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. 2012 Dec 6;471(6):1792–1800. doi: 10.1007/s11999-012-2719-3

Table 2.

Six C’s of orthopaedic surgical safety

Element Description
1. Communication Efficient and reliable surgical team communication
2. Consent Accurate, timely, and fully informed surgical consent
3. Checklists Consistent use of evidence- or best-practice-based surgical workflows
4. Confirmation Redundant confirmation of proper surgical site, side, level, implant, procedure, and patient
5. Concentration Maintenance of a focused and distraction-free surgical environment
6. Collection Regular collection and analysis of surgical performance and outcome data