AI Article Synopsis
- - This study looked into how the Surgical Safety Checklist is used in a hospital, using methods like observations and interviews over two years to gather data on compliance.
- - Although the hospital reported almost full compliance with the checklist, actual practice showed significant variations, with only 82% of Briefings and 22% of Debriefings including team discussions.
- - The research highlighted gaps between policy and actual practice related to how well the checklist stages are followed, who is responsible for it, how it's documented, and the importance of teamwork.
Article Abstract
Background: This study investigated checklist compliance to highlight where assumptions about the Surgical Safety Checklist might not be met in practice.
Methods: We used ethnographic methods to investigate the practice of the Surgical Safety Checklist in one hospital. Fifty-one observation days, eight semi-structured interviews, and two surveys of operating room staff over two years were conducted. Data were collected and analyzed iteratively.
Results: Despite the near 100% compliance rates reported to the Ministry of Health, practice of the Surgical Safety Checklist varied widely: 82% of Briefings, 76% of Time-Outs, and 22% of Debriefings included some sort of team huddle. Gaps between policy and practice were identified at four different levels: compliance with the stages and items; responsibility for the checklist; documentation of adherence; and interprofessional teamwork.
Conclusions: Checklist compliance data are insufficient to understand how complex interventions impact care delivery. Greater and continued attention to practice in healthcare is needed.
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| http://dx.doi.org/10.1016/j.amjsurg.2021.11.002 | DOI Listing |
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