Key result
Interventions to enhance implementation, such as tailoring to local context and promoting clinician engagement, showed a significant positive effect on WHO Surgical Safety Checklist compliance.
Why the study?
The study was conducted to identify and synthesize evidence for the effectiveness of interventions aimed at increasing compliance with the WHO Surgical Safety Checklist in adult surgery.
Do implementation interventions improve compliance with the World Health Organization Surgical Safety Checklist in adult surgery?
Systematic Review (n=24)
Do implementation interventions improve compliance with the World Health Organization Surgical Safety Checklist in adult surgery?
Interventions such as tailoring the checklist to local contexts and promoting clinician engagement significantly improve compliance with the WHO Surgical Safety Checklist in adult surgery.
Integrate local tailoring and clinician engagement into surgical protocols to boost compliance; extends synthesis of implementation strategies across study designs.
The focus of this systematic review is to identify and synthesize the evidence for effectiveness of interventions to increase compliance with the World Health Organization Surgical Safety Checklist (SSC) for adult surgery. We searched a variety of databases and identified 24 peer-reviewed articles of either a quantitative (n = 17), qualitative (n = 4), or mixed-methods design (n = 3) published in English from January 1, 2008, to July 8, 2020. Interventions included modifying the ways of delivering the SSC, integrating or tailoring the SSC to local context or existing practice, promoting clinician awareness and engagement, and managing policies. Despite a lack of common outcome measures, all quantitative and mixed-methods study results showed a significant positive effect on SSC compliance. A few researchers reported nonsignificant or negative changes in certain aspects with the interventions. Additional research is needed to address SSC compliance measures globally and outcomes in developing countries.
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Liu et al. (2021) conducted a systematic review in Adult surgery (n=24). Interventions to increase compliance with the WHO Surgical Safety Checklist was evaluated on Compliance with the World Health Organization Surgical Safety Checklist. Interventions to enhance implementation, such as tailoring to local context and promoting clinician engagement, showed a significant positive effect on WHO Surgical Safety Checklist compliance.
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