Improving safety and quality of care with enhanced teamwork through operating room briefings.

Caitlin W Hicks; Michael A Rosen; Deborah B Hobson; Clifford Y Ko; Elizabeth C Wick

Commentary

Improving safety and quality of care with enhanced teamwork through operating room briefings.

July 23, 2014

Hicks CW, Rosen MA, Hobson DB, et al. JAMA Surg. 2014;149(8):863-8.

View more articles from the same authors.

Operating room briefings or time-outs are mandated by The Joint Commission as a strategy to prevent wrong-site surgery. This commentary explores the use of briefings both before and after surgery, evidence regarding their impact, and how a comprehensive unit-based safety program (CUSP) initiative designed and implemented a briefing and debriefing process.

PubMed citation

Available at

Related Resources From the Same Author(s)

Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.

July 11, 2012

Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.

May 9, 2018

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients.

October 21, 2015

Preventability of hospital-acquired venous thromboembolism.

August 19, 2015

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.

September 26, 2007

Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program.

June 20, 2018

A case for improving measurement of intraoperative iatrogenic injuries.

July 23, 2014

Medical harm: patient perceptions and follow-up actions.

December 10, 2014

Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.

February 20, 2013

Overtreatment in the United States.

September 27, 2017

Association of safety culture with surgical site infection outcomes.

January 13, 2016

Interventions for postsurgical opioid prescribing: a systematic review.

September 19, 2018

Building high reliability teams: progress and some reflections on teamwork training.

May 8, 2013

Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.

October 11, 2017

Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance.

January 14, 2015

Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.

August 12, 2015

Reducing medical errors and adverse events.

February 8, 2012

Team-training in healthcare: a narrative synthesis of the literature.

March 12, 2014

Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.

October 10, 2012

Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine.

May 3, 2017

Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers.

November 9, 2016

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Teamwork in healthcare: key discoveries enabling safer, high-quality care.

July 11, 2018

Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.

June 10, 2015

The influence of resident involvement on surgical outcomes.

January 30, 2005

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

November 11, 2009

Underlying reasons associated with hospital readmission following surgery in the United States.

February 18, 2015

Does teamwork improve performance in the operating room? A multilevel evaluation.

March 3, 2010

Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.

September 2, 2015

Markers for enhancing team cognition in complex environments: the power of team performance diagnosis.

August 1, 2007

American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update.

February 1, 2017

A model for the departmental quality management infrastructure within an academic health system.

September 28, 2016

The anatomy of health care team training and the state of practice: a critical review.

October 20, 2010

Towards high-reliability organising in healthcare: a strategy for building organisational capacity.

June 7, 2017

National cluster-randomized trial of duty-hour flexibility in surgical training.

February 10, 2016

Can teamwork promote safety in organizations?

February 26, 2020

Medication errors involving pediatric patients.

June 8, 2005

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program.

February 8, 2006

A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application?

September 10, 2014

Characteristics of pediatric chemotherapy medication errors in a national error reporting database.

June 13, 2007

Family-centered multidisciplinary rounds enhance the team approach in pediatrics.

April 15, 2009

A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies?

July 23, 2014

Evaluation of a measurement system to assess ICU team performance.

January 23, 2019

Enteral feeding misconnections: an update.

June 17, 2009

Antiretroviral medication errors in a national medication error database.

January 11, 2006

What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.

December 21, 2005

Deploying med reconciliation.

April 30, 2008

Intralipid medication errors in the neonatal intensive care unit.

February 14, 2007

Implementing AORN recommended practices for medication safety.

December 19, 2012

Perioperative pharmacology: a framework for perioperative medication safety.

January 19, 2011

Inappropriate drug use in the elderly: a nationwide register-based study.

August 29, 2007

The impact of abbreviations on patient safety.

September 5, 2007

Characteristics of medication errors made by students during the administration phase: a descriptive study.

February 22, 2006

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program.

August 2, 2006

Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder.

September 3, 2008

An overview of patient safety climate in the VA.

April 9, 2008

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.

May 22, 2019

Nursing student medication errors involving tubing and catheters: a descriptive study.

May 13, 2009

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

May 2, 2007

Association of surgical resident wellness with medical errors and patient outcomes.

May 6, 2020

The vanishing nonforensic autopsy.

March 12, 2008

Medication errors involving patient-controlled analgesia.

March 5, 2008

Simulation in the executive suite: lessons learned for building patient safety leadership.

January 6, 2016

Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.

February 22, 2006

Errors prevented by and associated with bar-code medication administration systems.

May 2, 2007

Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals?

February 1, 2017

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.

April 28, 2010

Medication errors resulting from computer entry by nonprescribers.

May 6, 2009

Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.

March 8, 2006

Utilization of a role-based head covering system to decrease misidentification in the operating room.

August 7, 2019

Debriefing in the OR: a quality improvement project.

March 13, 2019

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.

November 2, 2011

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.

January 20, 2010

A typology of electronic health record workarounds in small-to-medium size primary care practices.

August 21, 2013

Beyond crisis resource management: new frontiers in human factors training for acute care medicine.

October 30, 2013

Cardiovascular medication errors in children.

July 22, 2009

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

January 9, 2008

Assessing teamwork and communication in the authentic patient care learning environment.

April 6, 2011

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.

August 16, 2006

Changes in rates of autopsy-detected diagnostic errors over time: a systematic review.

March 27, 2005

Hospital complications: linking payment reduction to preventability.

May 6, 2009

Nursing management of medication errors.

January 30, 2008

Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.

January 16, 2008

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

April 1, 2009

From a blame culture to a just culture in health care.

November 18, 2009

Developing an intervention to reduce harm in hospitalized patients: patients and families in research.

December 5, 2018

Perspectives on patient and family engagement with reduction in harm: the forgotten voice.

August 15, 2018

Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey.

August 6, 2008

Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment?

May 21, 2014

Identifying organizational cultures that promote patient safety.

November 18, 2009

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

June 29, 2011

Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.

March 25, 2009

Medication safety in a psychiatric hospital.

March 21, 2007

Enteral feeding misconnections: a consortium position statement.

May 7, 2008

A systematic review of patient safety measures in adult primary care.

May 18, 2016

Patient perspectives of patient–provider communication after adverse events.

August 10, 2005

Why do people stop taking their meds? Cost is just one reason.

September 20, 2017

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

August 1, 2012

Patient safety in geriatrics: a call for action.

December 15, 2010

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

Related Resources

WebM&M Cases

Procedure Complications – Who is Responsible for Follow up?

March 29, 2023

WebM&M Cases

False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.

October 27, 2022

ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings.

August 24, 2022

Annual Perspective

Annual Perspective: Psychological Safety of Healthcare Staff

March 31, 2022

WebM&M Cases

Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest

January 26, 2022

WebM&M Cases

Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected

August 25, 2021

Awareness of human factors in the operating theatres during the COVID-19 pandemic.

January 13, 2021

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study.

August 12, 2020

Impact of staff turnover during cardiac surgical procedures.

February 12, 2020

Surgical data recording technology: a solution to address medical errors?

September 18, 2019

Quality and Safety in Anesthesia and Perioperative Care.

July 17, 2019

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

How one health system overcame resistance to a surgical checklist.

May 29, 2019

WebM&M Cases

Good Catch in the Operating Room

May 1, 2019

Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.

March 6, 2019

Critical role of the surgeon–anesthesiologist relationship for patient safety.

August 22, 2018

Advances in perioperative quality and safety.

June 13, 2018

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.

February 14, 2018

Back to basics: the Universal Protocol.

January 24, 2018

Intraoperative surgical performance measurement and outcomes: choose your tools carefully.

August 16, 2017

Accidental IV infusion of heparinized irrigation in the OR.

December 21, 2016

Use of a surgical safety checklist to improve team communication.

September 21, 2016

Relationship between operating room teamwork, contextual factors, and safety checklist performance.

August 31, 2016

The SAGES FUSE program: bridging a patient safety gap.

October 22, 2014

A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project."

August 20, 2014

The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability.

July 30, 2014

A case for improving measurement of intraoperative iatrogenic injuries.

July 23, 2014

Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.

June 4, 2014

Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments.

May 21, 2014

The trainee's voice: recognising the importance of preoperative briefings for surgical trainees.

May 7, 2014

See More About The Topic

Operating Room

Health Care Providers

Quality and Safety Professionals

Organizational Behaviorists

Surgery

Improving safety and quality of care with enhanced teamwork through operating room briefings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Improving safety and quality of care with enhanced teamwork through operating room briefings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site