The journal reaches a global audience including researchers, clinical care professionals, quality assurance professionals, policymakers, managers, educators, and students of health-related disciplines. The journal is truly interdisciplinary, welcoming original contributions in the disciplines of health services research, health care evaluation, policy, health economics, quality improvement, management, and clinical research focused on the quality and safety of care. The International Journal for Quality in Health Care (IJQHC) is a leading international peer-reviewed scholarly journal addressing research, policy, and implementation related to the quality of health care and health outcomes for populations and patients worldwide. To improve compliance and involve the whole team, the concept of risk and the perceived relevance of checklist items for all team members should be addressed. It is plausible that the personnel's conception of risk and the perceived importance of different checklist items are factors that influence checklist usage. The time-out does not appear to be conducted as a team effort. The components that facilitate communication are often neglected. The checklist is not always applied as intended. Surgeons and the anaesthesia team dominated the time-out. Team member introductions occurred in half of the operations. Highest compliance was associated with patient ID, type of procedure and antibiotics the worst with site of incision, theatre nurse team reviews and imaging information. Activities were conducted during the time-out. Compliance with checklist items and the participation of different personnel groups. The operating unit of a Swedish county hospital. The time-out was analysed quantitatively assessing compliance with a predefined observational protocol based on the checklist and qualitatively to describe reasons for non-compliance. Twenty-four surgical procedures were video recorded. To investigate the actual usage of the checklist in practice and to catalogue deviations for the purpose of identifying improvements. Previous research also indicates that different values can affect the implementation of interventions. Previous research suggests that the World Health Organization Surgical Safety Checklist time-out reduces communication failures and medical complications and supports development of better safety attitudes.
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