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Table 4 Missing items in checklists over the eight months analysed

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

Item no. Checklist item (Yekatit 12 checklist) Number of times missing %
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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
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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
  1. Percentages are given to the nearest whole number.