Neurosurgery notes/WHO Checklist

WHO Checklist

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  • 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
      VTE prophylaxis
      Essential imaging displayed