A Survey of the Use of Time-Out Protocols in Emergency Medicine

Kelly, John; Farley, Heather; O’Cain, Christi; Broida, Robert I.; Klauer, Kevin; Fuller, Drew C.; Meisl, Helmut; Phelan, Michael; Thallner, Elaine; Pines, Jesse M.

doi:10.1016/s1553-7250(11)37036-5

Cited by 13 publications

(13 citation statements)

References 12 publications

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“…Since 2007, the implementation of the SSC has achieved relative worldwide success [16], [21], [32], [33] and the objective of this study was to explore the situation in Switzerland and to answer a burning question: Is Switzerland keeping up? We found that 65% of respondents were already using a SSC in their hospital/clinic in the year of 2010, an encouraging result, suggesting that a majority of Swiss hospital and clinics are convinced of the importance of the SSC.…”

Section: Discussionmentioning

confidence: 99%

Implementation of the Surgical Safety Checklist in Switzerland and Perceptions of Its Benefits: Cross-Sectional Survey

et al. 2014

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ObjectivesTo examine the implementation of the Surgical Safety Checklist (SSC) among surgeons and anaesthetists working in Swiss hospitals and clinics and their perceptions of the SSC.MethodsCross-sectional survey at the 97th Annual Meeting of the Swiss Society of Surgery, Switzerland, 2010. Opinions of the SSC were assessed with a 6-item questionnaire.Results152 respondents answered the questionnaire (participation rate 35.1%). 64.7% respondents acknowledged having a checklist in their hospital or their clinic. Median implementation year was 2009. More than 8 out of 10 respondents reported their team applied the Sign In and the Time Out very often or quasi systematically, whereas almost half of respondents acknowledged the Sign Out was applied never or rarely. The majority of respondents agreed that the checklist improves safety and team communication, and helps to develop a safety culture. However, they were less supportive about the opinion that the checklist facilitates teamwork and eliminates social hierarchy between caregivers.ConclusionsThis survey indicates that the SSC has been largely implemented in many Swiss hospitals and clinics. Both surgeons and anaesthetists perceived the SSC as a valuable tool in improving intraoperative patient safety and communication among health care professionals, with lesser importance in facilitating teamwork (and eliminating hierarchical categories).

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Section: Discussionmentioning

confidence: 99%

Implementation of the Surgical Safety Checklist in Switzerland and Perceptions of Its Benefits: Cross-Sectional Survey

et al. 2014

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“…The timeout, an intentional pause in patient treatment, aims to prevent errors and oversights by creating an occasion for communication among the clinicians involved in treating a patient (Dillon, 2008). Timeouts were initially introduced on operating wards to prevent wrong-site, wrong-procedure, and wrong-patient surgery but have spread to the ED (Browne, 2014;Kelly et al, 2011). In most cases the timeout is a structured event that consists of walking through a checklist to verify that the treatment procedure about to be initiated is the one intended.…”

Section: Triage and Timeoutsmentioning

confidence: 99%

“…In the ED, the timeout is a less established procedure than triage. For example, Kelly et al (2011) find that 13% of the surveyed physicians were unaware of any formal timeout procedure in their ED and only 35% of them believed that timeouts were warranted in their ED. In contrast, Hertzum and Simonsen (2016) find that timeouts, supported by an electronic whiteboard, were an important coordinative activity in the studied ED.…”

Section: Triage and Timeoutsmentioning

confidence: 99%

How is professionals’ information seeking shaped by workplace procedures? A study of healthcare clinicians

Hertzum

Simonsen

2019

Information Processing & Management

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Professional work is often regulated by procedures that shape the information seeking involved in performing a task. Yet, research on professionals' information seeking tends to bypass procedures and depict information seeking as an informal activity. In this study we analyze two healthcare tasks governed by procedures: triage and timeouts. While information seeking is central to both procedures, we find that the coordinating nurses rarely engage in information seeking when they triage patients. Inversely, the physicians value convening for timeouts to seek information. To explain these findings we distinguish between junior and expert professionals and between uncertain and equivocal tasks. The triage procedure specifies which information to retrieve but expert professionals such as the coordinating nurses tend to perform triage, which is an uncertain task, by holistic pattern recognition rather than information seeking. For timeouts, which target an equivocal task, the procedure facilitates information seeking by creating a space for open-ended collaborative reflection. Both junior and expert physicians temporarily suspend patient treatment in favor of this opportunity to reflect on their actions, though partly for different reasons. We discuss implications for models of professionals' information seeking.

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“…Since this sort of integration occurs in the emergency department, the administration is more complicated as everything has to be aligned in the right manner. [9] The ancillary staff must be able to give the right support to the residents and the administrative staff must be efficient enough to provide fast paced support in line with the situation. Similarly when patients are referred from other hospitals there needs to be system integration as medico legal cases would be involved and the law and order must be supportive to the cause.…”

Section: Peeling Through the Layersmentioning

confidence: 99%

An academic emergency department:residents' perspective

James

Jose²

2012

World Journal of Emergency Medicine

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BACKGROUND: Since demographic changes have contributed to the growth of emergency medicine, a highly populous nation such as India needs to give physicians associated due credit and recognition. The management of knowledge source must also be conducted with due care as the work environment is completely different from that of any other clinicians. METHODS:The data were collected by direct interaction with residents of the department. Additional information was gathered by observation. The data were verifi ed for validity. RESULTS:This study was to bring out the benefi ts of proactive decisions that could further enhance the emergency department. But such decisions did not always result in positive responses and improved morale. When such decisions were retracted as it causes misalignment with the existing system. An academic emergency department was expected and physicians should enrich their knowledge about emergency medicine.CONCLUSIONS: The problems faced by emergency department might be similar but the way in which one tackles the situation would be different. Decision making in this hospital may not be the best but it would've been the optimum one given the conditions available.

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A Survey of the Use of Time-Out Protocols in Emergency Medicine

Cited by 13 publications

References 12 publications

Implementation of the Surgical Safety Checklist in Switzerland and Perceptions of Its Benefits: Cross-Sectional Survey

Implementation of the Surgical Safety Checklist in Switzerland and Perceptions of Its Benefits: Cross-Sectional Survey

How is professionals’ information seeking shaped by workplace procedures? A study of healthcare clinicians

An academic emergency department:residents' perspective

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