J U N E 2 0 1 6 • O U T PA T I E N T S U R G E R Y. N E T • 4 5
Rarely 1.1%
Never 0.2%
Not sure 0.2%
When someone makes a
mistake, we emphasize learning and
de-emphasize blame.
Always 53.6%
Usually 34.8%
Sometimes 7.8%
Rarely 1.5%
Never 1.7%
We document near misses and
use them as learning experiences.
Always 57.9%
Usually 27.5%
Sometimes 7.3%
Rarely 3.4%
Never 1.9%
We have fully engaged time outs.
Always 66.4%
Usually 27.2%
Sometimes 4.1%
Rarely 0.7%
Never 1.1%
Not sure 0.7%
Physicians encourage OR staff to
speak up if something seems amiss.
Always 29.2%
Usually 29.2%
Sometimes 20.3%
Rarely 12.3%
Never 6.1%
Physicians treat team members as
equals in the OR.
Always 20.4%
Usually 49.6%
Sometimes 20%
Rarely 5.7%
Never 3.3%
The OR team takes
shortcuts that could affect safety.
Often 3.2%
Occasionally 26.5%
Rarely 44.2%
Never 23.9%
Has your facility ever experienced a
"never event," such as a wrong sur-
gery, wrong-site or wrong-patient sur-
gery, retained object or patient burn?
Yes 43.9%
No 46.5%
Not sure 9.5%
