Introduction:

Since its introduction to the field of healthcare in 2008, the WHO surgical safety checklist has enabled a significant reduction in both morbidity and mortality for patients all over the world. The checklist is currently used by a majority of surgical providers worldwide. 

This digitized version of the WHO checklist is designed to help you keep track of all the surgeries taking place at your hospital, saving time and effort that would otherwise be spent looking through stacks of papers and files. 

For more details on the use of the checklist, visit the WHO website. You can see the hundreds of organizations that support the checklist, as well as guidance for effective implementation.  

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The point is to minimize human error, increase accountability, and provide employees with all of the tools and information necessary to complete their tasks as effectively as possible.

Enter patient information

Before induction of anaesthesia:

Confirm at least a nurse and anaesthetist are present

Ensure all details have been confirmed by the patient

Confirm that the following details have been confirmed by the patient.

  • 1
    Their identity
  • 2
    The site of surgery
  • 3
    The surgical procedure
  • 4
    Their consent to carry out the surgery

Is the site marked?

Is the anaesthesia machine and medication check complete?

Is the pulse oximeter on the patient and functioning?

Does the patient have a...

Before skin incision:

Confirm the nurse, anaesthetist and surgeon are present

Confirm all team members have introduced themselves by name and role

Confirm the patient's name, procedure, and where the incision will be made

Has antibiotic prophylaxis been given within the last 60 minutes?

State anticipated critical events (to surgeon)

State anticipated critical events (to anaesthetist)

State anticipated critical events (to nursing team)

Is essential imaging displayed?

Before patient leaves operating room:

Confirm the nurse, anaesthetist and surgeon are present

Ensure the nurse verbally confirms the following...

Ensure the nurse verbally confirms the following details:

  • 1
    The name of the procedure
  • 2
    Completion of instrument, sponge, and needle counts
  • 3
    Specimen labelling (read specimen labels aloud, including patient name)
  • 4
    Whether there are any equipments problems to be addressed?

State key concerns for recovery and management

To the surgeon, anaesthetist, and nurse, state below key concerns for recovery and management of this patient. 

Sources:

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