@article{3276,
  keywords = {Multimedia, Patient safety, Surgical safety, Technology, Time-out},
  author = {Jennifer L. Dixon and Dhriti Mukhopadhyay and Justin Hunt and Daniel Jupiter and William R. Smythe and Harry T. Papaconstantinou},
  title = {Enhancing surgical safety using digital multimedia technology.},
  abstract = {<p><b>BACKGROUND: </b>The purpose of this study was to examine whether incorporating digital and video multimedia components improved surgical time-out performance of a surgical safety checklist.</p><p><b>METHODS: </b>A prospective pilot study was designed for implementation of a multimedia time-out, including a patient video. Perceptions of the staff participants were surveyed before and after intervention (Likert scale: 1, strongly disagree to 5, strongly agree).</p><p><b>RESULTS: </b>Employee satisfaction was high for both time-out procedures. However, employees appreciated improved clarity of patient identification (P < .05) and operative laterality (P < .05) with the digital method. About 87% of the respondents preferred the digital version to the standard time-out (75% anesthesia, 89% surgeons, 93% nursing). Although the duration of time-outs increased (49 and 79 seconds for standard and digital time-outs, respectively, P > .001), there was significant improvement in performance of key safety elements.</p><p><b>CONCLUSION: </b>The multimedia time-out allows improved participation by the surgical team and is preferred to a standard time-out process.</p>},
  year = {2016},
  journal = {Am J Surg},
  volume = {211},
  pages = {1095-8},
  month = {06/2016},
  issn = {1879-1883},
  doi = {10.1016/j.amjsurg.2015.08.023},
  language = {eng},
}