ArticleBMJ quality & safety2012
Barriers to staff adoption of a surgical safety checklist.
Article in BMJ quality & safety, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05700890 (Adaptation of the World Health Organization Surgical Safety Checklist to High-Income Healthcare Settings - Phase III), which is not on this map. Cited by 100 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Adaptation of the World Health Organization Surgical Safety Checklist to High-Income Healthcare Settings - Phase III: Site Testing Study
Who cites it
100 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review.World journal of surgery · 2023Pooled it
- Can Checklists Solve Our Ward Round Woes? A Systematic Review.World journal of surgery · 2022Pooled it
- Interventions for the Prevention of Retained Surgical Items: A Systematic Review.World journal of surgery · 2022Pooled it
- Checklists for image-guided interventions: a systematic review.The British journal of radiology · 2021Pooled it
- Effects of the application of a checklist during trauma resuscitations on ATLS adherence, team performance, and patient-related outcomes: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Pooled it
- Surgical checklists: a systematic review of impacts and implementation.BMJ quality & safety · 2014Pooled it
- What is the value of the SAGES/AORN MIS checklist? A multi-institutional practical assessment.Surgical endoscopy · 2017Trial
- Article
- Adherence to the WHO surgical safety checklist at Tibebe Ghion Specialized Hospital, Ethiopia: a prospective observational study.BMC surgery · 2026Observational
- Development and Validation of a Consensus-Based Checklist for Regional Anesthesia: The LRA Checklist as a Tool for Safety, Standardization, and Value-Based Care.Healthcare (Basel, Switzerland) · 2026Article
- Identified practice gaps and opportunities in anesthesia safety across 14 Arab countries: a multicenter study.Patient safety in surgery · 2026Article
- Understanding Sustainability in Operating Theaters: An Ethnographic Study to Determine Drivers of Unsustainable Behaviors.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Phased implementation of surgical safety care bundle in a multispecialty, tertiary care teaching hospital: a quality improvement project.BMJ open quality · 2026Article
- Review
- Improving Surgical Safety Through Checklist Compliance: Lessons From a Clinical Audit in a Teaching Hospital.Cureus · 2025Article
- Interventions to Improve Compliance to Surgical Safety Checklist Use: Before-and-After Study at a Tertiary Public Hospital in Croatia.Healthcare (Basel, Switzerland) · 2025Article
- Enhancing Surgical Safety: Evaluating Compliance With the WHO Checklist in a Peripheral Hospital in Sri Lanka.Cureus · 2025Article
- Multicenter audit of operating room staff compliance with the surgical safety checklist: a cross-sectional study from a low- and middle-income country.BMC health services research · 2025Article
- The combined application of Mini-CEX and Check-list Scales in enhancing clinical competence among emergency and critical care residents: a comparative study.Frontiers in medicine · 2025Article
- Guide to perioperative checklist design, implementation, and integration.Journal of clinical anesthesia · 2024Article
40 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveImplementation of a surgical checklist depends on many organisational factors and on socio-cultural patterns. The objective of this study was to identify barriers to effective implementation of a surgical checklist and to develop a best use strategy.
setting18 cancer centres in France.
designThe authors first assessed use compliance and completeness rates of the surgical checklist on a random sample of 80 surgical procedures performed under general or loco-regional anaesthesia in each of the 18 centres. They then developed a typology of the organisational and cultural barriers to effective checklist implementation and defined each barrier's contents using data from collective and semi-structured individual interviews of key staff, the results of an email questionnaire sent to the 18 centres, and direct observations over 20 h in two centres.
resultsThe study consisted of 1440 surgical procedures, 1299 checklists, and 28 578 items. The mean compliance rate was 90.2% (0, 100). The mean completion rate was 61% (0, 84). 11 barriers to effective checklist implementation were identified. Their incidence varied widely across centres. The main barriers were duplication of items within existing checklists (16/18 centres), poor communication between surgeon and anaesthetist (10/18), time spent completing the checklist for no perceived benefit, and lack of understanding and timing of item checks (9/18), ambiguity (8/18), unaccounted risks (7/18) and a time-honoured hierarchy (6/18).
conclusionsSeveral of the barriers to the successful implementation of the surgical checklist depended on organisational and cultural factors within each centre. The authors propose a strategy for change for checklist design, use and assessment, which could be used to construct a feedback loop for local team organisation and national initiatives.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.