ArticleWorld journal of surgery2025
A Simple Solution for a Complex Problem: The "Sterile Cockpit" to Improve Ward Rounds.
Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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
2 citing papers in PubMed.
- Optimizing Radiology Workflow: A Multilevel Approach From Department Design to Workstation Ergonomics.Cureus · 2026Review
- A Simple Solution for a Complex Problem: The "Sterile Cockpit" to Improve Ward Rounds.World journal of surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
backgroundWard-round quality impacts patient outcomes, and poor conduct results in increased rates of preventable adverse events. Despite being a core component of patient outcomes, there is minimal literature informing best practice. The aviation industry has mitigated human error using a "Sterile Cockpit" to reduce interruptions and non-essential activities. This study investigated the impact of a "Sterile Cockpit" intervention on surgical ward rounds.
methodsThis prospective experimental study involved audio-visually recording ward rounds. The intervention was a novel "Sterile Cockpit" zone involving the allocation of roles, no interruptions, one speaker at a time, invitation for nursing/allied health contribution, and "checkback" of the plan. The control group was a normal ward round. The primary outcomes were accuracy of documentation and patient satisfaction. Other outcomes included the number of parallel conversations, interruptions, and time at the bedside.
results71 control and 70 "Sterile Cockpit" ward rounds were audio-visually recorded. The "Sterile Cockpit" group had significantly more accurate documentation of case notes (63.6%, SD = 3.45% vs. 77.9%, SD = 3.4, mean difference 14.2, 95% CI: 4.75, 23.7, p = 0.003), increased nurse presence (45% vs. 68%, mean difference 0.38, 95% CI: 0.19, 0.75, p = 0.005), higher patient satisfaction (p = 0.011), reduced interruptions (mean) (0.4, SD = 0.9, vs. 0.2, SD = 0.4, IRR = 0.39, 95% CI: 0.16, 0.96 p = 0.039), and reduced parallel conversations (1.5 vs. 0.4, p < 0.001). Patient notes were completed more contemporaneously, with no additional time taken.
conclusionsThe "Sterile Cockpit" is a no-cost intervention that demonstrates improved patient and process-based outcomes. This design is readily adaptable across specialties with the capacity to improve healthcare quality.
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Registered trials
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