Checklist, Information Exchange, Teamwork
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| information exchange | from the time patients were rolled into the OR until skin incision | this measure assessed whether all sub-items on the TTOC were adequately checked and respective information audibly shared in the team |
| team communication | from the time patients were rolled into the OR until skin incision | using 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
| Measure | Time frame | Description |
|---|---|---|
| duration of pre skin incision period with and without checklist | from the time patients were rolled into the OR until skin incision | to assess how long the period before incision takes with and without TTOC |
Countries
Germany