Evidence map›Paper›PMID 41146132›Full record

ArticleBMC medical education2025

The perioperative education time-out and its impact on patient safety outcomes.

Olivia A Moumne, Gentry C Carter, Tsyiva J Devereaux, Madison C Kieffer, Heather D Campbell, Jennifer E Kaiser

Registry-linked trialAbstract read
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In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07621198 (Prediction of Postoperative Complications in Major Surgery), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07621198 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prediction of Postoperative Complications in Major Surgery: A Prospective, Multicenter, Cohort Study in Low- and Middle-income Settings

TypeobservationalSponsorHospital Departamental de VillavicencioRan2026 to 2027Enrolled364ConditionsMajor SurgeryArmsPatients with postoperative complications
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Olivia A MoumneUniversity of Utah Department of Obstetrics and Gynecology at the time the Study Was Performed, 50 N Medical Dr, Salt Lake City, Utah, 84112, USA. olivia.moumne@hsc.utah.edu.
Gentry C CarterUniversity of Utah Department of Obstetrics and Gynecology at the time the Study Was Performed, 50 N Medical Dr, Salt Lake City, Utah, 84112, USA.
Tsyiva J DevereauxUniversity of Utah Department of Obstetrics and Gynecology at the time the Study Was Performed, 50 N Medical Dr, Salt Lake City, Utah, 84112, USA.
Madison C KiefferUniversity of Utah Department of Obstetrics and Gynecology at the time the Study Was Performed, 50 N Medical Dr, Salt Lake City, Utah, 84112, USA.
Heather D CampbellUniversity of Utah Department of Obstetrics and Gynecology at the time the Study Was Performed, 50 N Medical Dr, Salt Lake City, Utah, 84112, USA.
Jennifer E KaiserUniversity of Utah Department of Obstetrics and Gynecology at the time the Study Was Performed, 50 N Medical Dr, Salt Lake City, Utah, 84112, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClear communication between members of the surgical team is necessary for perioperative patient safety. Miscommunication in the operating room (OR) is common between attendings and residents. It's unknown whether surgical education tools targeted at improving communication between faculty and residents, such as an Education Time-Out (ETO), can also improve patient safety outcomes. We aimed to assess the impact of the ETO on patient safety outcomes during and after gynecologic surgery.

methodsFrom April to June 2022, we recruited and enrolled primary and adjunct gynecologic surgical faculty from any sub-specialty associated with the University of Utah OBGYN residency program. Enrollment included a simulation to practice the ETO. We then abstracted safety outcomes from patient records of participating faculty 6 months pre-intervention and 9 months post-intervention. Our primary outcome was a composite score of 30-day morbidity and mortality We compared pre- and post-intervention complication rates using paired t-tests. Logistic regression assessed the likelihood of experiencing a complication pre- and post- intervention. Study conducted on surgeries performed at 4 hospitals where University of Utah residents operate. We reviewed 1409 charts: 572 pre-intervention and 837 post-intervention from 25 surgeons.

resultsType of surgical case was similar between pre- and post-intervention groups with 20% vs 18% gynecology oncology surgeries and 40% vs 41% major surgeries, respectively. Bivariate analysis showed a non-significant improvement in composite patient safety outcomes overall (pre = 9.8%, post = 8.1%, p = 0.3). Adjusted analysis showed surgical cases post-intervention were 24% less likely to experience a complication (OR = .76, 95%CI = 0.5-1.1, p = 0.2). Cancer and major surgery indicators strongly predicted complications both pre- and post-intervention.

conclusionsWe did not find a significant improvement in patient outcomes; however, we were not powered for outcomes and as a pilot study the trend toward improvement in patient safety outcomes following ETO implementation is promising.

Indexed as

Gynecologic Surgical ProceduresInternship and ResidencyPatient SafetyClinical CompetenceCommunicationFemaleHumansMalePostoperative ComplicationsUtahCommunicationPatient safetyResident educationSurgical education

Identifiers

PMID41146132
PMCPMC12560362

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.