Checklists in Surgical Practice: A Lifesaving Tool to Combat Infections

technicians, and general duty assistants.5 The broad scope and inclusivity of the checklist address the diverse responsibilities of operating room staff in infection prevention.The authors employed a robust process to validate the checklist, and inclusion of reliability testing further strengthened its credibility.The validation metrics-content validity indices, face validity indices, and intraclass correlation coefficient (ICC) analysis-are well-recognized and appropriate.Their high scores affirmed the checklist's relevance and reliability.Even though the expert panel included diverse specialists, the small size of the expert panel (n = 8) raises concerns about the breadth of perspectives considered during validation.Expanding the panel to include professionals with additional interdisciplinary perspectives, such as epidemiologists or microbiologists, and experts with varied clinical and cultural experiences could have enriched the validation process and would have enhanced the checklist's relevance and applicability.Another major limitation was that the checklist was validated at a single tertiary care hospital with only 43 surgeries.Even though the results are promising, the tool's generalizability to other settings, including smaller hospitals or different healthcare systems, remains to be seen.The study would benefit from a detailed discussion of how checklist items align with existing SSIP guidelines, such as those by the Centers for Disease Control and Prevention (CDC) or the Association of PeriOperative Registered Nurses (AORN).Additionally, practical field testing in real-world surgical scenarios is essential, and real-world application remains a key challenge.The checklist must be tested in diverse clinical settings to assess its adaptability and practical utility.In this present study, authors did not mention the underlying reasons for nonadherence, such as lack of training, resource constraints, or cultural factors.Addressing these behavioral and systemic barriers requires complementary interventions beyond checklist implementation.While the