The Trauma Time-Out: Evaluating the Effectiveness of Protocol-Based Information Dissemination in the Traumatically Injured Patient
| Autor: | Heather R. Nolan, Joey Jarrard, Michael Fitzgerald, Danny Vaughn, Brett Howard |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Program evaluation
Male medicine.medical_specialty Time-out Attitude of Health Personnel Information Dissemination MEDLINE Emergency Nursing Critical Care Nursing 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Trauma Centers 030225 pediatrics Surveys and Questionnaires Health care Outcome Assessment Health Care Medicine Humans Advanced and Specialized Nursing Protocol (science) Patient Care Team business.industry Major trauma Trauma center 030208 emergency & critical care medicine medicine.disease United States Health Care Surveys Wounds and Injuries Female Interdisciplinary Communication Medical emergency Patient Safety business Program Evaluation |
| Zdroj: | Journal of trauma nursing : the official journal of the Society of Trauma Nurses. 24(3) |
| ISSN: | 1078-7496 |
| Popis: | Procedural time-outs are widely accepted safety standards that are protocolized in nearly all hospital systems. The trauma time-out, however, has been largely unstudied in the existing literature and does not have a standard protocol outlined by any of the major trauma surgery organizations. The goal of this study was to evaluate our institution's use of the trauma time-out and assess how trauma team members viewed its effectiveness. A multiple-answer survey was sent to trauma team members at a Level I trauma center. Questions included items directed at background, experience, opinions, and write-in responses. Most responders were experienced trauma team members who regularly participated in trauma codes. All respondents noted the total time required to complete the time-out was less than 5 min, with the majority saying it took less than 1 min. Seventy-five percent agreed that trauma time-outs should continue, with 92% noting that it improved understanding of patient presentation and prehospital evaluation. Seventy-seven percent said it improved understanding of other team member's roles, and 75% stated it improved patient care. Subgroups of physicians and nurses were statistically similar; yet, physicians did note that it improved their understanding of the team member's function more frequently than nurses. The trauma time-out can be an excellent tool to improve patient care and team understanding of the incoming trauma patient. Although used widely at multiple levels of trauma institutions, development of a documented protocol can be the next step in creating a unified safety standard. |
| Databáze: | OpenAIRE |
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