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World Health Organization surgical safety checklist

World Health Organization surgical safety checklist
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Before induction of anesthesia
__ Patient has confirmed:
  • Identity
  • Site
  • Procedure
  • Consent
__ Site marked/not applicable
__ Anesthesia safety check completed
__ Pulse oximeter on patient and functioning
Does patient have a:
Known allergy?
__ No
__ Yes
Difficult airway/aspiration risk?
__ No
__ Yes, and equipment/assistance available
Risk of >500 mL blood loss (7 mL/kg in children)?
__ No
__ Yes, and adequate intravenous access and fluids planned
Time out
Before skin incision
__ Confirm all team members have introduced themselves by name and role
__ Surgeon, anesthesia professional, and nurse verbally confirm
  • Patient
  • Site
  • Procedure
Anticipated critical events
__ Surgeon reviews: What are the critical or unexpected steps, operative duration, anticipated blood loss?
__ Anesthesia team reviews: Are there any patient-specific concerns?
__ Nursing team reviews: Has sterility (including indicator results) been confirmed? Are there equipment issues or any concerns?
Has antibiotic prophylaxis been given within the last 60 minutes?
__ Yes
__ Not applicable
Is essential imaging displayed?
__ Yes
__ Not applicable
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Before patient leaves operating room
Nurse verbally confirms with the team:
__ The name of the procedure recorded
__ That instrument, sponge, and needle counts are correct (or not applicable)
__ How the specimen is labeled (including patient name)
__ Whether there are any equipment problems to be addressed
__ Surgeon, anesthesia professional, and nurse review the key concerns for recovery and management of this patient
This checklist is not intended to be comprehensive. Additions and modifications to fit local practice are encouraged.
Reproduced with permission from: Weiser T, Haynes A, Dziekan G, et al. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Ann Surg 2010; 251:976. Copyright © 2010 Lippincott Williams & Wilkins.
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