Journal Article
Study

Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements.

Rydenfält C, Johansson G, Odenrick P, et al. International journal for quality in health care : journal of the International Society for Quality in Health Care. 2013;25:182-7.

The World Health Organization Surgical Safety Checklist has achieved remarkable improvements in patient outcomes in research settings, but this observational study conducted in a Swedish county hospital found that the checklist was often not utilized properly. In particular, time-outs frequently occurred without all team members present. This study exemplifies the difficulty of implementing checklists in a real-world setting.