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. 2018 Sep 6;13(9):e0203544. doi: 10.1371/journal.pone.0203544

Table 2. Errors observed during snapshot audits.

Numbers in brackets are percentages of all observer remarks in that year.

Observed errors in using the SSC 2015
(N = 54)
2016
(N = 25)
Sign-in
Site was not marked 1
Equipment was checked but checklist item was not ticked off 1
Equipment was not tested 3
SI was performed but not documented 4 4
SI-error rate 5 (9.3%) 8 (32.0%)
Team-time-out
TTO was performed but checklist items were not ticked off 1
TTO was done too early (not all team members were in the OR) 16 6
Team members did not focus on TTO 2 1
Checklist items of the SI were partially ticked off during TTO 1
TTO was not stopped despite mentioned operative site mismatch 1
Checklist items of TTO already ticked off during SI 1
Team did not check all checklist items 8 1
No answer from the team but checklist items were ticked off 2
SSC coordinator asked and answered the checklist item 2
TTO-error rate 32 (59.3%) 10 (40.0%)
Sign-out
SO was performed during skin closure 4 1
SO was performed after skin closure 4 5
Team did not check all checklist items 4
A team member leaves the OR before the SO 4
No SO 1 1
SO-error rate 17 (31.5%) 7 (28.0%)