Table 1 Different versions of the Surgical Safety Checklist (SSC) (items adjacent to each other in the two checklists have equivalence)
Sign-in | Time-out | Sign-out | |||
|---|---|---|---|---|---|
WHO SSC | MoH SSC | WHO SSC | MoH SSC | WHO SSC | MoH SSC |
Has the patient confirmed his/her identity, site, the procedure and consent | Confirm the patient’s name, gender, age | Confirm all team members have introduced themselves by name and role | Confirm the patient’s name, gender, age | ||
Confirm the procedure | Confirm the patient’s name, procedure and where the incision will be made | Confirm the patient’s name, gender, age | The name of the procedure | Confirm the name of the procedure | |
Surgery consent | Confirm the procedure | Confirm the usage of the drug and blood transfusion | |||
Anesthesia consent | Confirm the site and is the site marked? | Completion of instrument, sponge and needle counts | Completion of instrument, sponge and needle counts | ||
Is the site marked | Confirm the site and is the site marked? | What are the critical or non-routine steps | What are the critical or non-routine steps | Specimen labelling | Specimen labelling |
Is the anesthesia machine and medication check complete | Confirm the type of anesthesia | How long will the case take | How long will the case take | Skin condition | |
Is the pulse oximeter on the patient and functioning | Check the anesthesia machine, including putting on the pluse oximeter | What is the anticipated blood loss | What is the anticipated blood loss | Any IV tubes, gastric tube, urinary catheter, or any other tubes | |
Known allergy | Known allergy | Are there any patient-specific concerns | Are there any patient-specific concerns | Where will the patient be transferred to | |
Difficult airway or aspiration risk | Has sterility been confirmed | Has sterility been confirmed | Whether there are any equipment problems to be addressed | ||
Risk of >500 ml blood loss | Are there equipment issues or any concerns | Are there equipment issues or any concerns | What are the key concerns for recovery and management of the patient | ||
Skin condition | Has antibiotic prophylaxis been give within the last 60 min | Drug administration pre and intro-operation | |||
Skin prepartion before surgery | Is essential imaging displayed | Is essential imaging displayed | |||
IV line establishment | |||||
Skin test result of antibiotics | |||||
Preparation of blood products | |||||
Prothesis/implant/imaging | |||||