Specifying Time-Out Points in Surgical EMRs–Work in Progress
Workflows for surgical procedures have built-in time-out points to minimize occurrences of unintended faults and omissions during surgeries. They have been recommended in the best practices of appropriate surgical sub-specialties, as well as the Joint Commission. At these timeout points, designated team members perform recommended precautionary measures, such as verifying the accuracy of implants, to ensure unintended mistakes are not made before proceeding to the next stage. These precautionary measures are usually recorded in paper-based checklists and retained for a stipulated period of time. We show how these timeout points can be specified as formal workflow requirements in surgical Electronic Medical Records (S-EMRs).
KeywordsSurgical EMR Time-out points Surgical Errors
Unable to display preview. Download preview PDF.
- 1.Institute of Medicine: Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press, Washington, DC (2002) Google Scholar
- 2.The Agency for Healthcare Research and Quality (AHRQ): Improving Health Care Quality - Fact Sheet, AHRQ Pub. No. 02-P032 (2002) Google Scholar
- 4.Kohn, K.T., Corrigan, J.M., Donaldson, M.S.: To err is human: Building a Safety health system. National Academy Press, Washington, DC (1999)Google Scholar
- 9.Statement on ensuring correct patient, correct site, and correct procedure surgery. Bull. Am. Coll. Surg. 87(12), 26 (2002) Google Scholar
- 10.Wrong site surgery and the Universal Protocol. Bull. Am. Coll. Surg. 91(11), 63 (2006)Google Scholar
- 11.World Alliance for Patient Safety. WHO guidelines for safe surgery. World Health Organization, Geneva (2008) Google Scholar
- 13.Bardram, J.E., Nørskov, N.: A context-aware patient safety system for the operating room. In: Proceedings of the 10th International Conference on Ubiquitous Computing, pp. 272–281. ACM, New York (2008)Google Scholar
- 15.Dazzi, L., Stefanelli, M.: A patient workflow management system built on guidelines. In Proc. of AMIA 1997, pp. 146–150 (1997) Google Scholar
- 16.Poulymenopoulou, M., Vassilacopoulos, G.: A Web-based Workflow System for Emergency Healthcare. In: Medical Informatics Europ. (2002) Google Scholar
- 17.Workflow M C: The workflow reference model [WfMC1003]. WFMC TC00 – 1003 (1994) Google Scholar
- 21.UML Specification (March 1999), http://www.rational.com/uml/index.jtmpl, referenced V1.3 Alpha R5
- 22.Sindre, G., Opdahl, A.L.: Templates for Misuse Case Description. In: Proc. 7th Int’l Workshop Requirements Eng.: Foundation for Software Quality (REFSQ 2001) (2001) Google Scholar