engagement in the Time Out process decreases the risk of wrong site surgery by improving teamwork and communication. The checklist places its nineteen items into three 'phases' of a surgical procedure: sign-in (before induction of anesthesia, while the patient is still conscious) time-out (with the surgeon present, before skin incision ) and sign-out, based on the Joint Commission s Universal Protocol. care is the preparation and management of a patient prior to surgery. Surgical timeouts consist of two major elements: A three-part surgical safety checklistbefore induction of anesthesia, before the skin incision and before the patient leaves the operating roomand the ability of anyone on the team to call timeout if there is some element of the surgery or procedure that needs clarification for safety purposes. This study was conducted to improve compliance with the scripted Time Out checklist and promote full engagement of the GI procedural team during the Time Out thus reducing risks of wrong site surgery. In this busy southwestern United States hospital, the procedural teams in the non-operating room areas were reported to not be fully engaged during the performance of the Time Out pre-procedural pause prior to gastroenterological (GI) procedures. The use of a Time Out checklist for patient safety in non-operating room procedural areas is equally important for positive patient outcomes as in the operating room (OR). What is the Surgical Residents Role in the Surgical Timeout Checklist In teaching hospitals residents often have a diminished role Reliance on attendings and.
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