The Impact of Surgical Safety Checklists on Theatre Departments: A Critical Review of the Literature

The World Health Organisation's Safer Surgery Checklist has become an integral part of standard practice in operating theatres in the UK and other countries. However, some doubts still exist over how much of an effect the checklist actually has, with some staff feeling some resentment towards it. This review explores the literature regarding the impact of the checklist on theatre departments and how this can inform practice. The evidence found shows that use of the checklist reduces patient morbidity and mortality, improves communication and teamwork, reduces operating time and can reduce theatre costs. The negative perceptions that surround the checklist arise from misconceptions and lack of understanding and can result in poor compliance. Further research is required across all areas but with a focus on education and implementation of strategies that address existing barriers.