A Systematic Review of the Effectiveness, Compliance, and Critical Factors for Implementation of Safety Checklists in Surgery

@article{Borchard2012ASR,
  title={A Systematic Review of the Effectiveness, Compliance, and Critical Factors for Implementation of Safety Checklists in Surgery},
  author={Annegret Borchard and David L. B. Schwappach and Aline Barbir and Paula Bezzola},
  journal={Annals of Surgery},
  year={2012},
  volume={256},
  pages={925–933}
}
Objective:A systematic literature review was conducted to assess the effectiveness of, compliance with, and critical factors for the implementation of safety checklists in surgery. Background:With the aim of increasing patient safety, checklists have gained growing attention. Information about effectiveness, compliance, and critical factors for implementation is crucial for whether and which of the available instruments to use. Data Sources:Medline including Premedline (OvidSP), Embase, and… 
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TLDR
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TLDR
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Surgical safety checklists are an effective means for reducing surgical morbidity and mortality, but have we gone far enough in team-building and leadership to create high reliability?
TLDR
The authors have sought to discern the evidence for engagement of the entire operative team in the process, and this has been lacking in the scientific literature, and is perhaps a major weakness in the way that checklists have been implemented.
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References

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Effective surgical safety checklist implementation.
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TLDR
Nearly one-third of all contributing factors in accepted surgical malpractice claims of patients that had undergone surgery might have been intercepted by using a comprehensive surgical safety checklist, which might have prevented 40% of deaths and 29% of incidents leading to permanent damage.
Development and validation of the SURgical PAtient Safety System (SURPASS) checklist
TLDR
The SURPASS checklist is the first validated patient safety checklist for the entire surgical pathway and can be applied in clinical practice relatively simply.
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention
TLDR
Improvements in postoperative outcomes were associated with improved perception of teamwork and safety climate among respondents, suggesting that changes in these may be partially responsible for the effect of the checklist.
The SURgical PAtient Safety System (SURPASS) checklist optimizes timing of antibiotic prophylaxis
TLDR
The use of the SURPASS checklist leads to better compliance with regard to the timing of antibiotic prophylaxis administration, and the proportion of patients that did not receive antibiotics until after the incision decreased significantly.
Use of the WHO surgical safety checklist in trauma and orthopaedic patients
TLDR
Checklist use was not associated with a significant reduction in early complications and mortality in patients undergoing orthopaedic surgery, but education programs can significantly increase accurate use and staff perceptions following implementation.
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population
TLDR
Implementation of the checklist was associated with concomitant reductions in the rates of death and complications among patients at least 16 years of age who were undergoing noncardiac surgery in a diverse group of hospitals.
Effect of a comprehensive surgical safety system on patient outcomes.
TLDR
Implementation of this comprehensive checklist was associated with a reduction in surgical complications and mortality in hospitals with a high standard of care and did not change in the control hospitals.
Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.
TLDR
Interprofessional checklist briefings reduced the number of communication failures and promoted proactive and collaborative team communication in general surgery at a Canadian academic tertiary care hospital.
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