Implementation of the WHO Surgical Safety Checklist in an Ethiopian Referral Hospital

Table 4 Missing items in checklists over the eight months analysed

Item no.	Checklist item (Yekatit 12 checklist)	Number of times missing	%
	Sign in
1	Has the patient confirmed his/her identity, site, procedure and consent?	34	5
2	Is the site marked?	21	3
3	Are the anaesthesia equipment and medication checks complete?	18	3
4	Does the patient have a known allergy?	21	3
5	Does the patient have a difficult airway or aspiration risk?	19	3
6	Is blood required?	21	3
	Subtotal	134	20
	Time out
7	Confirm all tem members have introduced themselves by name and role	77	12
8	Confirm the patient’s name and procedure	71	11
9	Has antibiotic prophylaxis been given within the last 60 minutes?	17	3
	*Anticipated critical events to surgeon:*
10	What are the critical or non-routine steps	13	2
11	How long will the case take?	13	2
12	Is the anticipated blood loss > 500ls?	20	3
	*Anticipated critical events to anaesthetist:*
13	Are there any patient-specific concerns?	17	3
14	Pulse oximeter is on the patient and functioning?	15	2
	*Anticipated critical events to nursing team:*
15	Sterility confirmed	14	2
15	Sufficient equipment to proceed	14	2
17	Is essential imaging displayed	37	6
	Subtotal	308	46
	Sign out
18	Nurse verbally confirms name of procedure	41	6
19	Completion of instrument, sponge, needle and suture counts	41	6
20	Are there any equipment problems to be addressed?	40	6
21	What are the key concerns for recovery and management of this patient?	41	6
22	Specimen labeled correctly	64	10
	Subtotal	227	34
	Total	669	100

ISSN: 1754-9493