SURGICAL SAFETY CHECKLIST

1. SURGICAL SAFETY
CHECKLIST
PRESENTER:
Dr Pushpendra Singh
Dr Niraj Raj
Guide:
Dr. John Mukhopadhaya

2. Introduction
 Definition :- Safety checklists in medicine are designed to identify a
potential error before it results in harm to a patient
 Why is a checklist ?
 When ?
 Strategies

3. Why a checklist
 To avoid surgery of wrong patients, wrong side.
 To improve team communication and consistency of care.
 To avoid: complications and avoidable death associated
with surgery.
 To avoid: adverse legal issues

4. When surgical safety checklist
apply?
 WHO checklist be completed for every patient undergoing a
surgical procedure.
 The WHO has defined a surgical condition as ‘any condition that
requires suture, incision, excision, manipulation, or other invasive
procedure that usually, but not always, requires local, regional, or
general anesthesia.
 Invasive procedures requiring written consent, even if not
involving surgeons, should be considered to be ‘surgical
procedures’ for the purposes of this checklist.

5. Surgical safety checklist
 In 2008, WHO ( 2008)
 Intended to be globally applicable

6. The Role Of Surgical Safety
Checklist
Oral confirmation by surgical teams of the completion of
the basic steps to ensure:
 Safe delivery of anaesthesia
 Prophylaxis against infection
 Effective team work
 Other essentials

7. How the checklist is used
It is used at three critical juncture:
 Sign in: before anaesthesia is administered,
 Time out: immediately before incision and
 Sign out: before the patient is taken out of the operating
room.

11. World Health Organization’s 10
aims for safe surgery.
 1 The team will operate on the correct patient at the correct
site.
 2 The team will use methods known to prevent harm from
administration of anaesthetics, while protecting the patient
from pain.
 3 The team will recognise and effectively prepare for life
threatening loss of airway or respiratory function.
 4 The team will recognise and effectively prepare for risk of
high blood loss.
 5 The team will avoid inducing an allergic or adverse drug
reaction for which the patient is known to be at significant
risk

12.  6 The team will consistently use methods known to minimise the risk
for surgical site infection.
 7 The team will prevent inadvertent retention of instruments or
sponges in surgical wounds.
 8 The team will secure and accurately identify all surgical specimens.
 9 The team will effectively communicate and exchange critical
information for the safe conduct of the operation.
 10 Hospitals and public health systems will establish routine
surveillance of surgical capacity, volume and results.

13. Outcome of checklist
 Marked improvements in surgical outcomes

14. Take Home

15. Take Home
 EVERY CHECK CAN SAVE LIFE
 Can help us to be safe for our work and safe for our patient.