Birnbach David J, Rosen Lisa F, Fitzpatrick Maureen, Paige John T, Arheart Kristopher L
Jt Comm J Qual Patient Saf. 2017 Jun;43(6):284-288. doi: 10.1016/j.jcjq.2017.03.001. Epub 2017 Apr 18.
Introductions are the first item of the time-out in the World Health Organization Surgical Safety Checklist (SSC). It has yet to be established that surgical teams use colleagues' names or consider the use of names important. A study was conducted to determine if using the SSC has a measurable impact on name retention and to assess if operating room (OR) personnel believe it is important to know the names of their colleagues or for their colleagues to know theirs.
All OR personnel were individually interviewed at the end of 25 surgical cases in which the SSC was used. They were asked (1) to name each OR participant, and (2) if they believed it is important to know the names of their team members and (3) for their team members to know their name.
Of the 150 OR personnel interviewed, 147 (98%) named the surgery attending correctly. The surgery attending named only 44% of other OR staff (p <0.001). Only 62% of the OR staff correctly named the anesthesiology attending. The anesthesiology resident was the least well known but was able to name 82% of the others. The anesthesiology attending named his or her resident 100% of the time; the surgery attending correctly named his or her resident only 68% of the time (p = 0.002).
This study suggests that OR personnel may consider introductions to be another bureaucratic hurdle instead of the safety check they were designed to be. It appears that this first step of the time-out is often being performed perfunctorily.
在世界卫生组织手术安全核对表（SSC）中，术前介绍是暂停环节的第一项内容。目前尚未确定手术团队是否使用同事的名字，或者是否认为使用名字很重要。开展了一项研究，以确定使用SSC是否对记住名字有可衡量的影响，并评估手术室（OR）人员是否认为了解同事的名字或让同事了解自己的名字很重要。
在25例使用SSC的手术结束时，对所有手术室人员进行了单独访谈。询问他们（1）说出每个手术室参与者的名字，（2）是否认为了解团队成员的名字很重要，以及（3）是否认为团队成员了解自己的名字很重要。
在接受访谈的150名手术室人员中，147人（98%）正确说出了主刀医生的名字。主刀医生仅说出了44%的其他手术室工作人员的名字（p<0.001）。只有62%的手术室工作人员正确说出了麻醉科主刀医生的名字。麻醉科住院医生是最不为人所知的，但能说出82%其他人的名字。麻醉科主刀医生100%说出了自己的住院医生的名字；主刀医生仅68%的情况下正确说出了自己住院医生的名字（p=0.002）。
这项研究表明，手术室人员可能将术前介绍视为另一个官僚主义障碍，而不是其设计初衷的安全检查。看来暂停环节的这第一步往往是敷衍了事地进行。
