This site has not been optimised for Internet Explorer due to Microsoft no longer providing support for the browser. Please view this site using another browser such as Google Chrome or Microsoft Edge.

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