Making surgical care safer: a survey on the implementation of the checklist by Belgian surgeons

Sat, 05/12/2015 - 15:01 — Luc Michel
 L. Michel - Acta Chirurgica 2015, 115: 334-340.
Background : The operating theatre (OT) is a complex environment. The purpose of this survey was to evaluate
the implementation of the surgical checklist (SC) at individual level by Belgian Surgeons.
Methods : A Surgical Checklist Questionnaire (SCQ) related to the use of the SC by individual surgeons was attached to
the registration website for the 2015 Belgian Surgical Week. It was a one page long, user friendly document, easy to be
filled voluntarily and anonymously.
Results : Among the 206 surgeons who registered, 81 (39%) filled in the SCQ. The SC template proposed by the WHO
“Safe Surgery Saves Lives” initiative was used by 91% of the respondents. However, 89% adapted the SC to their local
hospital environment, and 87.5% use it personally for their patients. Since implementation, the SC was never adapted in
46%. According to 21% of respondents, an adverse event was avoided thanks to the SC. Amazingly, SC was considered
as an administrative burden by 83% despite the same percentage recognized that patients benefited from the SC. Only
28% of respondents got feedback from the use of the SC.
Conclusions : In this survey, the number of adverse event avoided thanks to the use of the SC demonstrates that SC
represents a simple strategy for addressing surgical patient safety in OT. Nevertheless, SC is still considered by many
surgeons as an additional administrative burden and/or as just another gimmick. Further studies are needed to understand
why some surgeons are still not willing to adapt to a changing safety culture.

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