The World Health Organization's ‘Surgical Safety Checklist’: should evidence-based initiatives be enforced in hospital policy?

Sivathasan, Niroshan; Rakowski, Krzysztof R M; Robertson, Bernard F.; Vijayarajan, Lavnya

doi:10.1258/shorts.2010.010007

Cited by 28 publications

(31 citation statements)

References 7 publications

(7 reference statements)

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“…One investigation found that items were confirmed more commonly during time‐out (range 100–72 per cent) than during sign‐out (range 86–19 per cent), but only 13 per cent of time‐outs and 3 per cent of sign‐outs were checked properly (all items validated). Sivathasan and co‐workers asked 421 hospitals in the UK, before the national roll‐out, about use of the surgical safety checklist and found that it was compulsory in 65 per cent. They argued that much greater education and awareness would be needed for the roll‐out to be effective.…”

Section: Discussionmentioning

confidence: 99%

Compliance and use of the World Health Organization checklist in UK operating theatres

Pickering

Robertson

Griffin

et al. 2013

British Journal of Surgery

127

101

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Section: Discussionmentioning

confidence: 99%

Compliance and use of the World Health Organization checklist in UK operating theatres

Pickering

Robertson

Griffin

et al. 2013

British Journal of Surgery

127

101

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“…Compliance with SC use has been shown to be generally good overall, but some studies have suggested some SCs or their components are ‘often neglected’, or skipped . Studies assessing implementation of SCs at a national level are uncommon, although Nugent et al.…”

Section: Introductionmentioning

confidence: 99%

“…1,[7][8][9][10] Compliance with SC use has been shown to be generally good overall, 6,12 but some studies have suggested some SCs or their components are 'often neglected', or skipped. 12,13,14 Studies assessing implementation of SCs at a national level are uncommon, although Nugent et al identified compliance gaps and implementation barriers in a survey of Irish hospitals. 15 In Australia, the use of SCs has been supported by professional organizations, State Governments and the Australian Commission on Safety and Quality in Healthcare.…”

Section: Introductionmentioning

confidence: 99%

Mixed methods study on the use of and attitudes towards safety checklists in interventional radiology

et al. 2017

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Introduction: The use of safety checklists in interventional radiology is an intervention aimed at reducing mortality and morbidity. Currently there is little known about their practical use in Australian radiology departments. The primary aim of this mixed methods study was to evaluate how safety checklists (SC) are used and completed in radiology departments within Australian hospitals, and attitudes towards their use as described by Australian radiologists. Methods: A mixed methods approach employing both quantitative and qualitative techniques was used for this study. Direct observations of checklist use during radiological procedures were performed to determine compliance. Medical records were also audited to investigate whether there was any discrepancy between practice (actual care measured by direct observation) and documentation (documented care measured by an audit of records). A focus group with Australian radiologists was conducted to determine attitudes towards the use of checklists. Results: Among the four participating radiology departments, overall observed mean completion of the components of the checklist was 38%. The checklist items most commonly observed to be addressed by the operating theatre staff as noted during observations were correct patient (80%) and procedure (60%). Findings from the direct observations conflicted with the medical record audit, where there was a higher percentage of completion (64% completion) in comparison to the 38% observed. The focus group participants spoke of barriers to the use of checklists, including the culture of radiology departments. Conclusion: This is the first study of safety checklist use in radiology within Australia. Overall completion was low across the sites included in this study. Compliance data collected from observations differed markedly from reported compliance in medical records. There remain significant barriers to the proper use of safety checklists in Australian radiology departments.

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“…Where the SSC was not compulsory, 80 % were using it informally or sporadically. One-quarter of senior theater personnel in hospitals without compulsory use indicated that they did not know or that their department did not plan on using the checklist in the next 6 months, despite a deadline for implementation [23].…”

Section: Safety and Surgerymentioning

confidence: 99%

Standards for Gynecologic Surgery

O'Dowd

2013

J Obstet Gynecol India

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There are significant problems to consider when we reflect on ''Standards for Gynecologic Surgery.'' Surely most professional standards are already in place, or are they? Are standards already available, locally, nationally, or internationally? Where those standards are not already available will it be possible set new standards for the multiplicity of operative interventions, performed by an array of trainees, specialists, and colleagues many of whom are outside of our remit and spread over the continents? If we do set standards how do we audit outcomes to gynecologic surgery and insure that the standards are being complied with? How do we tutor our trainees effectively and also insure that established specialists retain their skill base, are up-to-date, and compliant with continuing medical education? It is important to realize that the success or failure of a modern surgical investigation or procedure will now be judged not on the pure surgical outcome alone, but will also need to reflect patient focus through excellence in the areas of communication, patient information, informed consent and confidentiality. The accessibility to services, appropriate environment, and processes being offered by trained and competent staff members-who are supervised when required-should all be included in audits of outcomes set against agreed auditable standards.

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The World Health Organization's ‘Surgical Safety Checklist’: should evidence-based initiatives be enforced in hospital policy?

Cited by 28 publications

References 7 publications

Compliance and use of the World Health Organization checklist in UK operating theatres

Compliance and use of the World Health Organization checklist in UK operating theatres

Mixed methods study on the use of and attitudes towards safety checklists in interventional radiology

Standards for Gynecologic Surgery

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