COMPETENCY VERIFICATION
After review the video and reading the peer-reviewed literature, answer the following questions:
1. According to the Haynes1, 30 day all cause mortality for surgical patients declined by what percent
following the implementation of the interactive checklist?
a. 46% reduction
b. 2% reduction
c. 10% reduction
d. no statistical change
2. An interesting concurrent finding in the Bliss2 study was:
a. use of the robust checklist decreased OR time
b. increased circulating nurse exit and entrance from the OR room
c. decreased extraneous communication during the procedure
d. appears to reduce the amount of time needed in crew or team training
3. Decrease in complications and surgical morbidity was demonstrated in the deVries3 study was found
to what degree?
a. 38% (27.3 to 16.7)
b. 2% (27.3 to 26.7)
c. 10% (27.3 to 24.5)
d. 50% (27.3 to 13.65)
4. What is postulated as a primary factor that results in reduced morbidity and mortality through the
use of a the structured, meaningful, surgical timeout ?
a. standardization of the surgical team process improves reliability and accommodates human
factor variables.
b. Implementation of the tool clarifies who is actually in charge in the surgical suite
c. the use of the tool provides for those in the surgical suite to professionally engage one
another through the leveling of the authority gradient to prevent patient harm.
d. forcing a “hard stop” allows for increased focus on the details of the procedure and thereby
reduces “slips” and errors that may otherwise occur.
5. In the Sedgwick County Medical Society collaborative timeout process, who is responsible for
verbablly identifying the patient?
a. circulator
b. surgeon/proceduralist
c. anesthesiologist
d. scrub tech
6. In the Sedgwick County Medical Society collaborative timeout process, when is the antibiotic
selection and timing verified?
a. prior to the initiation of the timeout
b. prior to the surgical incision, but after the timeout completion
c. during the timeout process
d. in the preoperative area
7. According to the American Society of Anesthesiologists, a fire risk score of 3 would result from:
a. an incision above the xiphoid, endotracheal intubation, use of ESU and/or laser
b. use of ESU and/or laser; open source oxygen, i.e. surgical mask; and any incision
c. open source oxygen, i.e. mask, use of ESU and/or laser; an incision above the xiphoid
d. source oxygen, i.e. nasal canula, use of scalpel; an incision above the xiphoid
8. In the Sedgwick County Medical Society collaborative timeout process, who is in charge of the
process?
a. the surgeon, as the captain of the ship
b. the circulator, because they have the ability to complete the checklist
c. the anesthesiologist due to the tasks occurring during induction
d. the department manager since s/he is responsible for training
9. A surgical timeout process is necessary in Wichita because:
a. it is a regulatory and quality requirement from payers and surveyors
b. while generally safe, there is room for improvement in surgical safety as evidenced by local
“never” events associated with surgery
c. not every proceduralist follows the required safety protocols
d. patients and consumers have heard about it and are demanding its use
10. The aim of the Sedgwick County Surgical Collaborative is:
a. to improve surgical safety among the constituents
b. to reduce all-cause harm to patients
c. to decrease liability costs to proceduralists
d. to make Wichita the safest place in the country to have surgery