Implementation of a Surgical Safety Checklist: Interventions to Optimize the Process and Hints to Increase Compliance

• DOI: 10.1371/journal.pone.0116926
• Publication Date: 2015-02-06T15:57:34Z
• Authors: Gerald Sendlhofer; Nina Mosbacher; Leitgeb Karina; Brigitte Kober; Lydia Jantscher; Andrea Berghold; Gudrun Pregartner; Gernot Brunner; Lars Peter Kamolz
• Keywords: Operating Rooms; Science; Q; R; Checklist; 3. Good health; Tertiary Care Centers; Austria; Surgical Procedures, Operative; Surveys and Questionnaires; Medicine; Guideline Adherence; Surgery Department, Hospital; Research Article

A surgical safety checklist (SSC) was implemented and routinely evaluated within our hospital. The purpose of this study to analyze compliance, knowledge satisfaction with the SSC determine further improvements.The implementation observed in a pilot unit. After roll-out into each operating theater, compliance measured. To assess subjective objective knowledge, as well implementation, an online survey (N = 891) performed.During two test runs piloting unit, 305 operations were observed, 175 run 1 130 2. used 77.1% all 99.2% Within SSCs, completion rates 36.3% 1.6% roll-out, three unannounced audits took place showed that 95.3%, 91.9% 89.9%. decreased from 81.7% 60.6% 53.2%. In 2014, 164 (18.4%) team members responded survey, 160 which included analysis. 146 (91.3%) consultants nursing staff reported use regularly daily routine.These data show new tools such adapted WHO needs constant supervision instruction until it becomes self-evident accepted. Further efforts, consisting mainly hands-on leadership training are necessary.