Surgical Safety Checklist

Surgical Safety Checklist

B efore induction of anaesthesia B efore skin incision (with nurse, anaesthetist and surgeon) (with at least nurse and anaesthetist) Has the patient confirmed his/her identity, Confirm all team members have site, procedure, and consent? introduced themselves by name and role. Y es Confirm the patient’s name, procedure, and where the incision will be made. Is the site marked? Y es Has antibiotic prophylaxis been given within the last 60 minutes? N ot applicable Y es Is the anaesthesia machine and medication N ot applicable check complete? Anticipated Critical Events Y es To Surgeon: Is the pulse oximeter on the patient and functioning? What are the critical or non-routine steps? Y es How long will the case take? D oes the patient have a: What is the anticipated blood loss? Known allergy? To Anaesthetist: No A re there any patient-specific concerns? Y es To Nursing Team: Difficult airway or aspiration risk? Has sterility (including indicator results) b een confirmed? No A re there equipment issues or any concerns? Yes, and equipment/assistance available Is essential imaging displayed? Risk of >500ml blood loss (7ml/kg in children)? Y es No N ot applicable Yes, and two IVs/central access and fluids planned This checklist is not intended to be comprehensive. Additions and modifications to fit local practice are encouraged. given with syringes or needles reused without sterilisation is as high as 70%. Each year, unsafe injections cause 1.3 million deaths, primarily as a result of transmission of hepatitis viruses and human immunodeficiency virus. Identifying and addressing patient safety risks in collabo ration with colleagues across the world allows progress to be made on a number of important areas of surgical safety as well as supporting improvements in surgical training. International collaborations, often based on personal pr ofessional relation ships, can be a catalyst to supporting surgical training and sur gical safety initiatives worldwide. The WHO surgical safety checklist ( Figure 15.1 ) demonstrates that many patient safety initiatives are not resource intensive but require attention to the details of process and care pathways commensurate with the local conte xt.

Figure 15.1 World Health Organization’s surgical safety checklist research/safe-surgery/tool-and-resources) .

Surgical Safety Checklist

B efore induction of anaesthesia B efore skin incision (with nurse, anaesthetist and surgeon) (with at least nurse and anaesthetist) Has the patient confirmed his/her identity, Confirm all team members have site, procedure, and consent? introduced themselves by name and role. Y es Confirm the patient’s name, procedure, and where the incision will be made. Is the site marked? Y es Has antibiotic prophylaxis been given within the last 60 minutes? N ot applicable Y es Is the anaesthesia machine and medication N ot applicable check complete? Anticipated Critical Events Y es To Surgeon: Is the pulse oximeter on the patient and functioning? What are the critical or non-routine steps? Y es How long will the case take? D oes the patient have a: What is the anticipated blood loss? Known allergy? To Anaesthetist: No A re there any patient-specific concerns? Y es To Nursing Team: Difficult airway or aspiration risk? Has sterility (including indicator results) b een confirmed? No A re there equipment issues or any concerns? Yes, and equipment/assistance available Is essential imaging displayed? Risk of >500ml blood loss (7ml/kg in children)? Y es No N ot applicable Yes, and two IVs/central access and fluids planned This checklist is not intended to be comprehensive. Additions and modifications to fit local practice are encouraged. given with syringes or needles reused without sterilisation is as high as 70%. Each year, unsafe injections cause 1.3 million deaths, primarily as a result of transmission of hepatitis viruses and human immunodeficiency virus. Identifying and addressing patient safety risks in collabo ration with colleagues across the world allows progress to be made on a number of important areas of surgical safety as well as supporting improvements in surgical training. International collaborations, often based on personal pr ofessional relation ships, can be a catalyst to supporting surgical training and sur gical safety initiatives worldwide. The WHO surgical safety checklist ( Figure 15.1 ) demonstrates that many patient safety initiatives are not resource intensive but require attention to the details of process and care pathways commensurate with the local conte xt.

Figure 15.1 World Health Organization’s surgical safety checklist research/safe-surgery/tool-and-resources) .