![]() ![]() Two previous studies conducted at Vanderbilt University Medical Center demonstrated that this electronic time-out application has both improved overall compliance with performing time-outs 8 and decreased wrong-surgery events relative to estimates of national wrong-surgery rates. A nurse then documents these responses electronically by checking boxes within the electronic time-out application, which brings up the next question. As each step of the time-out is verbalized by a team member, the operating room team members are expected to respond. The circulator nurse normally runs the electronic time-out application using an operating room computer and is responsible for guiding the team through each item. 8, 9 The electronic time-out uses an electronic whiteboard (40-inch television screen) to display a checklist with checkboxes for each component of the time-out. 4– 7 At Vanderbilt University Medical Center, an interactive electronic time-out was implemented in 2010 to increase surgical team compliance with the time-out procedure and to improve communication between team members in the operating room. ![]() Implementation of the time-out procedure has been associated with a decrease in preventable medical errors, patient morbidity, patient mortality, and surgical complication rates. 3 The time-out is also a time designated for team members to voice any concerns about the patient’s safety or the procedure. 2 During the time-out, the entire operating room team reviews the patient’s identity, the procedure, and the surgical site before surgical incision or the start of the procedure. 1 According to the protocol, organizations must conduct a “time-out” before the start of any surgical procedure. For additional information visit Linking to and Using Content from MedlinePlus.The universal protocol was designed by the Joint Commission to reduce the occurrence of wrong-site, wrong-procedure, and wrong-person surgery. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Links to other sites are provided for information only - they do not constitute endorsements of those other sites. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. ![]() Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. This helps keep your surgery from being delayed.Ī.D.A.M., Inc. Make sure the doctors who do your pre-op tests send the results to your surgeon. Imaging tests, such as an MRI scan, CT scan, or ultrasound test. ![]() Tests that look at the lining of your bowels or stomach, such as a colonoscopy or upper endoscopy.Some doctors or surgeons may also ask you to have other tests. ECG ( electrocardiogram) to check your heart.Blood tests such as a complete blood count (CBC) and kidney, liver, and blood sugar tests.Others are done only if you are at risk for certain health conditions.Ĭommon tests that your surgeon may ask you to have if you have not had them recently are: Some tests are for all surgical patients. Your surgeon may tell you that you need some tests before surgery. ![]()
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