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The Commission rolled out surgical teamwork and communication interventions to district health boards between August 2015 and April 2016.

The interventions were:

  • briefing before the list begins
  • paperless surgical safety checklist during each operation
  • debriefing at the end of the list
  • supporting communication tools:
    • closed-loop communication
    • call-outs
    • two challenge rule
    • ISBAR (identify, situation, background, assessment, recommendation).
Last updated: 13th November 2021