Table 1, Chapter 13Governmental and nongovernmental organizations adopting or recommending adoption of the WHO checklist

OrganizationWeb siteDetails
The Institute for Healthcare Improvement (www​​​/MembershipsNetworks​/MentorHospitalRegistry​/Pages/SurgicalSafetyChecklist.aspxIn December 2008, then-president Donald Berwick issues the Surgical Safety Checklist Challenge: to have each hospital use the checklist in at least one operating room by April 1, 2009. To assist facilities in implementing the checklist, the IHI Web site provides a list of eight “mentors” throughout the United States who have already implemented the checklist. The demographics of these eight sites are provided to enable facilities to match themselves up with similar mentor facilities.
National Patient Safety Agency (NPSA) in the UKwww​​/alerts/?entryid45=59860NPSA mandated in February 2010 the use of the checklist in all of its Trusts in England and Wales.45 The NPSA Web site contains downloadable materials, videos, and three tailored WHO surgical checklists (for radiological interventions, cataract surgery, and maternity cases). Also, the Surgical Checklist Implementation Project, funded by the National Health Service (NHS), involves four studies of implementing the WHO checklist at 20 NHS Trusts (www​ The topics of the four studies are (1) perception of the checklist and possible barriers to use; (2) additional quantitative data on staff perceptions of the checklist; (3) how the checklist is actually used in operating rooms; (4) the impact of checklist use on clinical outcomes.46
FranceNAFrance mandated the use of the WHO checklist in all its 8000 hospitals in 2010.47
Canadian Patient Safety Institute (CPSI)NAThe CPSI has endorsed the checklist, and checklist implementation is now an accreditation standard for Canadian hospitals.48
The Canadian province of Ontario mandated use of the checklist in 2011.47
Washington State Surgical Care and Outcome Assessment Program (SCOAP)49www​ stated a goal of having all of its hospitals use the WHO checklist in every operating room by the end of 2009. The February 2010 SCOAP version of the WHO checklist is available on the Web site. The Web site also states that “According to the Washington State Hospital Association, 100% of Washington State hospitals have either implemented a standardized surgical checklist or are in the process of doing so.” Hospitals can also order a 2×3 foot laminated SCOAP checklist from the Web site.
The South Carolina Hospital Association (SCHA)The SCHA, in the fall of 2010, planned to institute the checklist in all the state's hospitals over the next few years.47
Ireland and JordanIreland and Jordan each plan to require checklist implementation in all its hospitals.50
Spanish Ministry of Health and Spanish Association of SurgeonsNAThe Spanish Ministry of Health and the Spanish Association of Surgeons have joined the initiative.51
Australia and New Zealand: the Royal Australasian College of Surgeons, the Australian and New Zealand College of Anaesthetists, the Royal Australian and New Zealand College of Obstetricians and Gynecologists, the Australian College of Operating Room Nurses, and the Australian Commission for Safety and Quality in Health CareNAThese organizations developed a modified version of the WHO checklist.52 The checklist was launched in August of 2009 with the endorsement of national government health departments in both countries.

From: Chapter 13, Preoperative Checklists and Anesthesia Checklists

Cover of Making Health Care Safer II
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.
Evidence Reports/Technology Assessments, No. 211.

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