When the relief person arrived, the OR was already set up and the patient was positioned and had been intubated for surgery. It all started when the nurse came into the OR to relieve the scrub person for lunch. This is a true story that occurred in an operating room (OR) while visiting a hospital outside of New York City, before "time-out" was implemented. Wrong-site surgery can have devastating consequences for the patient and a negative impact on the entire surgical team ( Kwan, 2006). Today, as professionals in the health care environment, the phrase "time-out" is used to prevent patient harm and near misses. When one hears the phrase "time-out," it takes us back to our childhood when these words were used as a discipline technique by many parents or a sporting event where there is a pause in the action. One hospital has incorporated a structure to integrate a collaborate approach to keeping patients safe. Seamlessly, we incorporate our education, experience, and hopefully a solid ethical foundation, in an effort to avoid life- and career-altering errors. Countless times each day, we make decisions, great and small, that affect our patients. Ethics infiltrates every aspect of professional practice and conflicting agendas seek to draw us away from the primary goal of all health care practice patient safety. ![]()
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