Evidence map›Paper›PMID 40918872›Full record

ReviewCureus2025

Best Practices for Surgical Safety in Orthopaedics: A Comprehensive Review of Checklist Implementation.

Ahmed Mohamed, Usman Fuad, Aasim Hagroo, Alaa Elasad

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

4 authors.

Ahmed MohamedTrauma and Orthopaedics, Royal Cornwall Hospital, Truro, GBR.
Usman FuadTrauma and Orthopaedics, Royal Cornwall Hospital, Truro, GBR.
Aasim HagrooTrauma and Orthopaedics, Royal Cornwall Hospital, Truro, GBR.
Alaa ElasadGeneral Practice, Zagazig University, Zagazig, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in surgical techniques and technology, surgical complications in orthopaedics remain a significant patient safety concern, with preventable major errors continuing to occur. The implementation of surgical safety checklists and time-out procedures has emerged as a critical intervention to enhance patient safety and reduce complications. This narrative review examines the role of surgical checklists and time-out procedures in reducing complications specific to orthopaedic surgery, analyzing their effectiveness, implementation challenges, and impact on patient outcomes. A comprehensive literature review was conducted examining peer-reviewed articles, systematic reviews, and clinical guidelines related to surgical safety checklists and time-out procedures in orthopaedic practice. Sources included studies on the available surgical safety checklist, never events data, and orthopaedic-specific safety interventions. Evidence demonstrates that structured surgical checklists and time-out procedures significantly reduce wrong-site surgery, retained foreign objects, and communication-related errors in orthopaedic practice. Applying surgical safety checklists in practice has shown effectiveness in reducing overall surgical complications and mortality. However, compliance rates vary significantly across institutions and countries. Surgical checklists and time-out procedures represent essential safety interventions in orthopaedic practice. While evidence supports their effectiveness in reducing complications and improving communication, successful implementation requires organizational commitment, staff education, and ongoing monitoring to ensure sustained compliance and optimal patient outcomes.

Indexed as

never eventsorthopaedic surgerypatient safetysurgical checklistsurgical safetytime-out procedurewho surgical safety checklistwrong-site surgery

Identifiers

PMID40918872
PMCPMC12413923

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.