We prospectively evaluated the use of QR codes during the surgical time-out for 40 operations. Feasibility and accuracy were assessed. Perceptions of the current time-out process and the QR code application were evaluated through surveys using a 5-point Likert scale and binomial yes or no questions.
At baseline (n = 53), survey results from the surgical team agreed or strongly agreed that the current time-out process was efficient (64 % ), easy to use (77 % ), and provided clear information (89 % ). However, 65 % of surgeons felt that process improvements were needed. Thirty-seven of 40 (92.5 % ) QR codes scanned successfully, of which 100 % were accurate. Three scan failures resulted from excessive curvature or wrinkling of the QR code label on the body. Follow-up survey results (n = 33) showed that the surgical team agreed or strongly agreed that the QR program was clearer (70 % ), easier to use (57 % ), and more accurate (84 % ). Seventy-four percent preferred the QR system to the current time-out process.
QR codes accurately transmit patient information during the time-out procedure and are preferred to the current process by surgical team members. The novel application of this technology may improve compliance, accuracy, and outcomes.