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Reimagining the Surgical Safety Checklist Through a Pediatric Lens.

Robin Wigen¹, Kaitlyn Squires², Mercedes Pilkington³

¹Alberta Children's Hospital, Pediatric General Surgery, Calgary, Alberta, Canada.

Journal of Pediatric Surgery

|July 2, 2026

Summary

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Pediatric surgeons seek to optimize the Surgical Safety Checklist (SSC) for better communication and to prevent wrong-site surgery. Enhancements include pediatric-specific elements and improved implementation strategies for enhanced patient safety.

Area of Science:

Pediatric Surgery
Patient Safety
Quality Improvement

Background:

The Surgical Safety Checklist (SSC) is a critical tool in perioperative care.
Optimizing the SSC for the unique needs of pediatric patients is essential.

Purpose of the Study:

To gather perspectives from North American pediatric surgeons on optimizing the SSC.
To enhance the SSC for the contemporary pediatric perioperative population.

Main Methods:

Mixed-methods study involving a North American survey of pediatric surgeons.
Structured convening with focus groups and large-group discussions.
Deductive thematic analysis of facilitated conversations.

Main Results:

Keywords:

Pediatric surgery patient safety surgical safety surgical safety checklist

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Survey respondents prioritized preventing wrong surgery and improving team communication.

Participants suggested removing redundant items and adding pediatric-specific elements (e.g., patient weight, hypothermia risk).

Implementation strategies included morning huddles, defined parent roles, and digitized checklist design.

Conclusions:

Opportunities exist to enhance perioperative safety through pediatric SSC reimplementation.
Re-engaging pediatric surgical teams is crucial for improving patient outcomes.