Survey questions by domain
| Domain | Question |
| Student’s understanding of the major components, goals and limitations of universal protocol | 1. What are the major components of the universal protocol? |
| 2. What are the goals of the universal protocol? | |
| 3. Which of the following has become a major limitation in the implementation of universal protocol? A. Expansion of the time out beyond the scope of its purpose. B. Amount of time needed to complete the procedure. C. Unclean surgical instrumentation. | |
| Student’s understanding of the medical error lexicon (eg, ‘never-events’, ‘surgical time out’) | 4. What is the definition of a ‘never event’? |
| Student’s understanding of the components of a presurgical time out | 5. What are the minimum components of a surgical time out? |
| Student’s comfort in completing a presurgical time out checklist | 6a. Indicate your level of agreement with the following statement: Completing a time out procedure is easy to accomplish. |
| 6b. Indicate your level of agreement with the following statement: I have a clear understanding of the elements of a procedural time out. | |
| 6c. Indicate your level of agreement with the following statement: I am confident performing a procedural time out. | |
| 6d. Indicate your level of agreement with the following statement: I think that students should perform a procedural time out prior to every dissection. |