title: Positive perceptions on safety and satisfaction during a patient-centered timeout before peripheral nerve blockade.
abstract: OBJECTIVE
  To determine the psychometric outcomes of patients participating in an extensive patient-centered verification process before receiving sedation for regional anesthesia.
  
  
  METHODS
  Survey.
  
  
  METHODS
  Perioperative areas of university-affiliated hospital.
  
  
  METHODS
  Two hundred eligible patients scheduled for elective orthopedic surgery undergoing peripheral nerve blockade.
  
  
  METHODS
  Postoperative survey evaluating patient perception, experience, and satisfaction with the anesthetic timeout before regional anesthesia.
  
  
  METHODS
  Measures using numeric rating scales were obtained on patient perceptions of safety, confidence in anesthesia provider, anxiety, and positive sentiments during participation in block timeout. These variables were analyzed using logistic regression models to correlate with reported pain and satisfaction perioperatively.
  
  
  RESULTS
  One hundred seventy-five patients (93% enrollment) completed the study. More than 90% of patients reported agreeing strongly to feeling safe, confident, relaxed, and positive about their participation in the block timeout. These sentiments are associated with less reported perioperative pain and higher overall satisfaction.
  
  
  CONCLUSIONS
  Patient perceptions of confidence and safety in regional anesthesia providers were enhanced by a preprocedural timeout process. These positive attitudes are associated with a superior perioperative experience and patient satisfaction.
authors.affiliation: Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. Electronic address: yan.lai@mssm.edu.
authors.forename: Yan H
authors.initials: YH
authors.lastname: Lai
authors.affiliation: Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Anderson
authors.affiliation: Department of Health Evidence and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
authors.forename: Alan D
authors.initials: AD
authors.lastname: Weinberg
authors.affiliation: Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
authors.forename: Meg A
authors.initials: MA
authors.lastname: Rosenblatt
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000009:adverse effects; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010465:Perception; D010525:Peripheral Nerves
keywords: Block time-out; Patient safety; Patient satisfaction; Peripheral nerve blockade; Regional anesthesia; Wrong side block