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

ABSTRACT:

Objectives

The surgical safety checklist (SSC) is meant to enhance patient safety but studies of its impact conflict. This study explored factors that influenced SSC adherence to suggest how its impact could be optimized.

Methods

Participants were recruited purposively by profession, region, hospital type and time using the SSC. They were asked to describe how the SSC was adopted, associated challenges, perceived impact, and suggestions for improving its use. Grounded theory and thematic analysis were used to collect and analyse data. Findings were interpreted using an implementation fidelity conceptual framework.

Results

Fifty-one participants were interviewed (29 nurses, 13 surgeons, 9 anaesthetists; 18 small, 14 large and 19 teaching hospitals; 8 regions; 31 had us

SUBMITTER: Gagliardi AR 

PROVIDER: S-EPMC4178177 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature