The Five Steps to Safer Surgery - Knowledge Test

Thank you for agreeing to take this short knowledge test on the Five Steps to Safer Surgery. There are 7 MCQs and two single-choice questions. The total time to complete this should be less than 10 minutes.

PLEASE NOTE: The MCQs are negatively marked.

At the end, you will be asked to provide your name and email address. You will then be able to see your results.

What is the purpose of the five steps to safer surgery? (please select all that apply)

To reduce the risk of preventable complications during the perioperative period

To assure timely and efficient purchasing of necessary equipment

To ensure staff adequately trained to deal with emergencies in theatre

To promote teamwork and reduce hierarchy in the operative environment

To ensure that reasonable precautions are considered for recognised complications

To achieve relevant CQIN patient safety targets

To ensure that theatre time is used as efficiently as possible

During sign-in, which of the following should happen? (please select all that apply)

The patient should be told which procedure they are having to ensure it's correct

The patient should give their name and date of birth

The consent form should be checked against the clinical notes

The risks and benefits of the procedure should be reinforced with the patient

Any allergy information should be checked with the patient

A cannula should be inserted and fluids started to ensure potency of IV access

Which statements about the team brief are correct? (please select all that apply)

This is an opportunity for the scrub nurse to check their equipment

All members of the team should be present

If this is a regular list, no introductions are necessary

The anaesthetist and/or ODP should be signing-in the next patient on the list

The list order should be discussed and confirmed

Any changes to the list order should be marked clearly on the sheet and then clearly pinned to the wall

Each patient should be briefly discussed, along with any issues which may come up during the list

A re-brief should take place if any of the team change during the list

Which statements about the time-out are correct? (please select all that apply)

The patient's name, date of birth and identifying numbers should be cross-checked between the patient's wristband, the consent form, patient notes and any imaging.

The circulating nurse should take the opportunity to label any necessary specimen pots

The ODP or other available practitioner should search for the patient's imaging

The scrub nurse or surgeon should read the name of the procedure from the consent form

All members of the team should be concentrate on the conversation

Recognised complications such as blood loss, VTE and temperature loss should be discussed

This is a good opportunity to ensure that the next patient has been called

Which of these statements about the sign-out are correct? (please select all that apply)

A full operation note should be incorporated

This is an opportunity to clarify any immediately postoperative care

The anaesthetist or other non-scrubbed personnel should sign on the surgeon's behalf

If the operation has gone well, this is entirely optional

The surgeon should confirm the procedure that has been completed

Which of these statements about the debrief are correct? (please select all that apply)

This is an opportunity to discuss what went well with the list

For teams that work regularly together this is optional

It is sometimes useful to incorporate this into the team brief of the following list

It is useful to determine who was responsible for any problems that may have occurred

It is the most commonly omitted step.

Opportunities for learning and improvements should be openly discussed

The Five Steps to Safer Surgery - Knowledge Test

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