Table 3 Detailed checklist items and descriptions for WHO Surgical Safety Checklist
Item | Description | |
|---|---|---|
Stage 1: Before Induction of Anesthesia (Sign in) | Â | |
item1 | The patient confirmed his/her identity | |
item2 | The patient confirmed the site of the procedure | |
item3 | The patient confirmed the name of the procedure | |
item4 | The patient confirmed consent | |
item5 | The surgical site is marked | |
item6 | The anesthesia machine and medication check is complete | |
item7 | The pulse oximeter is on the patient and functioning | |
item8 | The patient’s allergy status is known and confirmed by the staff | |
item9 | Patient’s risk of difficult airway or aspiration is assessed with necessary equipment assistance available | |
item10 | Risk of > 500 ml blood loss (> 7 ml/kg in children) is assessed with two IVs, central access, and fluids planned | |
Stage 2: Before Skin Incision (Time out) | ||
item11 | Team members introduced themselves by name and role | |
item12 | Patient’s name, procedure, and incision site are confirmed by the surgical team | |
item13 | Antibiotic prophylaxis has been given within the last 60Â min | |
item14 | The surgical team asked the surgeon about the critical or non-routine steps | |
item15 | The surgical team asked the surgeon about the estimated duration of the case | |
item16 | The surgical team asked the surgeon about the anticipated blood loss | |
item17 | The surgical team asked the anesthetist about any patient-specific concerns | |
item18 | Sterility, including indicator results, has been confirmed by the nursing team | |
item19 | The surgical team asked the nursing team about any equipment issues or concerns | |
item20 | Essential imaging for the procedure was displayed | |
Stage 3: Before Patient Leaves Operating Room (sign out) | ||
item21 | The name of the procedure is verbally confirmed by the nursing team | |
item22 | Completion of instruments, sponge, and needle counts is verbally confirmed by the nursing team | |
item23 | Specimen labeling, specimen labels read aloud, including patient name, is verbally confirmed by the nursing team | |
item24 | The nurse verbally confirmed whether there were any equipment problems to be addressed | |
item25 | Discussion of key concerns for recovery and management of the patient is done by the surgeon, anesthetist, and nurse | |