Germany’s Patient Safety Alliance recommends a Team-Time-Out before every operation or other invasive procedure. It takes place immediately before the skin incision. A designated moderator leads the whole team through a checklist. The surgeon names the procedure and the site and side of the body. The cut may be made only when every point on the checklist has been completed. All members of the team count as equals, and each is called on to speak up as soon as he or she notices an error.