Anne van Dalen

158 I Chapter 4 Quiet Peace and quiet in OR, no auditory distractions during procedural step ORGANIZATION Sub-category Code Description Effective Training Program In situ training Prioritization of practical, hands- on training/teaching (procedures, techniques,etc.)ofstaffwithin theORthatdoesnothindercase progression Trainee autonomy Less experienced surgeon is given freedom to choose which step they feel comfortable with/ want to practice Asking questions Clinicians are free to ask questions/ask questions without penalty Strong Safety Culture Lessons learned Clinical team discusses previous mistakes for the purpose of learning not to repeat them Communicating mistakes Clinicians are able to openly communicate potential mistakes/errors to team (safety precaution) without penalty User feedback Organization is receptive to user feedback concerning improving OR activities (Ex. Preference cart update) Effective Policies/ Procedures Double check Evidence of double-check procedure for safe/effective execution of surgical/case- related tasks Timeout Clear, organized, and timely execution of a standardized timeout procedure involving all necessary clinical specialties prior to surgery commencement