Journals

Field Notes: Sterile Workflow Improvements

A month of observations from operating room mentors using remote guidance to reduce avoidable interruptions.

Field Entry: Week One

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Interruptions Logged

Instrument handoff confirmation was missing in 4 out of 10 sessions.
Duplicate instructions occurred when two voices gave the same direction.
Team members paused to verify checklist ownership before escalation.

Field Entry: Week Three

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Added one verbal acknowledgment protocol for each critical action.
Reduced side-channel communication during active steps.
Pinned one shared checklist to every participant view.

Reflection

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