Dhamanti Inge, Pratiwi Ika Nur, Miftahussurur Muhammad, Sholikhah Vina Himmatus, Yakub Fitri
Department of Health Policy and Administration, Universitas Airlangga Fakultas Kesehatan Masyarakat, Surabaya, Jawa Timur, Indonesia
Center of Excellence for Patient Safety and Quality, Universitas Airlangga, Surabaya, East Java, Indonesia.
BMJ Open. 2025 Jun 10;15(6):e089013. doi: 10.1136/bmjopen-2024-089013.
The surgical safety checklist (SSC) is designed to improve the safety of surgical procedures, reduce avoidable complications and deaths and foster better communication and collaboration among healthcare providers. Despite the global acceptance of the initiative, there is limited comprehensive research on the challenges, success factors, impact and the role of professional organisations in SSC implementation in Indonesia. This study aimed to explore the implementation of SSC in Indonesia by investigating the challenges, success factors, impact and role of professional organisations in SSC implementation in Indonesia based on the perspective of the surgical team.
This descriptive qualitative study, part of a larger research project, employed purposive sampling to select 13 interview participants from surgical teams across hospitals with varying ownership structures, as well as members of surgical-related professional organisations. Data were collected through in-depth interviews and analysed using thematic analysis.
Participants acknowledged the positive impact of SSC on patient safety; however, challenges such as compliance issues, teamwork dynamics and unsafe behaviour persisted. Key success factors included strong organisational and policy support at the institutional level, including hospital accreditation, educational programmes, safety and quality committees, regular audits and workload management. However, professional organisations in Indonesia have not played a significant role in promoting SSC.
Effective SSC implementation strategies must target the micro, meso and macro levels for comprehensive success. Future research should prioritise overcoming barriers and harnessing the influence of professional organisations to standardise SSC practices, ultimately enhancing patient safety across healthcare settings.
手术安全核对表（SSC）旨在提高手术程序的安全性，减少可避免的并发症和死亡，并促进医疗服务提供者之间更好的沟通与协作。尽管该倡议在全球得到认可，但关于印度尼西亚在实施SSC过程中的挑战、成功因素、影响以及专业组织的作用，全面的研究仍然有限。本研究旨在从手术团队的角度，通过调查印度尼西亚在实施SSC过程中的挑战、成功因素、影响以及专业组织的作用，来探索SSC在印度尼西亚的实施情况。
本描述性定性研究是一个更大研究项目的一部分，采用目的抽样法从不同所有制结构医院的手术团队以及与手术相关的专业组织成员中选取了13名访谈参与者。通过深入访谈收集数据，并使用主题分析法进行分析。
参与者认可SSC对患者安全的积极影响；然而，诸如合规问题、团队协作动态和不安全行为等挑战依然存在。关键成功因素包括机构层面强大的组织和政策支持，包括医院认证、教育项目、安全与质量委员会、定期审计和工作量管理。然而，印度尼西亚的专业组织在推广SSC方面尚未发挥重要作用。
有效的SSC实施策略必须针对微观、中观和宏观层面，以实现全面成功。未来的研究应优先克服障碍，并利用专业组织的影响力来规范SSC实践，最终提高整个医疗环境中的患者安全。
