Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

Provide Feedback |

Submit a Case

Register

Study

Tune-in and time-out: toward surgeon-led prevention of "never" events.

February 17, 2016

Jones N. J Patient Saf. 2019;15(4):e36-e39.

View more articles from the same authors.

This study surveyed surgical nurses at an Australian hospital regarding their perceptions of surgeon adherence to the World Health Organization surgical safety checklist. Though nurses felt surgeon-led time outs are valuable and lead to fewer adverse events, 94% of them reported experiencing hostility from surgeons, such as a "condescending, sarcastic attitude" related to the time out process.

PubMed citation

Related Resources From the Same Author(s)

Ward round template: enhancing patient safety on ward rounds.

June 13, 2018

Exclusion of residents from surgery-intensive care team communication: a qualitative study.

April 27, 2016

Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study.

June 29, 2016

Implications of case managers' perceptions and attitude on safety of home-delivered care.

February 17, 2016

Operating room fires.

February 6, 2019

Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong.

August 6, 2014

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020.

March 30, 2022

Computerized provider order entry: strategies for successful implementation.

June 28, 2006

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.

December 7, 2016

2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database.

May 19, 2021

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.

July 6, 2022

Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis.

June 11, 2008

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database.

May 17, 2023

More than 1 million potential second victims: how many could nursing education prevent?

June 27, 2018

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales.

August 24, 2016

Making an infusion error: the second victims of infusion therapy-related medication errors.

May 30, 2018

Creating a culture of safety in the emergency department: the value of teamwork training.

June 12, 2013

Medication errors, routines, and differences between perioperative and non-perioperative nurses.

September 12, 2012

Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers?

January 30, 2005

Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study.

October 7, 2015

Deployment of rapid response teams by 31 hospitals in a statewide collaborative.

April 15, 2015

Devastatingly human: an analysis of registered nurses' medication error accounts.

June 30, 2010

Alcoholism and American healthcare: the case for a patient safety approach.

August 17, 2022

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses.

March 31, 2010

When the 5 rights go wrong: medication errors from the nursing perspective.

March 10, 2010

Clinical care checklists: salvations or frustrations?

June 1, 2011

Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors.

February 8, 2006

Conscious sedation on a general ward: the MET and clinical governance.

February 14, 2007

Using an MET service to manage hemorrhage post-percutaneous liver biopsy.

July 26, 2006

Using an MET service to manage an acute thromboembolic stroke.

July 5, 2006

Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania.

October 7, 2020

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.

March 24, 2021

Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study.

October 12, 2016

Rapid response systems.

November 26, 2014

Rapid-response teams.

July 27, 2011

Unfinished nursing care, missed care, and implicitly rationed care: state of the science review.

April 8, 2015

A lethal hidden curriculum—death of a medical student from opioid use disorder.

September 4, 2019

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals

September 1, 2021

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals.

June 29, 2022

The social cost of adverse medical events, and what we can do about it.

April 27, 2011

Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports.

May 24, 2023

Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles.

December 19, 2018

Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies.

February 15, 2017

Evolution of a rapid response system from voluntary to mandatory activation.

June 9, 2010

Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.

May 10, 2023

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.

August 18, 2021

A national survey of safe practice with epidural analgesia in obstetric units.

May 7, 2008

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

April 13, 2011

Using a medical emergency team to manage anaphylactic shock.

June 4, 2008

Integrating simulation in surgery as a teaching tool and credentialing standard.

December 5, 2007

When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality.

September 27, 2023

Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety.

April 5, 2017

Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance.

July 2, 2008

Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams.

April 15, 2020

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.

August 22, 2018

Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing.

November 23, 2016

Tips to reduce dangerous interruptions by healthcare staff.

February 6, 2013

Duty hours, quality of care, and patient safety: general surgery resident perceptions.

October 3, 2012

Last orders: follow-up of tests ordered on the day of hospital discharge.

September 5, 2012

Rapid response teams and failure to rescue: one community's experience.

June 27, 2012

Structured handover in general surgery: an audit of current practice.

July 8, 2015

Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic.

June 30, 2021

Learning not to take it seriously: junior doctors' accounts of error.

October 15, 2008

Facilitating and impeding factors for physicians' error disclosure: a structured literature review.

March 29, 2006

Hidden in plain sight — reconsidering the use of race correction in clinical algorithms.

July 8, 2020

Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.

March 18, 2015

Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania.

July 8, 2020

Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.

October 5, 2016

The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review.

November 15, 2017

Developing a medical emergency team running sheet to improve clinical handoff and documentation.

December 11, 2013

How well is quality improvement described in the perioperative care literature? A systematic review.

May 4, 2016

Assessing the perceived level of institutional support for the second victim after a patient safety event.

June 10, 2015

Measuring safety in older adult care homes: a scoping review of the international literature.

May 19, 2021

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

March 9, 2011

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies.

February 6, 2019

Pain states, the opioid epidemic, and the role of radiologists.

April 4, 2018

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.

April 3, 2013

Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled?

September 5, 2012

To what extent are patients involved in researching safety in acute mental healthcare?

April 6, 2022

Patient characteristics and the occurrence of never events.

February 24, 2010

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

January 20, 2010

Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study.

May 7, 2008

Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis.

October 25, 2006

Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety.

May 30, 2007

Addressing the health care needs of people who identify as transgender: what do nurses need to know?

July 22, 2020

Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.

August 8, 2018

Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care.

August 3, 2016

Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates.

July 13, 2016

Promising roles for pharmacists in addressing the U.S. opioid crisis.

February 14, 2018

An integrative review: fatigue among nurses in acute care settings.

November 5, 2014

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature.

June 2, 2021

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.

March 24, 2021

Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care.

February 28, 2018

Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients.

April 29, 2015

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

January 13, 2016

Patient safety culture: the impact on workplace violence and health worker burnout.

February 8, 2023

How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety?

December 7, 2022

View More

Related Resources

The things we carry: the scope and impact of second victim syndrome.

August 2, 2023

Understanding the root cause analysis process to increase safety event reporting.

July 5, 2023

The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives.

July 5, 2023

Perception of feeling safe perioperatively: a concept analysis.

June 7, 2023

Use of technology to improve the adherence to surgical safety checklists in the operating room.

May 31, 2023

The high cost of retained surgical items.

April 26, 2023

Normalization of deviance is contrary to the principles of high reliability.

April 12, 2023

Managing safety in perioperative settings: strategies of meso-level nurse leaders.

March 15, 2023

Surgical fire in the United States: 2000-2020.

March 15, 2023

Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study.

March 8, 2023

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.

November 30, 2022

Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study.

August 10, 2022

Preventing retained surgical items.

August 3, 2022

Patient falls in the operating room setting: an analysis of reported safety events.

May 11, 2022

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey.

May 11, 2022

Performance variability in perioperative sentinel events: report on a nationwide data set.

April 20, 2022

Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial.

March 2, 2022

Outcomes-based nurse staffing during times of crisis and beyond.

February 16, 2022

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis.

January 26, 2022

Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,

January 26, 2022

Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project.

December 22, 2021

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery.

September 22, 2021

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing.

February 24, 2022 - February 24, 2022

Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms.

June 23, 2021

An examination of factors that predict the perioperative culture of safety.

June 9, 2021

View More

See More About The Topic

Medical/Surgical Nursing

Psychological and Social Complications

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364