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Enhancing surgical safety using digital multimedia technology.

Jennifer L Dixon¹, Dhriti Mukhopadhyay¹, Justin Hunt¹

¹Department of Surgery, Baylor Scott & White Healthcare, Scott & White Memorial Hospital, 2401 South 31st Street, Temple, TX, 76503, USA.

American Journal of Surgery

|November 9, 2015

Summary

A digital multimedia surgical safety checklist significantly improved clarity in patient identification and operative laterality. Most surgical staff preferred this enhanced time-out procedure over the standard method.

Keywords:

Multimedia Patient safety Surgical safety Technology Time-out

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Area of Science:

Medical Informatics
Surgical Safety
Human Factors Engineering

Background:

Surgical safety checklists are crucial for preventing errors.
Traditional time-out procedures may have limitations in clarity and engagement.
Digital and video multimedia offer potential enhancements to surgical protocols.

Purpose of the Study:

To evaluate the impact of digital and video multimedia on surgical time-out performance.
To assess surgical staff perceptions of a multimedia-enhanced time-out process.

Main Methods:

A prospective pilot study implemented a multimedia time-out, including patient videos.
Staff perceptions were collected using a pre- and post-intervention Likert scale survey.
Surgical time-out duration and performance of safety elements were measured.

Main Results:

High employee satisfaction was reported for both standard and multimedia time-outs.
The digital method significantly improved clarity in patient identification and operative laterality (P < .05).
Despite a longer duration (79s vs 49s), the multimedia time-out showed significant performance improvements, with 87% staff preference.

Conclusions:

Multimedia time-outs enhance surgical team participation and are preferred over standard procedures.
Digital tools can improve the effectiveness of surgical safety checklists.