ArticlePloS one2016
The Gap between Individual Perception and Compliance: A Qualitative Follow-Up Study of the Surgical Safety Checklist Application.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 36 citations in OpenAlex.
- Perioperative patient safety: nurses' safety perceptions and observed compliance with safety standards in the operating room.BMC nursing · 2026Article
- Interventions to Improve Compliance to Surgical Safety Checklist Use: Before-and-After Study at a Tertiary Public Hospital in Croatia.Healthcare (Basel, Switzerland) · 2025Article
- Adapting the World Health Organization's Surgical Safety Checklist to High-Income Settings: A Hybrid Effectiveness-Implementation Trial Protocol.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Implementation of World Health Organization behaviorally anchored rating scale and checklist utilization: promising results for LMICs.Frontiers in medicine · 2023Article
- A quality improvement initiative using peer audit and feedback to improve compliance.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022Article
- CHECKLIST USE FOR ASSESSMENT OF SATISFACTION WITH TRANS-TIBIAL PROSTHESES.Journal of rehabilitation medicine. Clinical communications · 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
- Effect Of Surgical Safety Checklists On Gastric Cancer Outcomes: A Single-Center Retrospective Study.Cancer management and research · 2019Article
- Improving the quality of administration of the Surgical Safety Checklist: a mixed methods study in New Zealand hospitals.BMJ open · 2018Article
- The antibiotic checklist: an observational study of the discrepancy between reported and actually performed checklist items.BMC infectious diseases · 2018Observational
- Reality check of using the surgical safety checklist: A qualitative study to observe application errors during snapshot audits.PloS one · 2018Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background"The Surgical Safety Checklist (SSC) is important, but we don't use it adequately" is a well-suited statement that reflects the SSC's application in hospitals. Our aim was to follow up on our initial study on compliance (2014) by analysing differences between individual perception and compliance with the SSC.
methodsWe conducted a follow-up online survey to assess healthcare professionals' individual perception of, as well as satisfaction and compliance with the SSC three years following its thorough implementation.
results171 (19.5%) of 875 operating team members completed the online survey. 99.4% confirmed using the SSC. Self-estimated subjective knowledge about the intention of the checklist was high, whereas objective knowledge was moderate, but improved as compared to 2014. According to an independent audit the SSC was used in 93.1% of all operations and among the SSCs used the completion rate was 57.2%. The use of the SSC was rated as rather easy [median (IQR): 7 (6-7)], familiar [7 (6-7)], generally important [7 (7-7)], and good for patients [7 (6-7)] as well as for employees [7 (7-7)]. Only comfort of use was rated lower [6 (5-7)].
conclusionThere is a gap between individual perception and actual application of the SSC. Despite healthcare professionals confirming the importance of the SSC, compliance was moderate. The introduction of SSCs in the health care sector remains a constant challenge and requires continuous re-evaluation as well as a sensible integration into existing workflows in hospitals.
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