ArticleBMJ open quality2020
Impact of the Norwegian National Patient Safety Program on implementation of the WHO Surgical Safety Checklist and on perioperative safety culture.
Article in BMJ open quality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Use of the Hospital Survey of Patient Safety Culture in Norwegian Hospitals: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Exploring demographic and organisational variations in patient safety culture: a cross-sectional, multicentre study in operating theatres of six Norwegian hospitals.BMC health services research · 2026Article
- Improving Patient Safety Culture Perceptions in Resource-Limited Operating Rooms: A Nurse-Led Multifaceted Implementation of the WHO Surgical Safety Checklist.Journal of nursing management · 2026Article
- Research Trends and Core Themes in Operating Room Patient Safety: A Scope-Based Keyword Network Analysis (2020-2024).Healthcare (Basel, Switzerland) · 2025Article
- Nursing master students' experiences of and reflections on patient safety issues - a mixed-methods study using ecological momentary assessment.BMC medical education · 2025Article
- Article
- Effects of Implementing an ICU Discharge Readiness Checklist onHealthcare (Basel, Switzerland) · 2025Article
- The creation of a pediatric surgical checklist for adult providers.BMC health services research · 2024Review
- Longitudinal analysis of culture of patient safety survey results in surgical departments.Frontiers in health services · 2024Article
- Hospital variations in failure to rescue after abdominal surgery: a nationwide, retrospective observational study.BMJ open · 2023Observational
- Patient safety culture in the operating room: a cross-sectional study using the Hospital Survey on Patient Safety Culture (HSOPSC) Instrument.BMC health services research · 2022Article
- Effect of implementing an anesthesia nurse checklist in a safety and teamwork climate: quasi-experimental study.Revista da Escola de Enfermagem da U S P · 2022Article
- Patient-completed safety checklists as an empowerment tool for patient involvement in patient safety: concepts, considerations and recommendations.Future healthcare journal · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOur primary objective was to study the impact of the Norwegian National Patient Safety Campaign and Program on Surgical Safety Checklist (SSC) implementation and on safety culture. Secondary objective was associations between SSC fidelity and safety culture. We hypothesised that the programme influenced on SSC use and operating theatre personnel's safety culture perceptions.
settingA longitudinal cross-sectional study was conducted in a large Norwegian tertiary teaching hospital.
participantsWe invited 1754 operating theatre personnel to participate in the study, of which 920 responded to the surveys at three time points in 2009, 2010 and 2017. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was the results of the patient safety culture measured by the culturally adapted Norwegian version of the Hospital Survey on Patient Safety Culture. Our previously published results from 2009/2010 were compared with new data collected in 2017. Secondary outcome was correlation between SSC fidelity and safety culture. Fidelity was electronically recorded.
resultsSurvey response rates were 61% (349/575), 51% (292/569) and 46% (279/610) in 2009, 2010 and 2017, respectively. Eight of the 12 safety culture dimensions significantly improved over time with the largest increase being '
conclusionThe National Patient Safety Program, fostering engagement from trust boards, hospital managers and frontline operating theatre personnel enabled effective implementation of the SSC. As part of a wider strategic safety initiative, implementation of SSC coincided with an improved safety culture.
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.