The surgical time-out: the relationship between perceptions of a safety-task anchor and surgical team workflow
| dc.contributor.author | Zagarese, Vivian J. | en |
| dc.contributor.author | Hernandez, Ivan | en |
| dc.contributor.author | Hauenstein, Neil M. A. | en |
| dc.contributor.author | Foti, Roseanne J. | en |
| dc.contributor.author | Parker, Sarah H. | en |
| dc.date.accessioned | 2025-02-10T19:45:05Z | en |
| dc.date.available | 2025-02-10T19:45:05Z | en |
| dc.date.issued | 2025-02-05 | en |
| dc.date.updated | 2025-02-09T04:18:39Z | en |
| dc.description.abstract | Background The surgical time-out is a critical safety measure used in the operating room (OR). We examined the mediating relationship of the length of the time-out between team perceived usefulness of the time-out, and the rate at which the circulating nurse left the OR to retrieve instruments. Methods 60 cardiac surgical teams were observed performing their work. The length of the time-out and the rate at which the circulating nurse left the OR was obtained by observation of the surgical team. We administered a survey with a 7-point Likert scale to assess the surgical staff’s perceived usefulness of the time-out at the end of the surgery. An analysis was conducted to test if length of the time-out mediated the relationship between perceived usefulness of the time-out and rate at which the nurse leaves the OR to retrieve an instrument useful for the surgery. Results The relationship of the length of the time-out with the rate at which the nurse leaves the OR was non-significant (β = 0.089, p = .496). However, the relationship between perceived usefulness of the time-out with the length of the time-out was significant (β = 0.346, p < .05) and the effect between perceived usefulness of the time-out and the rate at which the nurse left the OR was statistically significant (β= − 0.424, p = < 0.001). Conclusion In this study we explore how surgical teams’ attitudes towards the usefulness of the time-out affect its utilization, and how attitudes about time-outs are related to the important process measure of rate at which the circulating nurse leaves the OR. The full mediation model was not supported by the data; however, there appears to be a relationship between the perceived usefulness of the time-out and the rate at which the circulating nurse leaves the OR. | en |
| dc.description.version | Published version | en |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.citation | BMC Surgery. 2025 Feb 05;25(1):55 | en |
| dc.identifier.doi | https://doi.org/10.1186/s12893-025-02789-w | en |
| dc.identifier.uri | https://hdl.handle.net/10919/124560 | en |
| dc.language.iso | en | en |
| dc.rights | Creative Commons Attribution 4.0 International | en |
| dc.rights.holder | The Author(s) | en |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en |
| dc.title | The surgical time-out: the relationship between perceptions of a safety-task anchor and surgical team workflow | en |
| dc.title.serial | BMC Surgery | en |
| dc.type | Article - Refereed | en |
| dc.type.dcmitype | Text | en |