Journal Article
Study

Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties.

Biffl WL; Gallagher AW; Pieracci FM; Berumen C.

This quality improvement initiative found suboptimal adherence to surgical safety checklists. The authors suggest that wide variation in compliance may explain conflicting results between randomized trials of checklists and subsequent observational post-implementation studies, and this finding points to the need to study implementation, not just effectiveness, of patient safety strategies.