Checklist item | Completion rates (%) |
Sign in | |
Before induction of anaesthesia, members of the team (at least the nurse and an anaesthesia professional) confirm orally: | |
The patient has verified their identity, the surgical site and procedure and consent | 78.5 |
The surgical site is marked or site marking is not applicable | 75.4 |
The pulse oximeter is on the patient and functioning | 72.3 |
All members of the team are aware of whether the patient has a known allergy | 63.1 |
The patient's airway and risk of aspiration have been evaluated, and appropriate equipment and assistance are available | 66.2 |
If there is a risk of blood loss of at least 500 ml (or 7 ml/kg of body weight, in children), appropriate access and fluids are available | 47.7 |
Time out | |
Before skin incision, the entire team (nurses, surgeons, anaesthesia professionals, and any others participating in the care of the patient) orally: | |
Confirms that all team members have been introduced by name and role | 20.0 |
Confirms the patient's identity, surgical site and procedure | 80.0 |
Reviews the anticipated critical events | 24.6 |
Surgeon reviews critical and unexpected steps, operative duration and anticipated blood loss | 18.5 |
Anaesthesia staff review concerns specific to the patient | 43.1 |
Nursing staff review confirmation of sterility, equipment availability and other concerns | 64.6 |
Confirmation that prophylactic antibiotics have been administered ≤60 min before incision is made or that antibiotics are not indicated | 56.9 |
Confirmation that all essential imaging results for the correct patient are displayed in the operating room or not applicable. | 58.5 |
Sign out | |
Before the patient leaves the operating room, the nurse reviews items aloud with the team: | |
Name of the procedure as recorded | 30.7 |
That the needle, sponge and instrument counts are complete (or not applicable) | 86.1 |
That the specimen (if any) is correctly labelled, including with the patient's name | 80.0 |
Whether there are any issues with equipment to be addressed | 27.7 |
The surgeon, nurse and anaesthesia professional review aloud the key concerns for the recovery and care of the patient | 12.3 |
Numbers next to each item indicate the frequency in which they were observed during student operating room observations. Items in bold are those mandated by Winnipeg Regional Health Authority policy.