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Updated: May 12, 2026

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

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Published on: May 20, 2018

Surgical safety checklists: a review.

Reuben Tang1, Geetha Ranmuthugala, Frances Cunningham

  • 1University of New South Wales, Sydney, New South Wales, Australia.

ANZ Journal of Surgery
|April 23, 2013
PubMed
Summary

Surgical checklists may improve patient outcomes, but effective implementation is key. More Australian research is needed to confirm their benefits and ensure patient safety.

Keywords:
guideline adherencehealth services researchquality assurance health carequality of health care

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Surgical Outcomes

Background:

  • Surgical checklists aim to enhance patient outcomes post-surgery.
  • Global implementation is widespread, yet Australian context research is limited.
  • Literature review focused on OECD nations to assess effectiveness and implementation factors.

Purpose of the Study:

  • To determine the effectiveness of surgical checklists in improving patient outcomes.
  • To identify factors contributing to the successful implementation of surgical checklists.

Main Methods:

  • Comprehensive literature search of major databases (PubMed, Medline, EMBASE, Cochrane, CINAHL).
  • Keywords: 'surgical checklist', 'implementation', 'utilization', 'usage'.
  • Inclusion criteria: English language, peer-reviewed, published 2000-2012, with abstract.

Main Results:

  • 2242 papers identified, 9 met inclusion criteria for detailed review.
  • Limited evidence supports checklist use in highly protocolized countries.
  • Effective implementation is crucial for checklist efficacy, influenced by multiple factors.

Conclusions:

  • Evidence from OECD countries suggests surgical checklists can reduce complication and mortality rates if effectively implemented.
  • Further Australian studies are required to establish definitive effectiveness.
  • Monitoring checklist compliance is essential for enhancing patient safety in Australia.