- Designed to reduce the number of errors and complications resulting from surgical procedures by improving team communication and by verifying and checking essential care interventions.
Sign in (before induction of anesthesia) | Time out (before start of surgery) | Sign out (before leaving operating room) |
Patient confirms identity, site, procedure, consent | Team introduction | Name of procedure recorded |
Surgical site marked | Surgeon/anesthetist/OPD confirm identity, site, procedure, consent | Instrument/swab/sharp count correct? |
Anesthetic equipment and medication | Anticipated critical events | Specimens labeled |
Allergies | Anesthetic concerns | Equipment problems identified |
Difficult airway/aspiration risk | Instrument/equipment concerns | Key concerns for recovery and management |
Risk of >500 mL blood loss? | Surgical site infection: - Antibiotic prophylaxis - Hair removal - Patient warming - Glycemic control | ㅤ |
ㅤ | VTE prophylaxis | ㅤ |
ㅤ | Essential imaging displayed | ㅤ |