![]() ![]() ![]() Never events Operating room Patient safety Surgery Time-out.Ĭopyright © 2019 IJS Publishing Group Ltd. The current review presents patterns of wrong time-out procedures, emphasizes the problem of poor compliance and reviews the suggested strategies to increase compliance for safer operating rooms. A time-out requires a marked operative site, but should also be done if no site is marked 2. Despite its effectiveness in increasing patient safety, compliance issues remain a major problem in its implementation and gaps in its daily use still occur. A time-out is the surgical team's short pause, just before incision, to confirm that they are about to perform the correct procedure on the correct body part of the correct patient 1. The checklist comprises a time-out procedure (TOP): the final step before the start of the surgical procedure where the patient, surgical procedure and side/site are reviewed by the surgical team. ![]() A systematic time-out in the operating room just before incision has been introduced the last two decades to help prevent wrong site surgeries and other surgical never events. Objective To prevent wrong surgery, the WHO ‘Safe Surgery Checklist’ was introduced in 2008. Human nature, apart from making mistakes, is also able to find solutions to minimize adverse incidents. Cardiac anesthesia operating room tour: Open heart surgery setup.5.5 TIME OUT in the procedure/operating room/bedside/treatment room. How To Do The WHO Surgical Safety Checklist Such catastrophic events, except for the consequences on the patient's health and the physician's career, have severe financial implications on the healthcare system. In the operating room, time out involves all the surgical team members immediately prior to incision, verbalizing the correct procedure, side/site, position, antibiotic started, and prep dried, which is documented by the circulating nurse. (P&P of Safe Surgery, Preoperative communication MOH-DGQAC/006/Vers 1.0). It is human nature to make mistakes, all people in all works make errors, but an amputation of the wrong leg or an inadvertently retained needle in the abdominal cavity are unanticipated incidents, that no physician in the world wants to experience. ![]()
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