Fifteen years ago, it was already estimated that 234 million operations were performed each year worldwide, i.e. one for every 25 inhabitants. Yet the rate of serious complications induced by surgery was, in industrialised countries, 3 to 17 % and mortalitý 0.4 to 0.8 %. More importantly, half of these complications were considered preventable. And in non-industrialised countries, surgical mortality was estimated to be between 5 and 10 %. Since then, numerous studies have shown that the use of of a checklist in the operating theatre reduces mortalitý and morbidity related to anaesthesia and surgery.

But other recent studies go further and point to other benefits of checklist implementation in the OR:

• reduced morbidity, length of hospital stay and mortality
• clear progress in surgical safety
• improving patient safety and integration into the teamwork process.

But even today, despite all these advantages, the rate of completion of the checklist remains low. There are many reasons for this. It is true that the "paper and pencil" checklist in the digital age seems rather outdated. 

The accreditation and certification process makes it compulsory to complete the checklist and recommends its digital format to avoid any loss of information.