Surgical Safety Checklist

Before Induction of Anaesthesia

• Has the patient confirmed his/her identity, site, procedure, and consent?
• Is the surgical site marked?
• Is the anaesthesia machine and medication check complete?
• Is the pulse oximeter on the patient and functioning?
• Does the patient have a known allergy?
• Does the patient have difficult airway or aspiration risk?
• Does the patient have Risk of >500ml blood loss (7ml/kg in children)?

Before Skin Incision

• 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?
• What are the critical or non-routine steps?
• How long will the case take?
• What is the anticipated blood loss?
• Are there any patient-specific concerns?
• Has sterility (including indicator results) been confirmed?
• Are there equipment issues or any concerns?
• Is essential imaging displayed?

Before Patient Leaves Operating Room

• Confirm the name of the procedure.
• Confirm completion of instrument, sponge and needle counts.
• Confirm specimen labelling (read specimen labels aloud, including patient name).
• Confirm whether there are any equipment problems to be addressed.
• What are the key concerns for recovery and management of this patient?