Surgical checklist most effective when entire checklist is completed

Although surgical checklists have been found to reduce patient mortality, a study in the Annals of Surgery found that the effect may be modest. 

For the study, researchers examined data from a teaching hospital in the Netherlands, comparing data from pre- and post- implementation of the World Health Organization’s Surgical Checklist. 

Key findings:

• After implementation of the WHO Checklist, surgery patients' death rate dropped from 3.1 percent to 2.8 percent.
• For patients with fully completed checklists, the mortality rate dropped to about one-third of the rate of those without checklists.
• Checklists were fully completed for only 39% of the patients in the study.

The authors conclude that the impact of implementation of the WHO Surgical Safety Checklist may be influenced by compliance to completing the entire checklist.

(Sources: The Annals of Surgery, http://journals.lww.com/, January, 2012; The Advisory Board Daily Briefing, http://advisory.com, December 20, 2011, Reuters, http://www.reuters.com/, December 16, 2011)

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