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WHO surgical safety checklist

Sign in, time out, sign out.

Source: WHO 2009
Sign in (before anaesthesia)Identity, site, procedure, consent; site marked; anaesthetic check; pulse oximeter; allergy; airway risk; blood loss risk over 500 ml.
Time out (before incision)Team introductions; confirm patient and procedure; critical events; antibiotics within 60 minutes; imaging displayed.
Sign out (before leaving)Procedure recorded; instrument, swab and needle counts; specimens labelled; equipment problems; recovery concerns.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.