Related Experiment Video
Updated: Aug 6, 2026
06:48
Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Safe surgery checklist: Barriers and facilitators for its implementation
Vander Trindade Pereira1, Simone Seixas da Cruz2, Isaac Suzart Gomes-Filho3
1University of the Federal District, Brasília, Brazil.
Journal of Perioperative Practice
|August 5, 2026
Summary
Implementing the Surgical Safety Checklist improves patient safety, but institutional barriers, team resistance, and workload pressures hinder its full adoption. Understanding these challenges is key to enhancing surgical care.
Area of Science:
- Healthcare Management
- Patient Safety Research
- Surgical Quality Improvement
Background:
- The Surgical Safety Checklist is a critical tool for enhancing patient safety in operating rooms.
- Implementation challenges can limit the effectiveness of this vital safety measure.
Purpose of the Study:
- To systematically review and identify barriers and facilitators affecting the implementation of the Surgical Safety Checklist.
- To synthesize evidence on professional perceptions and adherence rates.
Main Methods:
- A comprehensive systematic search was performed across major databases (PubMed, VHL, Embase, Scopus, Web of Science).
- Keywords included 'Communication Barriers', 'Patient Safety', 'Checklist', and 'Surgical Procedures'.
- Proportion meta-analyses were used to estimate prevalence, with data extraction on study characteristics, barriers, and facilitators.
Main Results:
- Forty-three studies were included in the meta-analysis.
- Significant barriers included 22% viewing the checklist as a waste of time, 44% experiencing resistance or disbelief, and 14% perceiving it as redundant.
- Substantial heterogeneity was observed across all outcomes.
Conclusions:
- Despite its proven benefits for patient safety, the Surgical Safety Checklist faces significant implementation hurdles.
- Institutional barriers, team resistance, and workload pressures are primary factors limiting adherence.
- Addressing these barriers is crucial for maximizing the impact of the checklist on surgical outcomes.
Related Concept Videos
01:18Guidelines and Strategies for Safe Computer Charting
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:30Psychosurgery
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
01:26Standard Precaution
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
01:21Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.