ArticlePloS one2015
Implementation of a surgical safety checklist: interventions to optimize the process and hints to increase compliance.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05798000 (Effect of WHO Surgical Safety Checklist and Anaesthesia Equipment Checklist on Patients Outcomes in Low-resource Settings.), which is not on this map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Effect of WHO Surgical Safety Checklist and Anaesthesia Equipment Checklist on Patients Outcomes in Low-resource Settings.
Who cites it
21 citing papers in PubMed.
- Phased implementation of surgical safety care bundle in a multispecialty, tertiary care teaching hospital: a quality improvement project.BMJ open quality · 2026Article
- Review
- Interventions to Improve Compliance to Surgical Safety Checklist Use: Before-and-After Study at a Tertiary Public Hospital in Croatia.Healthcare (Basel, Switzerland) · 2025Article
- Improving surgical safety checklist utilisation at 23 public health facilities in Ethiopia: a collaborative quality improvement project.BMJ open quality · 2023Article
- The Role of an Assistant Nurse in Implementing the WHO Surgical Safety Checklist: Perception and Perspectives.Cureus · 2023Article
- WHO Surgical Safety Checklist and Anesthesia Equipment Checklist efficacy in war-affected low-resource settings: a prospective two-arm multicenter study.Anaesthesiology intensive therapy · 2023Article
- Compliance with the World Health Organization's surgical safety checklist and related postoperative outcomes: a nationwide survey among 172 health facilities in Ethiopia.Patient safety in surgery · 2022Article
- The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams.BMC health services research · 2021Article
- Safe surgery checklist: evaluation in a neotropical region.Revista do Colegio Brasileiro de Cirurgioes · 2021Article
- Quality improvement strategy to enhance compliance with the World Health Organization Surgical Safety Checklist in a large hospital: Quality improvement study.Annals of medicine and surgery (2012) · 2020Article
- A Team-Based Approach to Introduce and Sustain the Use of the WHO Surgical Safety Checklist in Tanzania.World journal of surgery · 2020Article
- World Health Organization Surgical Safety Checklist with Addition of Infection Control Items: Intervention Study in Egypt.Open access Macedonian journal of medical sciences · 2019Article
- Effect Of Surgical Safety Checklists On Gastric Cancer Outcomes: A Single-Center Retrospective Study.Cancer management and research · 2019Article
- Adherence to the WHO surgical safety checklist: an observational study in a Swiss academic center.Patient safety in surgery · 2019Article
- Reality check of using the surgical safety checklist: A qualitative study to observe application errors during snapshot audits.PloS one · 2018Article
- Results of a population-based-assessment: we need better communication and more profound patient involvement.Wiener klinische Wochenschrift · 2017Article
- Wrong intraocular lens events-what lessons have we learned? A review of incidents reported to the National Reporting and Learning System: 2010-2014 versus 2003-2010.Eye (London, England) · 2016Article
- The Gap between Individual Perception and Compliance: A Qualitative Follow-Up Study of the Surgical Safety Checklist Application.PloS one · 2016Article
- Correction: Implementation of a surgical safety checklist: interventions to optimize the process and hints to increase compliance.PloS one · 2015Article
- WHO safe surgery checklist: Barriers to universal acceptance.Journal of anaesthesiology, clinical pharmacologyReview
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA surgical safety checklist (SSC) was implemented and routinely evaluated within our hospital. The purpose of this study was to analyze compliance, knowledge of and satisfaction with the SSC to determine further improvements.
methodsThe implementation of the SSC was observed in a pilot unit. After roll-out into each operating theater, compliance with the SSC was routinely measured. To assess subjective and objective knowledge, as well as satisfaction with the SSC implementation, an online survey (N = 891) was performed.
resultsDuring two test runs in a piloting unit, 305 operations were observed, 175 in test run 1 and 130 in test run 2. The SSC was used in 77.1% of all operations in test run 1 and in 99.2% in test run 2. Within used SSCs, completion rates were 36.3% in test run 1 and 1.6% in test run 2. After roll-out, three unannounced audits took place and showed that the SSC was used in 95.3%, 91.9% and 89.9%. Within used SSCs, completion rates decreased from 81.7% to 60.6% and 53.2%. In 2014, 164 (18.4%) operating team members responded to the online survey, 160 of which were included in the analysis. 146 (91.3%) consultants and nursing staff reported to use the SSC regularly in daily routine.
conclusionThese data show that the implementation of new tools such as the adapted WHO SSC needs constant supervision and instruction until it becomes self-evident and accepted. Further efforts, consisting mainly of hands-on leadership and training are necessary.
Indexed as
Identifiers
What OpenQuestion holds
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.