Improving Patient Safety with Safe Surgery Checklists Fill out this form to receive your certificate for the March 23rd webinar.Name* First Last *Please ensure your name is entered correctly as this is how it will appear on your certificate.Email* PhoneFacility Name*Job Title*Compared to other webinars you have attended, how did this presentation compare?* 1 - Not good at all 2 - Somewhat 3 - About average 4 - Better than most 5 - It was excellent How relevant was the material presented to your job role?* Not at all relevant Not relevant Relevant Very relevant Extremely relevant What motivated you to attend the webinar?* The free topic Free CE opportunity Interest in the sponsor How did you learn about this session?* Webinar newsletter Invite from the sponsor From the OR Today website Social media promotion How likely are you to recommend the OR Today webinar series on a scale of 1-10? (10 being definitely recommend)12345678910Do you have any comments/feedback on today’s webinar?*Are you interested in learning more about the products/services discussed in today’s webinar? Provide your preferred contact method and today’s presenter/sponsoring company will reach out.*Whether to perform a Time Out is an individual decision made by the charge nurse.* True False The need to perform surgical time outs is reduced by other patient safety activities.* True False Checklists are a good way to minimize complexity in the perioperative arena.* True False Checklists are like to-do lists – just check the box.* True False Briefings and Debriefings are as important as a time out for patient safety.* True False The WHO Safe Surgery Checklist should never be adapted for use.* True False The best way to implement the SSC is a mandate from hospital leadership.* True False During the use of the SSC, all team members should have a “speaking part”.* True False A safety statement with permission to speak up should be final step during the Time Out.* True False Team members can continue to perform other tasks during the SSC.* True False Δ