Hospital Theatre Setting

Hosptial Wing

Theatre Complex

Which Theatre

Which theatre?

Which Lab?

Theatre Complex

Which theatre?

Which theatre?

Which theatre?

Which theatre?

Which Specialty is the operating list?

How would you describe this list

Who is the named Consultant for this List/Case?

Briefing huddle

What time did the Theatre Briefing begin?

Where was the Theatre Briefing conducted? ie. anaesthetic room, corridor etc

Is there a sign-posted protected area for the team briefing?

Please select the staff/personnel present at briefing

Consultant Surgeon

Surgical Registrar

Consultant Anaesthetist

Anaesthetic Registrar

Anaesthetic Practitioner (ODP/Nurse)

Surgical Scrub Lead Practitioner / Team Leader

Health Care Assistant

How many other scrub nurses and circulating staff are present

Are there other personnel present?

Role:

Role

Role:

Add a photo of briefing, team and location

Theatre Briefing

Surgical Procedures on list

1. Planned Surgical Procedure for all patients discussed?

Please Comment

Order of Patients

2. Order of the list confirmed/discussed

What is the reason?

Patient Review

3. Have all patients been seen by the anaesthetist?

Please comment

Equipment Checks

4. Has equipment (including prosthesis & monitoring) been discussed and available

5. Have any issues been identified?

Post operative care

6. Have any post-operative requirements or special investigations been raised for any of the patients?

Please comment

Follow up and Closure

7. A team member is given responsibility to follow up any issues raised

8. A scribe is nominated to track QI issues during the list for follow up

9. Team members asked to summarise cases and any anticipated issues to close briefing.

On a scale of 1 - 5 how would you rank the briefing on quality and effectiveness? (1 Low - 5 High)

Score ONE point if
All key staff are present introduced to each other and roles specified
All patients are discussed and cases reviewed in order of list
Any equipment and staffing issues are reviewed
Post operative requirements are stated clearly and a plan executed for optimal flow (e.g. ICU beds)
Team members are actively listening and encouraged to ask any questions, raise concerns, or give summaries to conclude briefing.





Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.