Remote video auditing of surgical safety checklist compliance before and after feedback in the emergency operating theatre at the Royal Melbourne Hospital

During the observation period, participants will monitored for the entire duration of an individual surgery via remote video every day for 4 weeks without feedback, followed by 4 weeks of weekly feedback of performance reports to healthcare workers. Two independent auditors will review and assess all the recorded video data. An event is defined as when a patient is having an operation in OR 2. “Passing” an event means healthcare workers have completed 3 phases of the checklist procedure. The criteria for “failing” an event is when any one of the 3 phases of the checklist procedure is not completed. The three phases of the checklist completion are: 1) before the induction of anaesthesia (“sign in”) and 2) before the incision of the skin (“time out”) and 3) before the patient leaves the operating room (“sign out”). This checklist is adhered to the World Health Organisation Surgical Safety Checklist: https://www.who.int/patientsafety/safesurgery/tools_resources/SSSL_Checklist_finalJun08.pdf?ua=1. During the 4-week feedback period, a weekly performance report will be displayed in multiple areas of the perioperative department and will also be emailed weekly to all floor staff. In the case that a department meeting is held, performance reports will also be announced periodically. Feedback will be provided to all healthcare workers regardless of their involvement in this study.