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Table 1 Survey Questions

From: Surgical caps displaying team members' names and roles improve effective communication in the operating room: a pilot study

1

Please tick your job role (from Nurse, Midwife, Doctor, Technician, Other)

2

Nurses only – what role did you work in for most of today (from Scrub / Scout Nurse, Anaesthetic Nurse, Recovery Nurse, Relieving Nurse, Admissions Nurse, DPU Nurse)

3

Doctors only – what role did you work in for most of today (from Anaesthetist, Anaesthetic registrar, Surgeon, Surgical registrar, Obstetrician and Gynaecologist, Obstetrics and Gynaecology registrar, Other proceduralist, Other proceduralist registrar)

4

Did you know the name of all of the anaesthetists (and registrars) you worked with today? (from Yes or No)

5

Did you know the name of all of the surgeons or obstetricians (and registrars) you worked with today? (from Yes or No)

6

Did you know the name of all of the nurses you worked with today? (from Yes or No)

7

Did you know the name of all of the technicians you worked with today? (from Yes or No)

8

Was there any point today where you couldn’t communicate with the team effectively about something? (from Yes or No)

9

How many staff in theatre in total did you NOT know the name of today?

10

Rate the teamwork you experienced in theatre on your shift today, from 0 – 5 (1 = completely unsatisfied, 2 = somewhat unsatisfied, 3 = neutral, 4 = somewhat satisfied, 5 = completely satisfied)

11

Did formal team introductions occur during time out? (from Yes, No and I’m not sure)

12

Which craft groups were present for the team introductions phase of the team time out during this list (tick all that apply) – from Scrub Nurses, Anaesthetic Nurses, Midwives, Surgeons, Obstetricians and Gynaecologists, or Other Proceduralists, Anaesthetists, Technicians, Paediatricians and team (if applicable) or None