Safe Surgery Checklist Template (Team Already Knows Each Other)

Download

This checklist is designed to be used in facilities where the operating room teams are stable and everyone knows each other by name. Instead of introducing the team, we recommend that the surgeon activates everyone in the OR by asking each person by name, “Are ready to proceed?” prior to skin incision.


Safe Surgery Checklist Template (Team Briefing Before Induction)

Download

This template is designed for use in facilities where the surgeon is always present at the time of induction. If the surgeon is present at this time, it is recommended that the team conducts the briefing prior to induction.


Safe Surgery Checklist Template (Two Page)

Download

This template is ideal for organizations that wish to have the before induction of anesthesia portion of the checklist completed in the preoperative area with the anesthesia professional and nurse. This approach should only be used when the anesthesia professional and circulator are able to go to the pre-op area to review the checklist with the patient at the same time.


WHO Surgical Safety Checklist (Spanish)

Download

This 19 item checklist has shown to significantly reduce both morbidity and mortality. Along with decreasing errors and adverse events, it can increase teamwork and communication in surgery.


WHO Surgical Safety Checklist (French)

Download

This 19 item checklist has shown to significantly reduce both morbidity and mortality. Along with decreasing errors and adverse events, it can increase teamwork and communication in surgery.


WHO Surgical Safety Checklist (English)

Download

This 19 item checklist has shown to significantly reduce both morbidity and mortality. Along with decreasing errors and adverse events, it can increase teamwork and communication in surgery.