Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers

Abstract

Background The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers. Methods From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non‐clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non‐clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement. Results Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03–3.19], p = 0.039). A greater proportion of promoters reported “Improved Operating Room Communication” as a goal of the SSC (0.21 95% CI [0.15–0.27]‐vs.‐0.12 [0.06–0.17], p = 0.031), while non‐promoters reported the SSC goals were “Not Well Understood” (0.08 95% CI [0.03–0.12]‐vs.‐0.03 [0.01–0.05], p = 0.032). Suggestions for SSC improvement emphasized context‐specific adaptability and earlier formal training. Conclusions Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers.

Surgical Teams’ Attitudes About Surgical Safety and the Surgical Safety Checklist at 10 Years

“…One recommendation in the literature for improving education on the Checklist is that training should start early with medical students, trainees, and early career providers. 60 , 61 In addition, educational tools should be designed to facilitate the provision of quality Checklist training. As most of our survey respondents indicated, this training should be completed in teams, as team training is perceived to be the most beneficial strategy in enhancing checklist performance.…”