Time out is conducted prior to skin Incision or introduction of scope?
All other activities are suspended (except in case of life-threatening emergency) during the time out?
During time out the procedure is identified, correct laterality if applicable is identified, and patient consent is verbalized?
Surgical Site is marked and visible ( if applicable)?
Relevant images properly labeled and displayed?
Checked implants are readily available?
Verbalized dry time for skin antiseptic has occurred (3 min.)?
Antibiotic prophylaxis ordered and started before incision?
Was a fire risk assessment protocol verbalized?
OR Time Out Audit
Wrong-patient, wrong-site, wrong-procedure events can and must be prevented. Implementing evidence-based, risk-prevention strategies for the identification and verification of the correct
patient, surgical site, and procedure will reduce the risk of error
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
or other applicable laws. You should also seek your own professional advice to determine if the use of such
permissible in your workplace or jurisdiction.