<![CDATA[Background: The World Health Organization Surgical Safety Checklist (SSC) uses sign-in, time-out, and sign-out checks to support perioperative team communication and patient safety.Objective: To describe phase-specific implementation of the SSC among operating-room personnel at Luwuk Regional General Hospital.Methods: This descriptive cross-sectional study included all 36 nurses and midwives working in the hospital’s operating room in August 2022. Data were collected through direct observation using a 22-indicator checklist based on WHO guidance and grouped into three phases. Frequencies and percentages were used to summarize phase-specific implementation.Results: Among the 36 personnel, sign-in was recorded as performed for 27 (75.0%), time-out for 22 (61.1%), and sign-out for 32 (88.9%). Sign-out had the highest reported proportion, whereas time-out had the lowest. These findings indicate variation in recorded checklist implementation across the three phases.Conclusion: Time-out had the lowest reported implementation proportion, supporting focused audit and feedback on phase-specific checklist use. The findings provide a local descriptive baseline for improvement efforts.]]>
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