ASSESSMENT OF KNOWLEDGE AMONG SURGICAL NURSES REGARDING SURGICAL TIME OUT PROTOCOLS IN THE OPERATING ROOM AT TERTIARY HOSPITAL RAWALPINDI
DOI:
https://doi.org/10.54112/bcsrj.v2024i1.838Keywords:
Nurses, OR, Knowledge, surgical time out, Patient safetyAbstract
Surgical Time Out protocols are pivotal for ensuring patient safety in operating rooms (ORs), designed to prevent surgical errors such as wrong-patient surgery and retained surgical instruments. Despite established protocols, adherence varies, with potentially fatal outcomes. Aim: The study aims to assess the knowledge and implementation of Surgical Time Out protocols among surgical nurses at a Tertiary Care Hospital in Rawalpindi, determining the impact on patient safety and surgical outcomes. Methods: We conducted a descriptive cross-sectional study involving 150 OR nurses selected through convenience sampling. A validated questionnaire was employed to collect data on the nurses' knowledge and application of Time Out protocols. Results: Results showed that 68% of nurses had adequate knowledge regarding Time Out protocols, recognizing their essential role in patient safety. Nevertheless, 32% had insufficient knowledge, which could compromise surgical safety. Conclusion: The study concludes that while a majority of nurses understand the importance of Surgical Time Out protocols, there is a significant portion who require further training. It emphasizes the necessity of regular, structured training programs to enhance adherence to Time Out protocols, thereby improving patient safety and reducing preventable surgical complications.
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Okolo CA, Ijeh S, Arowoogun JO, Adeniyi AO, Omotayo O. Reviewing the impact of health information technology on healthcare management efficiency. International Medical Science Research Journal. 2024;4(4):420-40.
Forrester JA, Powell BL, Forrester JD, Fast C, Weiser TG. Surgical instrument reprocessing in resource-constrained countries: a scoping review of existing methods, policies, and barriers. Surgical infections. 2018;19(6):593-602.
Ahmed AS. Assessing Operating Team Practices of Surgical Safety Measures Applied to Intraoperative Orthopedic Patients. Alexandria Scientific Nursing Journal. 2017;19(1):75-90.
Hou Y, Di X, Concepcion C, Shen X, Sun Y. Establishment and implementation of safety check project for invasive procedures outside the operating room. International Journal of Nursing Sciences. 2021;8(2):199-203.
Corso R, Vacirca F, Patelli C, Leni D. Use of “Time-Out” checklist in interventional radiology procedures as a tool to enhance patient safety. La radiologia medica. 2014;119:828-34.
Nelson PE. Enhanced time out: an improved communication process. AORN journal. 2017;105(6):564-70.
Verdaasdonk E, Stassen L, Widhiasmara PP, Dankelman J. Requirements for the design and implementation of checklists for surgical processes. Surgical endoscopy. 2009;23:715-26.
Szymocha M, Pacan M, Anufrowicz M, Jurek T, Rorat M. Leaving a foreign object in the body of a patient during abdominal surgery: still a current problem. Polish Journal of Surgery. 2019;91(6):35-40.
Bajnok I, Puddester D, Macdonald C, Archibald D, Kuhl D. Building positive relationships in healthcare: Evaluation of the teams of interprofessional staff interprofessional education program. Contemporary Nurse. 2012;42(1):76-89.
O'Donovan R, Rogers L, Khurshid Z, De Brún A, Nicholson E, O'Shea M, et al. A systematic review exploring the impact of focal leader behaviours on health care team performance. Journal of nursing management. 2021;29(6):1420-43.
Farokhzadian J, Dehghan Nayeri N, Borhani F. The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses. BMC health services research. 2018;18:1-13.
Stavrianopoulos T. The development of patient safety culture. Health Science Journal. 2012;6(2):201.
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ quality & safety. 2014;23(4):299-318.
Ahmed IIK, Fea A, Au L, Ang RE, Harasymowycz P, Jampel HD, et al. A prospective randomized trial comparing Hydrus and iStent microinvasive glaucoma surgery implants for standalone treatment of open-angle glaucoma: the COMPARE study. Ophthalmology. 2020;127(1):52-61.
Organization WH. Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care: World Health Organization; 2021.
Coletto K. Perceived Knowledge and Attitudes of Certified Registered Nurse Anesthetists and Student Registered Nurse Anesthetists on Fire Risk Assessment During Time-out in the Operating Room. AANA journal. 2018;86(2).
Mutair AA, Alhumaid S, Shamsan A, Zaidi ARZ, Mohaini MA, Al Mutairi A, et al. The effective strategies to avoid medication errors and improving reporting systems. Medicines. 2021;8(9):46.
Farzi S, Farzi S, Taheri S, Ehsani M, Moladoost A. Perspective of Nurses toward the Patient Safety Culture in Neonatal Intensive Care Units. Iranian Journal of Neonatology. 2017;8(4).
A EL-SAYED WM, M ELDEEB IEM, KHATER MKA, MORSY TA. Operating Room and Patient Safety: An Overview. Journal of the Egyptian Society of Parasitology. 2021;51(2):391-404.
Naidu SS, Abbott JD, Bagai J, Blankenship J, Garcia S, Iqbal SN, et al. SCAI expert consensus update on best practices in the cardiac catheterization laboratory: this statement was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) in April 2021. Catheterization and Cardiovascular Interventions. 2021;98(2):255-76.
Chellam Singh B, Arulappan J. Operating Room Nurses’ Understanding of Their Roles and Responsibilities for Patient Care and Safety Measures in Intraoperative Practice. SAGE Open Nursing. 2023;9:23779608231186247.
Jun J, Ojemeni MM, Kalamani R, Tong J, Crecelius ML. Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International journal of nursing studies. 2021;119:103933.
Granel-Giménez N, Palmieri PA, Watson-Badia CE, Gómez-Ibáñez R, Leyva-Moral JM, Bernabeu-Tamayo MD. Patient safety culture in European hospitals: A comparative mixed methods study. International journal of environmental research and public health. 2022;19(2):939.
Jalali H, Asl EB, Mehr AM, Pourafzali SM, Ghasemi M. Prevention and control of operating room fires: Knowledge of staff employed by selected hospitals of Isfahan University of Medical Sciences. Digital Medicine. 2016;2(2):52-6.
Kisacik OG, Cigerci Y. Use of the surgical safety checklist in the operating room: operating room nurses’ perspectives. Pakistan journal of medical sciences. 2019;35(3):614.
Tan J, Ngwayi JRM, Ding Z, Zhou Y, Li M, Chen Y, et al. Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China. Patient Safety in Surgery. 2021;15:1-12.
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Copyright (c) 2024 N ULLAH , . RAFIULLAH, M IRFAN, H KAUSAR, A RAJPER , V KUMAR, S MAGSI
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