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Design and Evaluation of a Team Timeout Checklist (TTOC) to Improve Information Exchange in the Operating Room Before Skin Incision

Evaluation Einer Team Time-out Checkliste im OP

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07189481
Acronym
TTOC
Enrollment
151
Registered
2025-09-24
Start date
2024-08-01
Completion date
2025-05-31
Last updated
2025-09-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Checklist, Information Exchange, Teamwork

Keywords

checklist, timeout, teamwork, communication

Brief summary

In this study, we designed and evaluated a team timeout checklist (TTOC) which aimed at improving team communication and information exchange before skin incision. The WHO surgical safety checklist was used as a basis with the following changes: we clarified the wording of specific items (e.g., surgical site), we clarified checks by denoting separate items involved for each check, and we denoted circulating nurses as responsible for checklist readout and adherence.

Interventions

None listed

Sponsors

University of Leipzig
CollaboratorOTHER
University of Jena
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

Personnel working in the operating room (nurses, surgeons, anesthesiologists, technical support staff) \-

Exclusion criteria

* anyone who did not give their oral consent to be observed during surgeries

Design outcomes

Primary

MeasureTime frameDescription
information exchangefrom the time patients were rolled into the OR until skin incisionthis measure assessed whether all sub-items on the TTOC were adequately checked and respective information audibly shared in the team
team communicationfrom the time patients were rolled into the OR until skin incisionusing a validate coding scheme, we assessed how team members communicated with each other using professional coding software to log a set of ten behaviors (e.g., instructions, questions, confirmations, speaking up...)

Secondary

MeasureTime frameDescription
duration of pre skin incision period with and without checklistfrom the time patients were rolled into the OR until skin incisionto assess how long the period before incision takes with and without TTOC

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026