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Volume 1 Supplement 1

Safety in Health

  • Meeting abstract
  • Open Access

Surgical Safety Checklist: Practice in Cranio-Maxiollofacial Surgery

  • 1Email author,
  • 1,
  • 2, 3,
  • 1 and
  • 1
Safety in Health20151 (Suppl 1) :A24

  • Published:


  • World Health Organization
  • Surgical Treatment
  • Random Sample
  • Complication Rate
  • Operating Room


The World Health Organization introduced the Surgical Safety Checklist (SSC) to improve patients' security in a surgical treatment [1]. The idea of checklists is established in different areas of safety culture, for example in aviation to improve passengers' security. The SSC was first introduced in 2007. Meanwhile it is worldwide used in developed as well as in developing countries [2] to reduce the complication rate in the operating room. In the Department of Cranio-Maxillofacial Surgery of the University Hospital Graz it is used since 2011. The well-structured checklist ensures safety standards for the patient and the personal. After a time of conversion and adaption there can be seen an amendment in daily routine.

Materials and Methods

The samples of 41 SSC of the Department of Cranio-Maxillofacial Surgery were taken at three points of time in a period of 16 months (February 2013 till June 2014).


At the beginning in Februrary 2013 (point 1) 58,33 % (7 of 12) were complete and correct filled, the rest was incomplete. After a period of 8 month at point 2 100% were incomplete, 7 month later there was an increase in completeness up to 75%, but also one surgery without using an SSC.


The first random sample results of using the SSC shows a variance in the amount of completeness. After implementation acceptance of using and correctly documentation has to be exercised and reminded. The well-structured procedures can prevent adverse events in the operation room by improving the team communications [3]. This result was seen even in different continents and under various economic circumstances. It is a tool without additional costs like personal resources and the experiences all over the world showed a reduction in perioperative morbidity and mortality. Within our department the acceptance of the SSC increased over time [4].


Authors’ Affiliations

Division of Oral and Cranio-Maxillofacial Surgery, Department of Dentistry and Maxillofacial Surgery, Medical University of Graz, Graz, Austria
Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria
Executive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria


  1. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AHS, Dellinger EP, et al: A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009, 360: 491-499.PubMedView ArticleGoogle Scholar
  2. Vivekanantham S, Ravindran RP, Shanmugarajah K, Maruthappu M, Shalhoub J, et al: Surgical safety checklists in developing countries. Int J Surg. 2014, 12 (5): 2-6.PubMedView ArticleGoogle Scholar
  3. Fudickar A, Horle K, Wiltfang J, Bein B, et al: The effect of the WHO Surgical Safety Checklist on complication rate and communication Dtsch. Dtsch Arztebl Int. 2012, 109 (42): 695-701.PubMedPubMed CentralGoogle Scholar
  4. Sendlhofer G, Mosbacher N, Karina L, Kober B, Jantscher L, Berghold A, et al: Implementation of a Surgical Safety Checklist: Interventions to optimize the process and hints to increase compliance. PLoS One. 10 (2): e0116926-Google Scholar


© Schanbacher et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.