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Patient Safety Tool: Time-Out Script Example

Minnesota Hospital Association and the Minnesota Department of Health have developed and provide a free, downloadable time-out script example.


The one-page document provides a five-step approach to performing the time-out. It describes the responsibility of the surgeon, circulator, anesthesia care provider and scrub tech.


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Download the time-out script example (doc) for use in your facility.


Note: View our database providing 100-plus reports that link to free, downloadable and adaptable tools for use in surgery centers, hospitals and other organizations by clicking here.


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