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Table 1 Proposed variation on the WHO surgical safety checklist to augment the pre-operative safety briefing and enhance the safety of the breast cancer patient undergoing surgery

From: A clinical "near miss" highlights risk management issues surrounding ultrasound-guided and wire-localised breast resections

Read aloud before administering general anaesthesia
Has the patient confirmed their name / site of surgery / procedure and consent? YES NO  
Is the anaesthetic machine / medications complete? YES NO  
Does the patient have an allergy (especially to blue dye)? YES (if yes – details) NO  
Which breast / axilla is being operated on? Right Left Both
Is the surgical site marked? YES NO (If ‘NO’ - do not administer GA, consult with surgeon / surgical team)  
Is a pre-operative localisation procedure required? YES NO  
If a pre-operative localisation procedure is required, has it been performed? YES NO (If ‘NO’ - do not administer GA, consult surgeon / surgical team) N/A
Is a SLNB procedure being conducted? YES NO  
If a SLNB procedure is being conducted has radioisotope injection been administered and is patent blue V / gamma probe available? YES NO (If ‘NO’ - do not administer GA, consult surgeon / surgical team) N/A
Is the patient having a breast prosthesis inserted? YES NO  
If a breast prosthesis is required has it been ordered / available in theatre? YES NO (If ‘NO’ - do not administer GA, consult surgeon / surgical team) N/A