RT Journal Article
SR Electronic
T1 Effect of the surgical safety checklist on provider and patient outcomes: a systematic review
JF BMJ Quality & Safety
JO BMJ Qual Saf
FD BMJ Publishing Group Ltd
SP 463
OP 478
DO 10.1136/bmjqs-2021-014361
VO 31
IS 6
A1 Bonnie A. Armstrong
A1 Ilinca A. Dutescu
A1 Lori Nemoy
A1 Ekta Bhavsar
A1 Diana N. Carter
A1 Kimberley-Dale Ng
A1 Sylvain Boet
A1 Patricia Trbovich
A1 Vanessa Palter
YR 2022
UL http://qualitysafety.bmj.com/content/31/6/463.abstract
AB Background Despite being implemented for over a decade, literature describing how the surgical safety checklist (SSC) is completed by operating room (OR) teams and how this relates to its effectiveness is scarce. This systematic review aimed to: (1) quantify how many studies reported SSC completion versus described how the SSC was completed; (2) evaluate the impact of the SSC on provider outcomes (Communication, case Understanding, Safety Culture, CUSC), patient outcomes (complications, mortality rates) and moderators of these relationships.Methods A systematic literature search was conducted using Medline, CINAHL, Embase, PsycINFO, PubMed, Scopus and Web of Science on 10 January 2020. We included providers who treat human patients and completed any type of SSC in any OR or simulation centre. Statistical directional findings were extracted for provider and patient outcomes and key factors (eg, attentiveness) were used to determine moderating effects.Results 300 studies were included in the analysis comprising over 7 302 674 operations and 2 480 748 providers and patients. Thirty-eight per cent of studies provided at least some description of how the SSC was completed. Of the studies that described SSC completion, a clearer positive relationship was observed concerning the SSC’s influence on provider outcomes (CUSC) compared with patient outcomes (complications and mortality), as well as related moderators.Conclusion There is a scarcity of research that examines how the SSC is completed and how this influences safety outcomes. Examining how a checklist is completed is critical for understanding why the checklist is successful in some instances and not others.All data relevant to the study are included in the article or uploaded as supplemental information.