Why isn't 'time out' being implemented? An exploratory study

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Title Why isn't 'time out' being implemented? An exploratory study
Author Gillespie, Brigid Mary; Chaboyer, Wendy; Wallis, Marianne; Fenwick, Clare Elizabeth
Journal Name Quality and Safety in Health Care
Editor D. Stevens
Year Published 2010
Place of publication United Kingdom
Publisher BMJ Group
Abstract Background While there has been much discussion extolling the virtues of using 'time out' as a means of preventing the potential for sentinel events, to date there has been little examination of the issues that impact on clinicians' uptake of 'time out' in operating-room settings. Aim This study sought to methodically identify implementation and practice issues associated with the introduction and ongoing use of a 'time out' protocol in a large healthcare organisation. Methods Sixteen participants were interviewed and included surgeons, anaesthetists, nurse managers and nurses who worked at the clinical interface. Textual data were analysed using a grounded theory approach, identifying subcategories to illustrate causal relationships to the category. Results The category 'ambivalent compliance with “time out”' was the central idea that was recognised by events and behaviours that surrounded the introduction of 'time out.' Subcategories included haphazard implementation of time out, hierarchical team culture and tribal affiliations of members, and clashing clinical priorities make it difficult to incorporate 'time out' into practice, and led to 'ambivalent compliance.' Conclusion There is little doubt that using a 'time out' protocol in the operating room allows team members to share explicit confirmation of safety-related details. However, when introducing patient safety initiatives into practice, recognising compliance issues is an important first step towards identifying ways in which to address them.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1136/qshc.2008.030593
Copyright Statement Copyright remains with the authors 2010. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal's website or contact the authors.
Volume 19
Page from 103
Page to 106
ISSN 1475-3898
Date Accessioned 2010-07-02
Language en_AU
Research Centre Centre for Health Practice Innovation; Menzies Health Institute Qld
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/32260
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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