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Table 4 Compliance with the WHO Surgical Safety Checklist items

From: Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China

  Item Site A Site B Site C Site D Site E Total
Sign-in’ phase Has the patient confirmed his/her identity, site, the procedure and consent 100.0% 100.0% 98.0% 100.0% 100.0% 99.5%
Is the site marked 96.5% 80.0% 97.5% 100.0% 100.0% 97.2%
Is the anesthesia machine and medication check complete 100.0% 100.0% 81.5% 100.0% 100.0% 95.7%
Is the pulse oximeter on the patient and functioning 100.0% 95.0% 96.0% 100.0% 100.0% 98.7%
Known allergy 100.0% 100.0% 95.5% 100.0% 100.0% 99.0%
Difficult airway or aspiration risk 87.5% 0.0% 74.5% 100.0% 99.0% 84.0%
Risk of >500 ml blood loss 97.5% 63.3% 70.5% 100.0% 99.0% 89.9%
Overall ‘sign-in’       94.8%
Time-out’ phase Confirm all team members have introduced themselves by name and role 2.0% 0.0% 0.0% 6.0% 0.0% 1.9%
Confirm the patient’s name, procedure and where the incision will be made 100.0% 100.0% 79.5% 100.0% 93.0% 93.6%
Has antibiotic prophylaxis been give within the last 60 min 100.0% 100.0% 92.0% 100.0% 100.0% 98.1%
What are the critical or non-routine steps 22.5% 25.0% 62.0% 100.0% 10.0% 47.0%
How long will the case take 25.0% 85.0% 79.0% 100.0% 11.0% 55.9%
What is the anticipated blood loss 23.5% 65.0% 80.5% 100.0% 8.0% 53.8%
Are there any patient-specific concerns 20.0% 60.0% 73.0% 100.0% 100.0% 72.3%
Has sterility been confirmed 100.0% 50.0% 77.5% 100.0% 100.0% 91.3%
Are there equipment issues or any concerns 98.5% 65.0% 77.5% 100.0% 100.0% 92.0%
Is essential imaging displayed 98.0% 85.0% 95.0% 100.0% 100.0% 97.3%
Overall ‘time-out’       70.3%
Sign-out’ phase The name of the procedure 97.50% 100% 98% 100% 100% 98.9%
Completion of instrument, sponge and needle counts 100% 100% 96.50% 100% 100% 99.2%
Specimen labelling 99% 75% 97.50% 100% 100% 97.4%
Whether there are any equipment problems to be addressed 83.50% 0% 0% 100% 100% 65.9%
What are the key concerns for recovery and management of this patient 7% 10% 0% 100% 11% 28.1%
Overall ‘sign-out       77.9%
  Average compliance (all items) 75.3% 66.3% 73.7% 95.7% 78.7% 79.8%
Average compliance (for items in both WHO SSC and MoH SSC) 81.2% 81.4% 86.9% 100.0% 83.6% 87.4%
Average compliance (for items only in WHO SSC) 55.5% 14.7% 29.0% 81.2% 61.8% 53.9%
Proportion of items reaching 100% compliance 8/22 7/22 0/22 21/22 15/22  
  1. WHO World Health Organisation, MoH Chinese Ministry of Health, SSC Surgical Safety Checklist