[Impact of The Netherlands Health Care Inspectorate report on patient safety in operating rooms: teamwork is better than bureaucracy].

The Netherlands Health Care Inpectorate recently concluded that patient safety in operating rooms should improve. One example of improvement is the implementation of the time out procedure, which consists of a preoperative briefing and a postoperative debriefing in the operating room. There is, however, a risk of bureaucray and pro forma procedures, due to the time pressure the inspectorate has imposed. Sustainable improvement in patient safety requires teamwork and training of all members of surgical teams in non-technical skills such as communication. Crew resource management has been implemented in the intensive care departments in The Netherlands and is now being adapted for the training of integrated surgical teams.