What information must be documented after conducting a time-out?

The key focus of a time-out conducted prior to a medical procedure is to ensure patient safety by confirming critical information necessary for the procedure. This includes verifying the patient’s identity, the procedure to be performed, and the site of the procedure. Documentation of the completion of the time-out is essential as it serves as a record that this important safety step was followed. Proper documentation helps to ensure accountability and adherence to safety protocols, thereby minimizing the risk of errors. Additionally, it provides a reference point in case any issues arise later, showcasing that the team took the necessary precautions to prevent errors associated with surgical or procedural mistakes.

While other types of information may also be important in a medical context, they do not directly pertain to the time-out process itself. For instance, prior medical history, team composition, or procedure costs do not align with the primary goal of the time-out, which is to affirm safety protocols and confirm preparedness for the procedure.