An exploration of the factors that influence the successful implementation of the World Health Organization Surgical Safety Checklist.

This study presents an exploration of the factors which influence the successful implementation of the WHO Surgical Safety Checklist. A mixed methodological approach using a questionnaire was sent to 348 healthcare professionals in a single NHS trust who use the WHO checklist. 103 questionnaires were returned; five were incomplete and discarded. Data was analysed from 98 questionnaires. Results were evaluated alongside recommendations from a previous audit that took place in this trust in 2013. 63% of surgeons and 54% of anaesthetists within the trust remain untrained as regards the surgical safety checklist. Sign out was the poorest performing component; time out also needed improvement. The biggest obstacle in successful implementation was found to be disengagement of the surgical team. Simulation and team training can enhance non-technical skills, improving communication between staff. The study concludes that differing staff perceptions were found to create barriers to successful implementation of the checklist. Training of all staff is necessary for effective communication within the operating theatre.