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ArticleFrontiers in public health2021

Improving Healthcare Workers' Adherence to Surgical Safety Checklist: The Impact of a Short Training.

Davide Ferorelli, Marcello Benevento, Luigi Vimercati, Lorenzo Spagnolo, Luigi De Maria, Antonio Caputi, Fiorenza Zotti, Gabriele Mandarelli, Alessandro Dell'Erba, Biagio Solarino

Abstract read
In one paragraph

Article in Frontiers in public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Davide FerorelliSection of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Marcello BeneventoSection of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Luigi VimercatiSection of Occupational Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Lorenzo SpagnoloSection of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Luigi De MariaSection of Occupational Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Antonio CaputiSection of Occupational Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Fiorenza ZottiSection of Clinical Risk Management, Policlinico University Hospital of Bari, Bari, Italy.
Gabriele MandarelliSection of Criminology and Forensic Psychiatry, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Alessandro Dell'ErbaSection of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.
Biagio SolarinoSection of Legal Medicine, Department of Interdisciplinary Medicine, University of Bari, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough surgery is essential in healthcare, a significant number of patients suffer unfair harm while undergoing surgery. Many of these originate from failures in non-technical aspects, especially communication among operators. A surgical safety checklist is a simple tool that helps to reduce surgical adverse events, but even if it is fast to fill out, its compilation is often neglected by the healthcare workers because of unprepared cultural background. The present study aims to value the efficacy of a free intervention, such as a short training about risk management and safety checklist, to improve checklist adherence.

methodsIn March 2019, the medical and nursing staff of the General Surgical Unit attended a two-lesson theoretical training concerning surgical safety and risk management tools such as the surgical safety checklist. The authors compared the completeness of the surgical checklists after and before the training, considering the same period (2 months) for both groups.

resultThe surgical safety checklists were present in 198 cases (70.97%) before the intervention and 231 cases (96.25%) after that. After the training, the compilation adherence increased for every different type of healthcare worker of the unit (surgeons, nurses, anesthetists, and scrab nurses). Furthermore, a longer hospitalization was associated with a higher surgical checklist adherence by the operators.

conclusionsThe results showed that a free and simple intervention, such as a two-lesson training, significantly stimulated the correct use of the surgical safety checklist. Moreover, the checklist adherence increased even for the operators who did not attend the training, maybe because of the positive influence of the colleagues' positive behaviors. As the results were promising with only two theoretical lessons, much more can be done to build a new safety culture in healthcare.

Indexed as

ChecklistHealth PersonnelHumansPatient SafetySafety Managementclinical governancepatient's safetyrisk managementsafety culturesurgical safety checklist

Identifiers

PMID35211450
PMCPMC8860967

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Registered trials

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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.