Question no1

Profile Age 21-30 31-40 41-50 Gender Female Male years of experience 0-3 yrs 4-6yrs 7-10yrs working position Surgeon Assistant surgeon Anaesthesiologist scrub nurse circulating nurse

classification

Frequency N=20 9 9 2

Percentage

Young adult Middle age Old age

45 45 10

5 15

25 75

10 2 4

50 10 20

4 4 4 4 4

20 20 20 20 20

QUESTION NO.2 2.1. Sign in: Before induction of anaesthesia the members of the team (at least the nurse and an anaesthesia professional) orally confirm that: 2.1a. The patient has verified his or her identity, the surgical site and procedure, and consent 2.1b. The surgical site is marked or site marking is not applicable 2.1c. The anaesthesia machine and medication are checked and complete 2.1d. The pulse oximeter is on the patient and functioning 2.1e. All members of the team are aware of whether the patient has a known allergy 2.1f. The patients airway and risk of aspiration have been evaluated and appropriate equipment and assistance are available 2.1g. If there is a risk of blood loss of at least 500 ml (or 7 ml/kg of body weight, in children), appropriate access and fluids are available AGE 21-30 30-41 41-50 WM VI WM VI WM VI 4.33 AE 4.56 E 4.5 E 4.22 4.56 4.44 4.67 4.67 4.67 AE 4.78 E 4.56 AE 4.67 E 5.00 E E 5.00 4.89 E E E E E E 4.5 4.5 5 5 5 5 E E E E E E

2.2.Time out: Before skin incision, the entire team (nurses, surgeons, anaesthesia professionals, and any others participating in the care of the patient) orally: 2.2a. Confirms that all team members have been introduced by name and role 2.2b. Confirms the patients identity, surgical site, and procedure 2.2c. Reviews the anticipated critical events 2.2d. Surgeon reviews critical and unexpected steps, operative duration, and anticipated blood loss 2.2e. Anaesthesia staff review concerns specific to the patient 2.2f. Nursing staff review confirmation of sterility, equipment availability, and other concerns 2.2g. Confirms that prophylactic antibiotics have been administered 60 min before incision is made or that antibiotics are not indicated 2.2h. Confirms that all essential imaging results for the correct patient are displayed in the operating room

21-30 W VI M 4.4 A 4 E 4.5 E 6 3.6 A 7 E 4.2 A 2 E 4.3 A 3 E 4.4 A 4 E 4.3 A 3 E 4.4 A 4 E

AGE 30-41 W VI M 4.6 E 7 4.6 E 7 4.3 A 3 E 4.4 A 4 E 4.4 A 4 E 4.5 E 6 4.7 E 8 4.3 A 3 E

41-50 W V M I 5 E 5 4.5 4.5 4.5 4.5 5 5 E E E E E E E

2.3.Sign out: Before the patient leaves the operating room: Nurse reviews items aloud with the team 2.3a. Name of the procedure as recorded 2.3b. That the needle, sponge, and instrument counts are complete (or not applicable) 2.3c. That the specimen (if any) is correctly labelled, including with the patients name 2.3d. The surgeon, nurse, and anaesthesia professional review aloud the key concerns for the recovery and care of the patient

AGE 21-30 30-41 WM VI WM VI 4.22 AE 4.67 E 4.44 AE 4.78 E 4.56 4.33 E 4.56 E

41-50 WM VI 5 E 5 E 4.5 E E

AE 4.33

AE 4.5

2.1. Sign in: Before induction of anaesthesia the members of the team (at least the nurse and an anaesthesia professional) orally confirm that: 2.1a. The patient has verified his or her identity, the surgical site and procedure, and consent 2.1b. The surgical site is marked or site marking is not applicable 2.1c. The anaesthesia machine and medication are checked and complete 2.1d. The pulse oximeter is on the patient and functioning 2.1e. All members of the team are aware of whether the patient has a known allergy 2.1f. The patients airway and risk of aspiration have been evaluated and appropriate equipment and assistance are available 2.1g. If there is a risk of blood loss of at least 500 ml (or 7 ml/kg of body weight, in children), appropriate access and fluids are available

GENDER FEMALE MALE WM VI WM VI 4.4 AE 4.47 AE 4.6 4.8 4.8 4.8 4.8 4.8 E E E E E E 4.47 4.47 4.53 4.87 4.87 4.80 AE AE E E E E

2.2.Time out: Before skin incision, the entire team (nurses, surgeons, anaesthesia professionals, and any others participating in the care of the patient) orally: 2.2a. Confirms that all team members have been introduced by name and role 2.2b. Confirms the patients identity, surgical site, and procedure 2.2c. Reviews the anticipated critical events 2.2d. Surgeon reviews critical and unexpected steps, operative duration, and anticipated blood loss 2.2e. Anaesthesia staff review concerns specific to the patient 2.2f. Nursing staff review confirmation of sterility, equipment availability, and other concerns 2.2g. Confirms that prophylactic antibiotics have been administered 60 min before incision is made or that antibiotics are not indicated 2.2h. Confirms that all essential imaging results for the correct patient are displayed in the operating room

GENDER FEMALE MALE WM VI WM VI 4.4 4.4 4.4 4.2 4 4.6 4.6 4.6 AE 4.67 AE 4.73 AE 4.40 AE 4.47 AE 4.47 E 4.47 E E 4.60 4.47 E E AE AE AE AE E E

2.3.Sign out: Before the patient leaves the operating room: Nurse reviews items aloud with the team 2.3a. Name of the procedure as recorded 2.3b. That the needle, sponge, and instrument counts are complete (or not applicable) 2.3c. That the specimen (if any) is correctly labelled, including with the patients name 2.3d. The surgeon, nurse, and anaesthesia professional review aloud the key concerns for the recovery and care of the patient

GENDER FEMALE MALE WM VI WM VI 4.6 E 4.47 E 4.8 E 4.60 E 4.6 4.4 E 4.53 E AE

AE 4.33

2.1. Sign in: Before induction of anaesthesia the members of the team (at least the nurse and an anaesthesia professional) orally confirm that: 2.1a. The patient has verified his or her identity, the surgical site and procedure, and consent 2.1b. The surgical site is marked or site marking is not applicable 2.1c. The anaesthesia machine and medication are checked and complete 2.1d. The pulse oximeter is on the patient and functioning 2.1e. All members of the team are aware of whether the patient has a known allergy 2.1f. The patients airway and risk of aspiration have been evaluated and appropriate equipment and assistance are available 2.1g. If there is a risk of blood loss of at least 500 ml (or 7 ml/kg of body weight, in children), appropriate access and fluids are available

YEARS OF EXP 0-3YRS 4-7YRS 7-10YRS WM VI WM VI WM VI 4.31 AE 4.5 E 4.8 E 4.38 AE 4.5 4.62 E 4 4.62 E 4.77 E 4.77 E 4.77 E 5 5 5 4.5 E 4.8 AE 4.6 E E E E 4.6 5 5 5 E E E E E E

2.2.Time out: Before skin incision, the entire team (nurses, surgeons, anaesthesia professionals, and any others participating in the care of the patient) orally: 2.2a. Confirms that all team members have been introduced by name and role 2.2b. Confirms the patients identity, surgical site, and procedure 2.2c. Reviews the anticipated critical events 2.2d. Surgeon reviews critical and unexpected steps, operative duration, and anticipated blood loss 2.2e. Anaesthesia staff review concerns specific to the patient 2.2f. Nursing staff review confirmation of sterility, equipment availability, and other concerns 2.2g. Confirms that prophylactic antibiotics have been administered 60 min before incision is made or that antibiotics are not indicated 2.2h. Confirms that all essential imaging results for the correct patient are displayed in the operating room

YEARS OF EXP 0-3YRS 4-7YRS 7-10YRS WM VI WM VI WM VI 4.54 E 4.5 E E E E E E E E 4.8 4.8 4.4 4.4 4.4 4.4 4.8 4.4 E E AE AE AE AE E AE

4.62 E 4.5 4.31 AE 4.5 4.38 AE 4.5 4.31 AE 4.5 4.62 E 4.5 4.54 E 4.54 E 4.5 4.5

2.3.Sign out: Before the patient leaves the operating room: Nurse reviews items aloud with the team 2.3a. Name of the procedure as recorded 2.3b. That the needle, sponge, and instrument counts are complete (or not applicable) 2.3c. That the specimen (if any) is correctly labelled, including with the patients name 2.3d. The surgeon, nurse, and anaesthesia professional review aloud the key concerns for the recovery and care of the patient

YEARS OF EXP 0-3YRS 4-7YRS 7-10YRS WM VI WM VI WM VI 4.38 AE 4.5 E 4.8 E 4.54 E 4 AE 4.8 E 4.54 4.38 E 4 AE 4.8 AE 4.4 E AE

AE 4

2.1. Sign in: Before induction of anaesthesia the members of the team (at least the nurse and an anaesthesia professional) orally confirm that: 2.1a. The patient has verified his or her identity, the surgical site and procedure, and consent 2.1b. The surgical site is marked or site marking is not applicable 2.1c. The anaesthesia machine and medication are checked and complete 2.1d. The pulse oximeter is on the patient and functioning 2.1e. All members of the team are aware of whether the patient has a known allergy 2.1f. The patients airway and risk of aspiration have been evaluated and appropriate equipment and assistance are available 2.1g. If there is a risk of blood loss of at least 500 ml (or 7 ml/kg of body weight, in children), appropriate access and fluids are available

WORKING POSITION
SURGEON WM VI ASSISSTANT SURGEON WM VI Anesthe siologist WM VI S.NURSE WM VI C.NURSE WM VI

4.25

AE

4.2 5 4.2 5 4 4 4.7 5 4.7 5

A E A E A E A E E E

4.2 5 4.2 5 4.5 4.2 5 4.5 4.5

A E A E E A E E E

4.7 5 4.5 4.5 4.7 5 5 5

4.75 4.75 4.75 5 5

E E E E E

4.75 4.75 4.75 5 5

E E E E E

E E E E E

4.5

4.5

2.2.Time out: Before skin incision, the entire team (nurses, surgeons, anaesthesia professionals, and any others participating in the care of the patient) orally: 2.2a. Confirms that all team members have been introduced by name and role 2.2b. Confirms the patients identity, surgical site, and procedure 2.2c. Reviews the anticipated critical events 2.2d. Surgeon reviews critical and unexpected steps, operative duration, and anticipated blood loss 2.2e. Anaesthesia staff review concerns specific to the patient 2.2f. Nursing staff review confirmation of sterility, equipment availability, and other concerns 2.2g. Confirms that prophylactic antibiotics have been administered 60 min before incision is made or that antibiotics are not indicated 2.2h. Confirms that all essential imaging results for the correct patient are displayed in the operating room

SURGEO N WM 4.75 4.75 4.5 4.5 VI E E E E

ASSISSTAN T SURGEON WM VI 5 5 4.5 4.75 E E E E

WORKING POSITION ANESTHE S.NURSE C.NURS SIOLOGIS E T WM VI W VI W V M M I 4.25 AE 4 A 5 E E 4.5 E 4 A 5 E E 3.75 AE 4 A 4.5 E E 4 AE 4 A 4.7 E E 5 4 4 AE AE 2.7 5 4 S A E A E 4.7 5 5 E E

4.5 5

E E

4.75 3.75

E AE

4.25

AE

4.7 5

4.75

4.75

AE

A E

2.3.Sign out: Before the patient leaves the operating room: Nurse reviews items aloud with the team

WORKING POSITION
SURGEON ASSISSTANT SURGEON ANEST S.NURSE C.NURSE

WM 2.3a. Name of the procedure as recorded 2.3b. That the needle, sponge, and instrument counts are complete (or not applicable) 2.3c. That the specimen (if any) is correctly labelled, including with the patients name 2.3d. The surgeon, nurse, and anaesthesia professional review aloud the key concerns for the recovery and care of the patient 5 5

VI E E

WM 4.75 4.75

VI E E

WM VI 3.2 5 3.5 S A E A E S

WM VI 3.7 5 4.2 5 4.5 4.5 S A E E E

WM V I 4.7 E 5 4.7 E 5 4.5 4.7 5 E E

4.5 4.5

E E

4.75 4.75

E E

3.5 2.5

LEGEND:

Unit Weight : Weighted Mean 5 : 4.50 - 5.49 4 3 2 1 : : : : 3.50 - 4.49 2.50 - 3.49 1.50 - 2.49 0.49 - 1.49

Verbal Interpretation Every time Almost Every time Sometimes Almost Never Never

Meaning On all occasion, repeatedly Frequently, in many instances Occasionally Seldom, not often, in frequent Not at all , surely not

QUESTION NO 3. significant relationship between. ARE AS Age Stati Com Interpr stical pute etatio Treat d n ment Valu e Sign 0.71 in Tim eou t sign out 0.51

0.40

Profile Variables Gender Years of Experience stati Com Interpr Stati Com Interpr stical pute etatio stical pute etatio treat d n Treat d n men Valu ment Valu t e e Pear 1.50 Not 0.68 son signific ant Pear 0.37 Not 0.27 son signific ant Pear 4.62 signific 0.27 son ant

Working position Stati Com Interpr stical pute etatio Treat d n ment valu e 0.38

0.22

0.03