Journal article
Why isn't 'time out' being implemented? An exploratory study
Quality and Safety in Health Care, Vol.19(2), pp.103-106
2010
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.
Details
- Title
- Why isn't 'time out' being implemented? An exploratory study
- Authors
- B M Gillespie (Author) - Griffith UniversityW Chaboyer (Author) - Griffith UniversityMarianne Wallis (Author) - Griffith UniversityC Fenwick (Author) - Griffith University
- Publication details
- Quality and Safety in Health Care, Vol.19(2), pp.103-106
- Publisher
- B M J Group
- Date published
- 2010
- DOI
- 10.1136/qshc.2008.030593
- ISSN
- 1475-3898; 1475-3898
- Copyright note
- Copyright © 2010 The Author. The published version of the paper is reproduced here for non-commercial purposes only in accordance with the copyright policy of the publisher.
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99459565202621
- Output Type
- Journal article
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