ArticleBMJ open quality2018
Evaluation of a patient safety programme on Surgical Safety Checklist Compliance: a prospective longitudinal study.
Article in BMJ open quality, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Twelve Tips for Recognizing and Addressing the Adverse Effects of Medical Education Interventions: Tutorial.JMIR medical education · 2026Article
- Does the Surgical Safety Checklist need a co-pilot? Comparing adherence in gynecological surgery through electronic medical records and OR Black Box video observations.Surgical endoscopy · 2025Observational
- Surgical team perceptions of the surgical safety checklist implementation in Indonesian hospitals: a descriptive qualitative study.BMJ open · 2025Article
- Assessment of patient safety non-technical skills among consultants and residents in tertiary care hospitals: An analytical study.Pakistan journal of medical sciences · 2025Article
- Enhancing Surgical Safety: Evaluating Compliance With the WHO Checklist in a Peripheral Hospital in Sri Lanka.Cureus · 2025Article
- Bi-lingual content validation of the Non-Technical Skills for Operating Room Nurses (NOTSORN) tool: A Delphi study.International journal of nursing studies advances · 2024Article
- Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study.BMJ open quality · 2024Article
- Improving surgical safety checklist utilisation at 23 public health facilities in Ethiopia: a collaborative quality improvement project.BMJ open quality · 2023Article
- Using i-PARIHS to assess implementation of the Surgical Safety Checklist: an international qualitative study.BMC health services research · 2022Article
- Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project.BMJ open quality · 2021Observational
- Safe surgery checklist: evaluation in a neotropical region.Revista do Colegio Brasileiro de Cirurgioes · 2021Article
- Everyone has Their Role to Play During the World Health Organisation Surgical Safety Checklist in Australia: A Prospective Observational Study.World journal of surgery · 2020Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical Safety Checklists (SSC) have been implemented widely across 132 countries since 2008. Yet, despite associated reductions in postoperative complications and death rates, implementation of checklists in surgery remains a challenge. The aim of this study was to assess the impact of a patient safety programme over time on SSC use and incidence of clinical errors.
designA prospective longitudinal design over three time points and a retrospective secondary analysis of clinical incident data was undertaken.
methodsWe implemented a patient safety programme over 4 weeks to improve surgical teams' use of the SSC. We undertook structured observations to assess surgical teams' checklist use before and after programme implementation and conducted a retrospective audit of clinical incident data 12 months before and 12 months following implementation of the programme.
resultsThere were significant improvements in the observed use of the SSC across all phases, particularly in sign-out where completion rates ranged from 79.3% to 94.5% (p<0.0001) following programme implementation. Across clinical incident audit periods, 33 019 surgical procedures were performed. Based on a subsample of 64 cases, clinical incidents occurred in 22/16 264 (0.13%) before implementation and 42/16 755 (0.25%) cases after implementation. The most predominant incident after programme implementation was inadequate tissue specimen labelling (23/42, 54.8%). Clinical incidents resulted in minimal or no harm to the patient.
conclusionsThe benefit in using a surgical checklist lies in the potential to enhance team communications and the promotion of a team culture in which safety is the priority.
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