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Updated: May 25, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
06:48

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

[Difficulties in implementing a surgical check list in operating theatres].

Víctor Soria-Aledo1, ZeNewton Andre Da Silva, Pedro J Saturno

  • 1Cirugía General y del Aparato Digestivo, Servicio de Cirugía General, Hospital General Universitario Morales Meseguer, Murcia, España. victoriano.soria@carm.es

Cirugia Espanola
|February 14, 2012
PubMed
Summary

The surgical checklist (SCL) is utilized in Spanish public hospitals, but compliance varies significantly. Factors like hospital size and anesthesia type influence adherence to this patient safety tool.

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Last Updated: May 25, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
06:48

Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Area of Science:

  • Patient Safety
  • Surgical Quality Improvement
  • Healthcare Management

Context:

  • The World Health Organization (WHO) developed the surgical checklist (SCL) to enhance patient safety in surgical procedures.
  • Implementation and adherence to the SCL are crucial for reducing surgical errors and improving patient outcomes.
  • Public hospitals in the Murcia Region of Spain were examined for SCL utilization and compliance levels.

Purpose:

  • To evaluate the extent of SCL implementation in public hospitals within the Murcia Region.
  • To identify factors associated with compliance to the WHO surgical checklist.
  • To analyze variations in SCL compliance across different hospital settings and patient characteristics.

Summary:

  • A retrospective cross-sectional study analyzed 90 surgical operations across public hospitals in the Murcia Region.
  • The SCL was present in 83.33% of records, with full compliance in only 27.8% of cases. Overall item compliance was 70.1%.
  • Logistic regression indicated that smaller hospitals and procedures using local anesthesia were associated with lower SCL compliance.

Impact:

  • Findings highlight inconsistent SCL adherence across Spanish public hospitals, indicating a need for targeted interventions.
  • The study identifies specific factors (hospital size, anesthesia type) influencing SCL compliance, providing data for quality improvement initiatives.
  • Results underscore significant regional variations in SCL implementation, suggesting a need for standardized protocols and training to ensure uniform patient safety standards.