Reframing the surgical time out to fight complacency, improve outcomes
Editor's Note On this National Time Out Day, perioperative leaders are being called to reinvigorate the time-out process to combat complacency and reduce adverse events. Despite decades of safety initiatives, the adverse event rate in surgical care remains high—38% of perioperative cases, with nearly half tied directly to surgical procedures,…
Spotlight on safety: Call for renewed vigilance on National Time Out Day
Editor's Note Wrong-site surgeries are on the rise, and insufficient surgical time outs are a key contributor, according to new data highlighted by AORN on June 10 in honor of this year’s National Time Out Day on June 11. Based on The Joint Commission’s Sentinel Event Data 2023 Annual Review,…
Study shows WHO surgical checklist boosts safety, but compliance gaps risk patient outcomes
Editor’s Note Tertiary hospitals are embracing the World Health Organization (WHO) Surgical Safety Checklist (SSC), yet inconsistent compliance—especially during time-out—exposes patients to avoidable risks, Cureus April 29 reports. In this study, the researchers found that while overall integration of the SSC is promising, there were compliance gaps particularly in pre-incision…
New 10-point checklist aims to streamline patient selection for outpatient joint replacement
Editor's Note As joint replacement (JR) procedures increasingly move from the hospital setting to ambulatory surgical centers (ASCs), selecting the right candidates for these outpatient procedures becomes crucial. To support this transition, study authors Madhav Chowdhry, MD, and Edward J. McPherson, MD, developed a comprehensive, evidence-based checklist called Checklist Outpatient-Joint…
State of the huddle: The barriers to and benefits of preop meetings
Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…
Leadership session: Empowering Your Team to Ensure Patient Safety
Editor's Note What is a hard stop? “Think about it,” Amy Bethel, MPA, BSN, RN, NE-BC, education coordinator for the OR Business Management Conference, urged this year’s OR Manager Conference attendees. “You all know what a hard stop is, and I know all of you have had hard stops. But…
Improving situational awareness in ASCs
Situational awareness is the perception of events occurring around a person in a particular environment. Knowing what is happening helps that person make better decisions. But how does that apply in the perioperative context? In 2004, The Joint Commission made situational awareness the cornerstone of its surgical timeout requirement. The…
June 8 is National Time Out Day
Editor's Note National Time Out Day, June 8, draws attention to the need for everyone on the surgical team to pause before a surgical procedure begins to make sure they are doing the right procedure on the right patient at the right site. AORN created the National Time Out Day…
Free Daily News
- Large-scale studies link preoperative cognition to delirium risk, reveal its deadly toll after surgery
- Socioeconomic deprivation linked to lower fitness before surgery, UK study finds
- Perioperative medication decisions need individualized risk-benefit approach
- FDA: National IV saline shortage over after years of strained supply
- FDA announces Class 1 recall for Draeger breathing filters
- Hospital CEO departures surge, boards turn to interim leadership
- Study: Attire shapes patient trust, perceptions
- ASC drill success hinges on preparation, adaptability, clear roles
- Robotic surgery shows better outcomes in select emergency colorectal cases, poised for wider use
- 5 costly mistakes to avoid when building an ASC