Knowledge Attitude and Practices Regarding Surgical Safety Checklist: A Multicenter Study

Surgical safety checklists (SSCs) are vital tools for improving patient outcomes during surgical procedures. Despite their proven effectiveness, the adoption and implementation of SSCs vary across healthcare institutions, particularly in diverse settings like Bihar, India.

A cross-sectional study was conducted at Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar, involving 250 healthcare professionals, including surgeons, anesthesiologists, and nursing staff. A structured questionnaire assessed their KAP related to SSCs. Data analysis included descriptive statistics, Chi-square tests, and ANOVA.

Healthcare professionals exhibited positive attitudes toward SSCs, with 81% recognizing their role in improving surgical outcomes. However, knowledge gaps were evident, particularly regarding SSC components and timing. While 71% reported completing SSCs before surgery, 55% were involved in SSC updates, and 20% occasionally skipped SSC steps due to time constraints. Barriers included lack of time (42%), insufficient training (32%), lack of staff engagement (22%), and inadequate resources (27%). Participants recommended regular SSC training (91%), better integration into workflow (83%), enhanced team communication (81%), and increased staff involvement in updates (74%) as key strategies for improvement.

This study provides insights into the KAP of healthcare professionals regarding SSCs in Bihar, India. While positive attitudes prevail, knowledge gaps and practical challenges exist. Addressing barriers and implementing suggested strategies can enhance SSC usage, ultimately improving surgical safety and patient care.