When A Flawed Time Out Gave Us Pause

The Essential Elements of a Time Out; “Let’s begin the time out.”; Work Ahead to Prevent Errors ; On the Web; BSN, CASC Ms. Grissom; CASC Ms. Grissom; Center; Center Surgery Center's; Center's; Commission, York State Department; Department; Elements; Errors; Essential Elements; Experiencing; Grissom; Grissom, BSN, CASC Ms. Grissom; Health Organization; Health, World Health Organization; Identification; Improve; Including; Joint Commission, York State Department; Jovanna Grissom, BSN, CASC Ms. Grissom; Medical Center; Medical Center Surgery Center's; Melinda Shafer, RN “Let's; Nevada. All; Organization; Out This; Prevent Errors; RN “Let's; Rochester Medical Center; Rochester Medical Center Surgery Center's; Shafer, RN “Let's; State Department; Surgery Center's; Time Out This; University; Verification; Web Download; Work; World Health Organization; York State Department; accounted; acted; addressed; administers; advocate; agree; agree?”; agrees; ahead; alert; allergies; anesthesia; announce; arrives; asks; back; based; begin; beginning; begins; birth; block; blood; brings; built; busiest; calling; calls; case; center; chance; charge; chart; check; chief; coagulation; completed; completing; concerns; confirm; consent; copy; correct; correctly; couple; creative; date; day; depend; develop; developed; disagreement; discrepancy; discussion; documentation; documents; doesn't; double-check; ease; effective; effort; encourages; end; enters; entire; equipment; error; errors; escorts; eye; facility; fail-safes; family; fast-paced; faxes; final; find; fix; focus; forms; front; gather; guide; guidelines; hand; handed; happen; haven't; head; helps; high-volume; imagine; immediately; important; in-house; includes; inflaming; information; initials; integral; intraocular; isn't; issues; it's; leaves; lens; listed; lists; lot; made; make; manages; marked; match; measured; measurement; medical; medication; member; near-miss; near-misses; needed; number; nurse; nurses; officer; operating; ophthalmic; opportunity; order; out's; oversight; pair; part; particulars; patient; patient's; patients; perform; performed; person; phone; physician's; planned; play; point; position; practice; pre-block; pre-op; pregnancy; present; prevent; printable; problem; procedure; procedures; process; proper; protect; provider; provider's; put; quick; quickly; reads; ready; reassure; receive; records; rectified; rectify; regional; registered; relationships; required; resident; restarts; results; revamp; review; risks; roles; room; root; run; safety; schedule; scheduler; script; scripted; served; similar; site; slow; sound; speak; special; specifics; staff; start; started; starting; steps; stopped; stops; straight; surgeon; surgeon's; surgery; surgical; surprise; takes; team; team's; test; there's; they're; time; time-out; traditional; train; tricky; true; types; ultrasound; upset; urine; verbally; verify; version; wake-up; walk; ways; we're; we've; weeks; work; worth; wristband; wrong-block; wrong-site; —; “Does; “On; “The