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01.05.2016 | ICS congress 2015 | Sonderheft 2/2016

European Surgery 2/2016

Attitudes and compliance to the WHO Surgical Safety Checklist; a review

European Surgery > Sonderheft 2/2016
Dr. Laltaksh Wangoo, Dr. Robin A. Ray, Prof. Yik-Hong Ho
Wichtige Hinweise
The supplement is dedicated to Jubilee World congress of International College of Surgeons 2015.
The publishing was sponsored by the Ministry of Health of the Czech Republic.



This review aimed to assess surgical safety checklist compliance (SSC) and evaluate surgical team attitudes, post checklist implementation.


A thorough search of MEDLINE and PUBMED databases for English language studies using any adapted form of the WHO SSC was conducted. In total 26 studies; 13 assessing SSC compliance and 13 investigating surgical team attitudes of the checklist, were evaluated.


Compliance studies demonstrated a checklist initiation rate of >90 %, but showed completion rates to be significantly lower across studies. ‘Sign out’ was the most poorly performed phase (<50 %) with ‘Time out’ being the best. Verification of patient identity and procedure demonstrated high (>90 %) compliance, while ‘Verification of team-members’ varied greatly. Surgical team attitudes noted improved teamwork, communication, patient safety and staff awareness of adverse events.


SSC compliance is highly dependent on staff perceptions, training and effective leadership. While, surgical teams have positive attitudes towards the SSC, resolving key barriers will improve compliance across all phases of SCC.

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