2.50
Hdl Handle:
http://hdl.handle.net/10755/162001
Category:
Abstract
Type:
Presentation
Title:
Implementing "Time-Outs" in Developing Countries
Author(s):
Brenner, Erin
Author Details:
Erin E. Brenner, RN, International Children's Heart Foundation, Memphis, Tennessee, USA, email: brenneree@hotmail.com
Abstract:
Poster presented at AORN's 58th Annual Congress: Purpose of Project: The World Health Organization (WHO) introduced a safe surgery initiative in 2008, including a structured pre-surgical checklist and time outs. We introduced this concept in our mission trips to developing pediatric cardiac surgical programs. Methodology: The International Childrens Heart Foundation (ICHF) a 501c(3) NGO sends teams of medical volunteers to perform pediatric cardiac surgeries and training in developing countries. A typical team consists of approximately 16 volunteers, five of which are operating room staff. A pilot study initiated surgical time-outs in selected countries during 2009/2010, the constant being the operating room nurse coordinator for ICHF. All team members were briefed on ICHFs desire for team safety, and initiation of these standards. A modification of the WHO safety checklist was used, the initial focus being the pre-incision time-out. Results: The time out initiative was piloted on 13 trips in Honduras (4), Ecuador (2), Dominican Republic (2), India (1), and the Ukraine (4), between July of 2009 and August 2010. Prior to ICHFs initiation of this safety standard, none of these centers were performing time-outs. There were 254 pilot center surgical cases - 215 (85%) time-outs were done, 32 (12%) had no time out performed, and seven (2%) had no data reported. Perioperative Nursing Implications: Compliance was greater than expected especially when recognizing the challenges of variation in team composition, language barriers, and differing safety culture and tradition. Time-outs are important part of team communication and will be an expanding part of the teaching process within ICHF. Expansion of application, analysis of events highlighted, and clinical results will form the next phase.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImplementing "Time-Outs" in Developing Countriesen_GB
dc.contributor.authorBrenner, Erinen_US
dc.author.detailsErin E. Brenner, RN, International Children's Heart Foundation, Memphis, Tennessee, USA, email: brenneree@hotmail.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/162001-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Purpose of Project: The World Health Organization (WHO) introduced a safe surgery initiative in 2008, including a structured pre-surgical checklist and time outs. We introduced this concept in our mission trips to developing pediatric cardiac surgical programs. Methodology: The International Childrens Heart Foundation (ICHF) a 501c(3) NGO sends teams of medical volunteers to perform pediatric cardiac surgeries and training in developing countries. A typical team consists of approximately 16 volunteers, five of which are operating room staff. A pilot study initiated surgical time-outs in selected countries during 2009/2010, the constant being the operating room nurse coordinator for ICHF. All team members were briefed on ICHFs desire for team safety, and initiation of these standards. A modification of the WHO safety checklist was used, the initial focus being the pre-incision time-out. Results: The time out initiative was piloted on 13 trips in Honduras (4), Ecuador (2), Dominican Republic (2), India (1), and the Ukraine (4), between July of 2009 and August 2010. Prior to ICHFs initiation of this safety standard, none of these centers were performing time-outs. There were 254 pilot center surgical cases - 215 (85%) time-outs were done, 32 (12%) had no time out performed, and seven (2%) had no data reported. Perioperative Nursing Implications: Compliance was greater than expected especially when recognizing the challenges of variation in team composition, language barriers, and differing safety culture and tradition. Time-outs are important part of team communication and will be an expanding part of the teaching process within ICHF. Expansion of application, analysis of events highlighted, and clinical results will form the next phase.en_GB
dc.date.available2011-10-27T08:44:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:44:06Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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