The effects of safety checklists in medicine: a systematic review

Safety checklists have become an established safety tool in medicine. Despite studies showing decreased mortality and complications, the effects and feasibility of checklists have been questioned. This systematic review summarises the medical literature aiming to show the effects of safety checklists with a number of outcomes.

[1]  E. D. de Vries,et al.  Effect of a comprehensive surgical safety system on patient outcomes. , 2010, The New England journal of medicine.

[2]  Charles Vincent,et al.  Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study , 2012, BMJ quality & safety.

[3]  E. McGrady,et al.  The introduction of a surgical safety checklist in a tertiary referral obstetric centre , 2011, Quality and Safety in Health Care.

[4]  Asaf Degani,et al.  Cockpit Checklists: Concepts, Design, and Use , 1993 .

[5]  S. Zuckerman,et al.  Ensuring appropriate timing of antimicrobial prophylaxis. , 2008, The Journal of bone and joint surgery. American volume.

[6]  R. M. Vazquez.  The Checklist Manifesto How to Get Things Right , 2011 .

[7]  Sara J Singer,et al.  Effective surgical safety checklist implementation. , 2011, Journal of the American College of Surgeons.

[8]  Sonja N. Buzink,et al.  Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool , 2010, Surgical Endoscopy.

[9]  Dirk J Gouma,et al.  Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients , 2012, BMJ quality & safety.

[10]  W. Berry,et al.  A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population , 2009, The New England journal of medicine.

[11]  W. Berry,et al.  Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention , 2011, Quality and Safety in Health Care.

[12]  A. Fourcade,et al.  Barriers to staff adoption of a surgical safety checklist , 2011, BMJ quality & safety.

[13]  Don K Nakayama,et al.  Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. , 2012, Journal of pediatric surgery.

[14]  N. Thomas,et al.  The use of a daily goals sheet to improve communication in the paediatric intensive care unit. , 2007, Intensive & critical care nursing.

[15]  G. R. Poole,et al.  The Surgical Safety Checklist: Lessons Learned During Implementation , 2011, The American surgeon.

[16]  A. Al Samaraee,et al.  Surgical Safety Checklist , 2010, Journal of perioperative practice.

[17]  P. Maurette,et al.  [To err is human: building a safer health system]. , 2002, Annales francaises d'anesthesie et de reanimation.

[18]  T. Ikonen,et al.  A pilot study of the implementation of WHO Surgical Checklist in Finland: improvements in activities and communication , 2011, Acta anaesthesiologica Scandinavica.

[19]  T. Ikonen,et al.  Towards better patient safety: WHO Surgical Safety Checklist in otorhinolaryngology , 2011, Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery.

[20]  Chauniqua Kiffin,et al.  Enhancing patient safety in the trauma/surgical intensive care unit. , 2009, The Journal of trauma.

[21]  R J Lilford,et al.  An epistemology of patient safety research: a framework for study design and interpretation. Part 2. Study design , 2008, Quality & Safety in Health Care.

[22]  L. Eisen,et al.  Improving nurse-physician communication and satisfaction in the intensive care unit with a daily goals worksheet. , 2004, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[23]  B. Bein,et al.  The effect of the WHO Surgical Safety Checklist on complication rate and communication. , 2012, Deutsches Ärzteblatt International.

[24]  A. Böhmer,et al.  Long‐term effects of a perioperative safety checklist from the viewpoint of personnel , 2013, Acta anaesthesiologica Scandinavica.

[25]  Hans Morten Lossius,et al.  Implementation of checklists in health care; learning from high-reliability organisations , 2011, Scandinavian journal of trauma, resuscitation and emergency medicine.

[26]  M. Askarian,et al.  Effect of Surgical Safety Checklists on Postoperative Morbidity and Mortality Rates, Shiraz, Faghihy Hospital, a 1-Year Study , 2011, Quality management in health care.

[27]  Henry A. Landsberger,et al.  Hawthorne revisited : management and the worker, its critics, and developments in human relations in industry , 1959 .

[28]  E. D. de Vries,et al.  The SURgical PAtient Safety System (SURPASS) checklist optimizes timing of antibiotic prophylaxis , 2010, Patient safety in surgery.

[29]  The implementation of a perioperative checklist increases patients’ perioperative safety and staff satisfaction , 2013, Acta anaesthesiologica Scandinavica.

[30]  M. Vegfors,et al.  Implementing a pre‐operative checklist to increase patient safety: a 1‐year follow‐up of personnel attitudes , 2010, Acta anaesthesiologica Scandinavica.

[31]  Swati Agarwal,et al.  Improving communication in a pediatric intensive care unit using daily patient goal sheets. , 2008, Journal of critical care.

[32]  K. Inaba,et al.  Measurable outcomes of quality improvement using a daily quality rounds checklist: one-year analysis in a trauma intensive care unit with sustained ventilator-associated pneumonia reduction. , 2010, The Journal of trauma.

[33]  Stuart R. Lipsitz,et al.  Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population , 2010, Annals of surgery.

[34]  R J Lilford,et al.  An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One size does not fit all , 2008, Quality & Safety in Health Care.

[35]  X. Koolman,et al.  The incentive to publish negative studies: how beta-blockers and depression got stuck in the publication cycle. , 2012, Journal of clinical epidemiology.

[36]  E. Søfteland,et al.  Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study , 2013, British journal of anaesthesia.

[37]  R. Mahajan,et al.  The WHO surgical checklist. , 2011, Best practice & research. Clinical anaesthesiology.

[38]  J. Ulatowski,et al.  Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. , 2012, Journal of cardiothoracic and vascular anesthesia.

[39]  Wilmar B. Schaufeli,et al.  Organisation and Management of Intensive Care , 1998, Update in Intensive Care and Emergency Medicine.

[40]  R. Reznick,et al.  Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice , 2011, Quality and Safety in Health Care.

[41]  Ø. Thomassen,et al.  The effect of a simple checklist on frequent pre‐induction deficiencies , 2010, Acta anaesthesiologica Scandinavica.

[42]  David S Shapiro,et al.  Thirty-day outcomes support implementation of a surgical safety checklist. , 2012, Journal of the American College of Surgeons.

[43]  E. Copeland,et al.  A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population , 2010 .

[44]  R. Reznick,et al.  Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. , 2008, Archives of surgery.

[45]  A. McEwan,et al.  Patient handover from surgery to intensive care: using Formula 1 pit‐stop and aviation models to improve safety and quality , 2007, Paediatric anaesthesia.

[46]  T. Wisborg,et al.  A systematic literature review on first aid provided by laypeople to trauma victims , 2012, Acta anaesthesiologica Scandinavica.

[47]  P. Pronovost,et al.  Improving communication in the ICU using daily goals. , 2003, Journal of critical care.

[48]  Nick Sevdalis,et al.  Information Transfer and Communication in Surgery: A Systematic Review , 2010, Annals of surgery.

[49]  T H Kappen,et al.  Effects of the Introduction of the WHO “Surgical Safety Checklist” on In-Hospital Mortality: A Cohort Study , 2012, Annals of surgery.

[50]  Ian F Tannock,et al.  Factors associated with failure to publish large randomized trials presented at an oncology meeting. , 2003, JAMA.

[51]  D. Schwappach,et al.  A Systematic Review of the Effectiveness, Compliance, and Critical Factors for Implementation of Safety Checklists in Surgery , 2012, Annals of surgery.

[52]  James Rogers.  Have we gone too far in translating ideas from aviation to patient safety? Yes , 2011, BMJ : British Medical Journal.

[53]  J. Shillito,et al.  Checking in healthcare safety: theoretical basis and practical application. , 2010, International journal of health care quality assurance.

[54]  A. Bader,et al.  Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitals. , 2010, Health affairs.

[55]  C. Coopersmith,et al.  Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence‐based intensive care unit practices , 2009, Critical care medicine.

[56]  J. Higgins,et al.  Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography. , 2007, International journal of epidemiology.

[57]  P. Pronovost,et al.  The checklist--a tool for error management and performance improvement. , 2006, Journal of critical care.

[58]  J. Dankelman,et al.  Can a structured checklist prevent problems with laparoscopic equipment? , 2008, Surgical Endoscopy.

[59]  Development of an adhesive surgical ward round checklist: a technique to improve patient safety. , 2011, Irish medical journal.

[60]  A. Hopkins.  Learning from High Reliability Organisations , 2009 .

[61]  G. Brattebø,et al.  Teamwork skills, shared mental models, and performance in simulated trauma teams: an independent group design , 2010, Scandinavian journal of trauma, resuscitation and emergency medicine.

[62]  M. Wallis,et al.  Why isn't ‘time out’ being implemented? An exploratory study , 2010, Quality and Safety in Health Care.

[63]  L. Håheim,et al.  Transfusion vs. alternative treatment modalities in acute bleeding: a systematic review , 2006, Acta anaesthesiologica Scandinavica.

[64]  T. Turner,et al.  Systematic review of safety checklists for use by medical care teams in acute hospital settings - limited evidence of effectiveness , 2011, BMC health services research.

[65]  R. Bingisser,et al.  Emergency physician intershift handover - can a dINAMO checklist speed it up and improve quality? , 2010, Swiss medical weekly.

[66]  J. Ioannidis,et al.  The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration , 2009, BMJ : British Medical Journal.

[67]  HUMANITARIAN ACTORS,et al.  Do no harm , 2013, Nature Biotechnology.

[68]  Kypros Kypri,et al.  A surgical safety checklist. , 2009, The New England journal of medicine.

[69]  R. Gibberd,et al.  Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital , 2012, BMJ : British Medical Journal.

[70]  P. Truran,et al.  Does using the WHO surgical checklist improve compliance to venous thromboembolism prophylaxis guidelines? , 2011, The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.

[71]  J. Laurance.  Peter Pronovost: champion of checklists in critical care , 2009, The Lancet.

[72]  K Moorthy,et al.  Practical challenges of introducing WHO surgical checklist: UK pilot experience , 2010, BMJ : British Medical Journal.

[73]  J. Davies,et al.  Using the surgical safety checklist , 2013, Acta anaesthesiologica Scandinavica.

[74]  Ø. Thomassen,et al.  Checklists in the operating room: Help or hurdle? A qualitative study on health workers' experiences , 2010, BMC health services research.

[75]  D. Longo,et al.  The long road to patient safety: a status report on patient safety systems. , 2005, JAMA.