Impact of the World Health Organization’s Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study
Peer reviewed, Journal article
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Background: Positive changes in safety culture have been hypothesized to be one of the mechanisms behind the reduction in mortality and morbidity after the introduction of the World Health Organization’s Surgical Safety Checklist (SSC). We aimed to study the checklist effects on safety culture perceptions in operating theatre personnel using a prospective controlled intervention design at a single Norwegian university hospital. Methods: We conducted a study with pre- and post-intervention surveys using the intervention and control groups. The primary outcome was the effects of the Norwegian version of the SSC on safety culture perceptions. Safety culture was measured using the validated Norwegian version of the Hospital Survey on Patient Safety Culture. Descriptive characteristics of operating theatre personnel and checklist compliance data were also recorded. A mixed linear regression model was used to assess changes in safety culture. Results: The response rate was 61% (349/575) at baseline and 51% (292/569) postintervention. Checklist compliance ranged from 77% to 85%. We found significant positive changes in the checklist intervention group for the culture factors ‘frequency of events reported’ and ‘adequate staffing’ with regression coefficients at 20.25 [95% confidence interval (CI), 20.47 to 20.07] and 0.21 (95% CI, 0.07–0.35), respectively. Overall, the intervention group reported significantly more positive culture scores— including at baseline. Conclusions. Implementation of the SSC had rather limited impact on the safety culture within this hospital.
UtgiverOxford University Press on behalf of the British Journal of Anaesthesia
TidsskriftBritish Journal of Anaesthesia
OpphavsrettCopyright The Author 
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Impact of the Norwegian National Patient Safety Program on implementation of the WHO Surgical Safety Checklist and on perioperative safety culture Haugen, Arvid Steinar; Søfteland, Eirik Wigtil; Sevdalis, Nick; Eide, Geir Egil; Nortvedt, Monica Wammen; Vincent, Charles; Harthug, Stig (Journal article; Peer reviewed, 2020)Objectives Our primary objective was to study the impact of the Norwegian National Patient Safety Campaign and Program on Surgical Safety Checklist (SSC) implementation and on safety culture. Secondary objective was ...
Patient safety in surgical environments: Cross-countries comparison of psychometric properties and results of the Norwegian version of the Hospital Survey on Patient Safety Haugen, Arvid Steinar; Søfteland, Eirik; Eide, Geir Egil; Nortvedt, Monica Wammen; Aase, Karina; Harthug, Stig (Peer reviewed; Journal article, 2010-09-22)Background: How hospital health care personnel perceive safety climate has been assessed in several countries by using the Hospital Survey on Patient Safety (HSOPS). Few studies have examined safety climate factors in ...
Validation of a Norwegian version of SURgical PAtient Safety System (SURPASS) in combination with the World Health Organizations' Surgical Safety Checklist (WHO SSC) Storesund, Anette; Haugen, Arvid Steinar; Wæhle, Hilde Valen; Mahesparan, Ruby; Boermeester, Marja A.; Nortvedt, Monica Wammen; Softeland, Eirik (Peer reviewed; Journal article, 2019-01-07)Introduction: Surgical safety checklists may contribute to reduction of complications and mortality. The WHO’s Surgical Safety Checklist (WHO SSC) could prevent incidents in operating theatres, but errors also occur before ...