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Against this history, in 2016 the Federal Joint Committee (G-BA) granted a Quality Management Directive (QM-RL) making the usage of checklists required for surgery. The aim of this research would be to compare the checklist compliance of all of the ten medical organizational units associated with University Medical Center Mainz within the last half of 2017 and 2018. As well as the annex for the SSC, the processing regarding the subitems »Sign-In«, »Team-Time-Out« and »Sign-Out« had be