Surgical safety campaign

1. TIME OUT PROCEDURE

2. DEFINITION
The timeout is Active (two-way)
communication among all surgical/procedural
team members that is consistently preformed
prior to all procedures. The operative team
conducts a final verification of the correct
patient, procedure, and site and, as
applicable, implants.

3. PURPOSE
 To prevent medical error by conducting a
final verification of correct patient, procedure,
and site.
 To prevent wrong patient , wrong procedure
and wrong surgery

4. CRITERIA FOR TIME OUT:
 Involve the entire operative team in the time
out using active communication.
 Know your organization’s procedure for
reconciling differences in staff responses
during the “time out.”

5. PROCEDURE:
 Ensure the presence of all the team members before
starting the Time out procedure.
 The team members are surgeon, anesthesia provider,
scrub nurse circulating nurse and surgical technician.
 Organization must define who is responsible to
initiate the time-out, but all those present are
accountable for the time-out.
 Members of the clinical team must independently
verify the following details:
 the presence of the correct patient;
 the correct type of procedure to be performed;
 that the correct procedure site has been marked; and
availability of any correct prostheses and/or any
specialized equipment or requirements

6. CONT…
 Any differences/discrepancies must be
reconciled immediately (procedure can NOT
start until discrepancies are corrected). Report
all discrepancies (even those corrected) through
the organization’s predetermined process
 If a surgical procedure begins without a time-
out, it must be reported for peer review or
Quality Improvement processes.
 Document the time out procedure in intra
operative nurses record and mark in the surgical
safety checklist

7. SUPPORTIVE DOCUMENTS
 Pre anesthetic checklist
 Surgical safety checklist
 Investigation reports

8. THANK
YOU!!!