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Anaesthesia · Complications, recovery, and safety culture: curriculum recognition
Sample itemImmediately before the first skin incision, every member of the operating team pauses, introduces themselves and confirms the patient's identity, the procedure and the operative site. Which step of the WHO surgical safety checklist is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Time out
The time out is the pause before incision in which the whole team confirms the patient, site, procedure and antibiotic prophylaxis. It is the key barrier against wrong-site and wrong-patient surgery. The sign-in takes place before induction and the sign-out before the patient leaves the theatre.
Option by option
A. Time out (correct)
Correct. The team pause before incision is the time out.
B. Pre-induction equipment check
An equipment check is an anaesthetic machine routine and does not confirm the operative site.
C. Sign in
Sign in occurs before induction and involves the patient confirming identity and consent.
D. Sign out
Sign out occurs at the end of the operation and covers counts, specimen labelling and handover.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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