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dc.contributor.authorGillespie, Brigiden_US
dc.contributor.authorChaboyer, Wendyen_US
dc.contributor.authorWallis, Marianneen_US
dc.contributor.authorFenwick, Clareen_US
dc.contributor.editorD. Stevensen_US
dc.date.accessioned2017-04-24T11:51:32Z
dc.date.available2017-04-24T11:51:32Z
dc.date.issued2010en_US
dc.date.modified2010-10-18T06:12:46Z
dc.identifier.issn14753898en_US
dc.identifier.doi10.1136/qshc.2008.030593en_AU
dc.identifier.urihttp://hdl.handle.net/10072/32260
dc.description.abstractBackground 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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.format.extent86719 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherBMJ Groupen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom103en_US
dc.relation.ispartofpageto106en_US
dc.relation.ispartofjournalQuality and Safety in Health Careen_US
dc.relation.ispartofvolume19en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchcode929999en_US
dc.subject.fieldofresearchcode111003en_US
dc.titleWhy isn't 'time out' being implemented? An exploratory studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright remains with the authors 2010. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal's website or contact the authors.en_AU
gro.date.issued2010
gro.hasfulltextFull Text


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