Safe surgery checklist: Barriers and facilitators for its implementation.

IF 0.9 Q3 SURGERY

Journal of perioperative practice Pub Date : 2026-08-05 DOI:10.1177/17504589261464832

Vander Trindade Pereira, Simone Seixas da Cruz, Isaac Suzart Gomes-Filho, Aline Misuzaki Imoto, Débora Barbosa Ronca, Josicélia Estrela Tuy Batista, Ana Claudia Morais Godoy Figueiredo

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引用次数: 0

Abstract

Introduction: This study aimed to identify barriers and facilitators to the implementation of the Surgical Safety Checklist through a systematic review.

Methods: A systematic search was conducted in PubMed, Virtual Health Library (VHL), Embase, Scopus, and Web of Science using the descriptors 'Communication Barriers', 'Patient Safety', 'Checklist', and 'Surgical Procedures'. The strategy was peer-reviewed using the Peer Review of Electronic Search Strategies tool. Data extraction included study characteristics, sample size, sociodemographic data, barriers, and facilitators. Proportion meta-analyses estimated prevalence with 95% confidence intervals.

Results: Forty-three studies were included. The meta-analysis showed that 22% of professionals considered the checklist a waste of time, 44% reported resistance or disbelief in its benefits, and 14% perceived it as redundant. All outcomes demonstrated substantial heterogeneity.

Conclusion: Although the Surgical Safety Checklist enhances patient safety, its implementation is hindered by institutional barriers, team resistance, and workload pressures, limiting full adherence.

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安全手术检查表：实施的障碍和促进因素。

前言：本研究旨在通过系统回顾确定实施手术安全检查表的障碍和促进因素。方法：系统检索PubMed、Virtual Health Library （VHL）、Embase、Scopus和Web of Science，检索词为“Communication Barriers”、“Patient Safety”、“Checklist”和“Surgical Procedures”。使用电子搜索策略的同行评审工具对该策略进行同行评审。数据提取包括研究特征、样本量、社会人口统计数据、障碍和促进因素。比例荟萃分析以95%的置信区间估计患病率。结果：纳入43项研究。荟萃分析显示，22%的专业人士认为这份清单浪费时间，44%的人表示反对或不相信它的好处，14%的人认为它是多余的。所有结果均显示出显著的异质性。结论：尽管《手术安全检查表》提高了患者的安全性，但其实施受到制度障碍、团队阻力和工作量压力的阻碍，限制了患者的完全遵守。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.