The use of a Time Out checklist for patient safety in non-operating room procedural areas is equally important for positive patient outcomes as in the operating room (OR). In this busy southwestern United States hospital, the procedural teams in the non-operating room areas were reported to not be fully engaged during the performance of the Time Out pre-procedural pause prior to gastroenterological (GI) procedures. This study was conducted to improve compliance with the scripted Time Out checklist and promote full engagement of the GI procedural team during the Time Out thus reducing risks of wrong site surgery. Literature has shown that team engagement in the Time Out process decreases the risk of wrong site surgery by improving teamwork and communication. A purposive, non-participant structured observation comparing the proportions between two separate groups (pre-and post-education intervention) was conducted with the GI procedural team at the New Mexico Veterans Health Care System (NMVAHCS). The observations were completed prior to providing an education component and again after the completion of the education. The study demonstrated improvement of compliance using a scripted Time Out checklist and engagement of the GI procedure team after education.

Keywords: Timeout checklists, communication skills, communication strategies, effective communication, effective teams, interpersonal communication, patient safety, safety checklists, safety culture

Project Sponsors

Judy Liesveld, PhD, MS, PPCNP-BC, RN, CNE: Meachan Carey Eiland, DNP, MSN, RN



Document Type


Degree Name

Doctor of Nursing (ND)

Level of Degree


First Advisor

Christine Delucas, DNP, MPH, RN, NEA-BC

Second Advisor

Cynthia Nuttall, PhD, RN

First Committee Member

Judy Liesveld, PhD, MS, PPCNP-BC, RN, CNE

Second Committee Member

Meaghan Carey Eiland, DNP, MSN, RN


Time Out checklist, Safety checklist, communication skills, safety, communication, Time Out