ArticleAnnals of medicine and surgery (2012)2020
Quality improvement strategy to enhance compliance with the World Health Organization Surgical Safety Checklist in a large hospital: Quality improvement study.
Article in Annals of medicine and surgery (2012), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed, 23 citations in OpenAlex.
- Towards sustaining a trauma quality improvement initiative in Ghana: results of a clinical trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Trial
- Interventions to Improve Compliance to Surgical Safety Checklist Use: Before-and-After Study at a Tertiary Public Hospital in Croatia.Healthcare (Basel, Switzerland) · 2025Article
- An evidence-based general anaesthesia and prone position nursing checklist: Development and testing.Nursing open · 2023Article
- Perioperative provider safety in the pandemic: Development, implementation and evaluation of an adjunct COVID-19 Surgical Patient Checklist.Anaesthesia and intensive care · 2022Article
- Compliance with the surgical safety checklist in Switzerland: an observational multicenter study based on self-reported data.Patient safety in surgery · 2022Article
- Increasing use of an endotracheal intubation safety checklist in the emergency department.BMJ open quality · 2021Article
- Safe surgery checklist: evaluation in a neotropical region.Revista do Colegio Brasileiro de Cirurgioes · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization Surgical Safety Checklist is an effective tool to reduce morbidity, mortality, perioperative complications, and hospital length of stay. However, its implementation that involves complex social interaction is still challenging.
objectivesThe aim was to increase use of the Surgical Safety Checklist to 100% of performed surgeries compared to current practice at Hospital Moinhos de Vento, in Porto Alegre, Brazil.
methodsA quality improvement strategy was implemented based on the Plan, Do, Study, Act cycle. During the intervention, Surgical Safety Checklist structure and content were adjusted to the local context and surgeons were engaged in discussions of the medical and scientific basis of the Surgical Safety Checklist. Also, the surgery center nursing team was trained as well as empowered to use the Surgical Safety Checklist.
resultsAs compared to baseline data, there was an increase in the use of the tool and data was monitored to evaluate sustainability of the strategy over 26 months. Mean compliance with the Surgical Safety Checklist after the intervention reached 89%. Compliance with the most critical phase - time out - began at 26%. After the intervention, an increase in time out compliance was noted, varying from 60% to 90%.
conclusionThe proposed quality improvement strategy, implemented at no additional cost to the institution, was effective to increase Surgical Safety Checklist compliance and produced sustainable results.
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Registered trials
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