Checklist safe surgery

Contact information:  

AZ Groeninge, Belgium, West-Flanders

[email protected]


Originally developed by: AZ Groeninge
Country of origin: Belgium
Year of development: 2012
Last updated: January 2013
Next update: No
Available in the following languages: Flemish
Reason for not fulfilling the requirements: Not available in English

Type of tool: tool for system change, tool for promotion of a safety culture

Short description

This checklist follows the patient from the hospital ward until the phase of anesthesia. The first chapter is completed by the staff of the hospital ward, the following chapters describe the verification in the operating theater before induction, the verification before incision and the sign-out procedure.  At any time, if there is an inconvenience, the pre-operative procedure can be stopped for further investigation and control.

Target audience

Nurse staff members and doctors

Applicability (setting e.g. inpatient care, outpatient care, long term care etc.)

Inpatient care, pre-operative setting, operating theater

Information on how the tool has been applied/tested in practice

This change of procedure fits in our preparation-program to acquire an accreditation label JCI (Joint Commission International).
Presentation in staff meetings:
– committee operating theater
– medical staff meeting
– committee head-nurses from nursing department.
Systematic tracers and audits to see if these documents are registered by all the members in this process.

Needed time for implementation

A few weeks; follow-up takes much more time.

Additional references

[email protected]
Tom Coolen, Director IT and Quality