Skip to main content
Study

Multifaceted interventions improve adherence to the surgical checklist.

Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-44. doi:10.1016/j.surg.2014.03.032.

Save

Print

July 16, 2014
Putnam LR, Levy SM, Sajid M, et al. Surgery. 2014;156:336-44.

Checklists have improved surgical outcomes in clinical trials and are widely recommended, but a recent observational study showed no change in surgical outcomes following checklist adoption. This study sought to improve adherence to surgical checklists at a single institution. Trained observers assessed checklist performance over three 1-year periods during which various interventions were implemented. The authors report only 30% adherence to the WHO surgical checklist 1 year after adoption. Developing clinician leadership, teamwork training, and stakeholder engagement led to a significant increase in checklist adherence 2 years following implementation. This work underscores the resources and effort needed for successfully implementing safety checklists. In a past AHRQ WebM&M interview, Peter Pronovost discussed utilizing checklists as a tool to improve patient safety.

Save

Print

Cite
Citation

Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-44. doi:10.1016/j.surg.2014.03.032.