|
|
|
|
 |
Welcome to the Safe Surgery Saves Lives (SSSL) Collective Registration Form! The SSSL Collective is a learning network for healthcare professionals working to improve surgical safety developed in partnership with Safer Healthcare Now! and Safe Surgery Saves Lives. As part of the collective we will be hosting a series of programs starting with the Checklist Action Series. The registration for the Collective gives you access to expertise and opportunities to collaborate with peers working on the same challenges as you.
|
| 1. |
Contact Information
|
| 2. |
Organization Contact Information |
| 3. |
Professional Role
Please specify
|
| 4. |
I am enrolling as part of a team. |
| 5. |
I will participate in the Checklist Action Series and agree to receive further information. (This virtual program is designed for surgical teams and individuals working to implement the Surgical Safety Checklist). |
| 6. |
As part of the Collective, we are considering offering the following programs. Please select those you would be interested in:Select from 1 to 6 options
Please specify
|
| 7. |
I would like to see some of the program content delivered in French. |
* Please Note: The content of the webinars will be in English. Veuillez noter que les séances de formation informatisées (webinars) seront offertes en anglais seulement
|
|
|
|
|
|
|
|
|
|