Journal Article

Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.

Gagliardi AR, Straus SE, Shojania KG, et al. PloS one. 2014;9:e108585.

This qualitative study identified barriers to implementation of and adherence to a surgical checklist, including modifications to enable integration into existing practices, lack of staff engagement, and insufficient organizational support for implementation. Challenges such as these may account for mixed results from checklists in practice despite clear evidence of efficacy.