Healthcare · Safety & Compliance · Intermediate
Three-phase surgical safety checklist (Sign In, Time Out, Sign Out) based on the WHO Safe Surgery framework.
The WHO Surgical Safety Checklist has been proven to reduce surgical complications and deaths. This adapted version covers the three critical phases — Sign In (before anaesthesia), Time Out (before incision), and Sign Out (before the patient leaves the operating room) — ensuring the entire surgical team verifies patient identity, procedure, site, allergies, equipment, and post-operative plans.
Consistent use of the surgical safety checklist is a core patient safety requirement for hospital accreditation and demonstrates a culture of teamwork and communication in the operating theatre.
This checklist template is provided as a general-purpose resource and is not tailored to the regulatory requirements of any specific country, region, or jurisdiction. It is the responsibility of each organisation to review and adapt this template to ensure compliance with all applicable local laws and regulations. Miratag does not accept liability for any inaccuracies or omissions, or for any actions taken based on this template.
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