⼿术安全核对表（WHO）
⼿术安全核对表Surgical Safety Checklist Surgical Safety Checklist
⿇醉诱导前切开⽪肤前患者离开⼿术室前（⾄少要护⼠、⿇醉师核对）（护⼠、⿇醉师、⼿术医师核对）（护⼠、⿇醉师、⼿术医师核对）
细思恐极的小故事
Before induction of anaesthesia Before skin incision Before patient leaves operating room (with at least nur and anaesthetist) (with nur, anaesthetist and surgeon) (with nur, anaesthetist and surgeon)
怎么发邮箱患者是否已经确认了其⾝份、⼿术部位和名称，是否已签署⼿术同意书？Has the patient confirmed his/her identity, site, procedure, and connt?
是否已标记⼿术部位？Is the site marked?
⿇醉机和⿇醉药品是否核对完毕？ Is the anaesthesia machine and medication check complete?
超市员工
是否给患者进⾏⾎氧饱和度监测，该仪器运转?岳西政府网
Is the pul oximeter on the patient and functioning? 患者是否有既往过敏史？ Does the patient have a: Known allergy? 是否存在⽓道困难 /误吸的风险？Difficult airway or aspiration risk?
所需设备/辅助⼈员已就位equipment/assistance available 是否存在失⾎量 >500ml（⼉童 >7ml/kg）的风险？Risk of >500ml blood loss (7ml/kg in children)?
已建⽴两条静脉通道/保留中央静脉导管，已备好液体two IVs/central access and fluids planned 确认团队的所有成员要⾃我介绍其姓名和职责Confirm all team members have introduced themlves by name and role.
确认患者姓名、⼿术名称和⼿术部位Confirm the patient’s name, procedure,and where the incision will be made. ⼿术前 60分钟内，是否给患者注射了预防性抗⽣素？Has antibiotic prophylaxis been given within the last 60 minutes?
预期的关键事件applicable Anticipated Critical Events
形容幸运的成语⼿术医师：⼿术的关键步骤是什么？⼿术需要多长时间？预计的⼿术失⾎量是多少？To Surgeon: What are the critical or non-routine steps? How long will the ca take? What is the anticipated blood loss?
数学证明方法
⿇醉师：患者有没有特殊的注意事项？
专治咳嗽的药To Anaesthetist: Are there any patient-specific concerns?
读书小报的内容写什么护理团队：消毒（包括消毒指⽰带结果）完成没有？设备有没有问题？有没有其它的注意事项？是否已展⽰必需的影像资料？To Nursing Team: Has sterility (including indicator results) been confirmed? Are there equipment issues or any concerns? Is esntial imaging displayed? 护⼠⼝头确认：⼿术名称清点完毕⼿术器械、敷料和针头标记⼿术标本（⼤声朗读标本标签，包括患者姓名）是否存在需要解决的设备问题Nur Verbally Confirms: The name of the procedure Completion of instrument, sponge and needle counts Specimen labelling (read specimen labels aloud,including patient name) Whether there are any equipment problems to be addresd ⼿术医师、⿇醉师和护⼠ :⼿术后，该患者在康复、治疗⽅⾯的特别注意事项？To Surgeon, Anaesthetist and Nur: What are the key concerns for recovery and management of this patient?
1/2009修订 WHO,2009
This checklist is not intended to be comprehensive. Additions and modifications to fit local practice are encouraged.
