In 2012, Forest Hills Hospital implemented a Remote Video Auditing (RVA) program to strengthen their surgical safety checklist or "time-out" process, which requires all staff involved in the operative procedure to meet as a team in the operating room with patients and families to address questions and evaluate needs. They installed low-resolution cameras in the operating rooms and in the office of the Director of Nursing for the Operating Room to give the director the ability to monitor time-out sessions.
This program was enhanced in 2013 to support an interactive exchange among the surgical team. RVA technology was upgraded to provide real-time data and feedback during time-outs, which gives practitioners visibility to when their cases will begin and allows staff to speak with surgical patients and families prior to the procedure. RVA is also used to monitor operating room turnover times between cases to help the surgical team stay on track, and it monitors overnight terminal cleaning processes.
Since these enhancements were made, compliance to the Surgical Safety Checklist rose from 74% to 99%. RVA monitoring of the terminal cleaning from each operating room every 24 hours resulted in an increased compliance from 9.8% to 98%.