Transforming Team Performance Through Reimplementation of the Surgical Safety Checklist
An erratum to this article was published (JAMA Surg, 1 Feb 2024 ↗)
Authors' conclusion
Comprehensive reimplementation of an established checklist intervention can meaningfully improve team behavior, safety culture, patient safety, and patient outcomes.
Study context
- Population
- Operations and OR staff at 2 large academic referral centres in Singapore
- Participants
- 252 observed cases
- Exposure
- Baseline vs End point
- Baselinen = 161reference
- End pointn = 91
- Outcome
- Team performance (Oxford NOTECHS, trained observers)
Methodological detailsbefore-after, 2 academic referral centres
- Before-after
- 2 academic referral centres
Main finding
As reported in the abstract
Team performance (Oxford NOTECHS)
Adjusted increase in NOTECHS score
4.3 point
95% CI 2.9–5.7P < .001
Observational data: associations, not effects.
Further findings
Device-related interruptions (DRIs)
- DRIs decreased
- 86.5% (95% CI, −22.1% to −97.8%; P = .03)
Checklist fidelity
- Penetration excellent at both time points; significant improvements in all measures of fidelity after reimplementation
Safety culture surveys (12 composite areas)
- Significant improvements in composite areas
- 9 of 12
Patient safety events, mortality, serious complications (exploratory)
- Exploratory analyses suggested reductions
Original publication
Transforming Team Performance Through Reimplementation of the Surgical Safety Checklist. JAMA Surg. Published 1 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →