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National Time Out Day Celebrates Adoption of First Universal Protocol to Prevent Errors in U.S. Operating Rooms

New protocol will affect how millions of surgeries are performed

Denver (June 21, 2004)—For the first time, nurses, surgeons and accredited hospitals throughout the country are being required to adopt a common set of operating room procedures in an effort to eliminate the alarming number of deaths and injuries due to wrong-site, wrong-procedure and wrong-person surgeries.

ASA is one of six national health care organizations and associations, led by the Association of periOperative Registered Nurses (AORN), that have joined together to promote the adoption of the Joint Commission on Accreditation of Healthcare Organizations’ Universal Protocol for preventing wrong-site surgery errors in U.S. operating rooms. To promote the new requirements, surgeons, perioperative nurses, anesthesiologists and other members of the health care team have declared June 23 National Time Out Day.

On July 1, all Joint Commission-accredited hospitals, ambulatory care and office-based surgery facilities will be required to take a “time out” before a surgery begins. The “time out” is a final step before a surgical procedure to verify that the correct procedure will be performed on the correct patient.

National Time Out Day was created to increase awareness and generate greater urgency for implementation of the Universal Protocol among the health care community. The “time out” is one of several requirements of the Universal Protocol that will apply to the more than 70 million surgeries performed annually.

The National Time Out Day is one of many efforts under way to increase patient safety and identify the cause of errors. It is significant because it represents collaboration among nurses, physicians and health care executives to reduce errors and improve care.

Besides ASA and AORN, the organizations promoting National Time Out Day, are the Joint Commission, the American Hospital Association, the American College of Surgeons (ACS), and the American Society for Health care Risk Management. Approximately 50 health care associations are endorsing the Universal Protocol. ASA President-Elect Eugene P. Sinclair, M.D., represented ASA at a Summit Conference on Wrong Site Surgery on May 9, 2003, sponsored by the Joint Commission, ACS and other hospital, medical and dental organizations.

Additional discussions on this topic were included in the February 2004 ASA Newsletter’s Administrative Update and “Practice Management” columns.

AORN has created a special National Time Out Day Web site, www.nationaltimeoutday.com, and distributed 55,000 tool kits to health care professionals throughout the country to help facilitate that implementation. Patients and their families are encouraged to have ongoing communication with their health care providers about their medical care. Better communication among patients, nurses and physicians is an important ingredient to improve overall care.

National Time Out Day would not be possible without the following partners:

News

The following USA Today news article further explores Universal Protocol:

http://www.usatoday.com/news/health/2004-06-21-double-check_x.htm