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Process Map:: Surgical Safety
Description:: The surgical safety checklist from World Health Organisation. Created by www.ariadnelabs.org. More information and the actual form can be found on www.safesurg.org.. Read more in the process map's blog:
Updated at:: December 3, 2017
Scoring Scale:: Modified
Statistics:: Incidents:0 FMEAs:0 Favorited: 1
Created by:: mosafer
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Color legends: Processmap Steps Checklists

	Before induction of anesthesia Before Induction of anesthesia
1	Has the patient confirmed his/her identity, site, procedure, and consent? Yes		0 0 0
2	Is the anesthesia machine and medication check complete? Yes No		0 0 0
3	Is the site marked? Yes Not applicable		0 0 0
4	Is the pulse oximeter on the patient and functioning? Yes		0 0 0
5	does the patient have a known allergy? No Yes		0 0 0
6	Dose the patient have Difficult airway or aspiration risk? No Yes, and equipment/assistance available		0 0 0
7	Risk of >500ml blood loss (7ml/kg in children)? No Yes, and two IVs/central access and fluids planned		0 0 0

	Before skin incision Before skin incision
1	Confirm all team members have introduced themselves by name and role.		0 0 0
2	Confirm the patient's name, procedure, and where the incision will be made		0 0 0
3	Has antibiotic prophylaxis been given within the last 60 minutes? Yes Not applicable		0 0 0
4	anticipated critical events To surgeon: What are the critical or non-routine steps? how long will the case take? What is the anticipated blood loss? To anesthetist: Are there any patient specific concern? To nursing team: Has sterilty (including indicator results) been confirmed? Are there equipment issues or any concerns?		0 0 0
5	Is essential imaging displayed? Yes Not applicable		0 0 0

	Before patient leaves operating room Before patient leaves operating room
1	Nurse verbally confirms: The name of the procedure Completion of instrument, sponge and needle counts Specimen labeling (read specimen labels aloud, inducing patient name) Whether there are any equipment problems to be addressed		0 0 0
2	To surgeon, Anesthetist and Nurse: What are the key concerns for recovery and management of this patient?		0 0 0

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