Table 1 Time Out survey at Haukeland University Hospital, Bergen, Norway, 2009

1

Have you observed a wrong patient being brought into the operating room?

2

Have you experienced uncertainty about patient identity in the operating room?

3

Have you observed wrong positioning of patient prior to surgery?

4

Have you experienced uncertainty about operation side prior surgery?

5

Have you observed preparation for wrong procedure?

6

Is the responsibility for checking patient identity, operation side, and operation procedure a joint responsibility?

7

Do you check patient identity prior to each operation?

8

Do you verify the correct site/side prior to each operation?

9

Do you verify the correct surgical procedure prior each operation?

10

Do you believe incorrect surgery is performed as a result of not verifying patient identity, side, and procedure?

11

Does anyone use the Time Out protocol in your operating room?

12

Do you believe the Time Out protocol can prevent incorrect surgery? ^a

13

Do you find the Time Out protocol useful?

14

Would you like to use a Time Out protocol in your operating room?