Compliance with Surgical Safety Checklist Completion at Phichit Hospital

Main Article Content

Satabongkot Tangtong


Introduction: The Surgical Safety Checklist (SSC) was developed by the WHO to help operating teams reduce the occurrence of patient harm. Therefore, the aim of this study was to evaluate compliance of checklist completion and its barrier for implementation.
Method: A descriptive cross-sectional study was conducted among 630 patients undergoing elective and
emergency surgery at Phichit Hospital during March 1-30, 2017. The SSC data were collected from medical records after surgery includes sign-in, time-out, sign-out, involved health care disciplines, completeness rate of SSC and its barrier for implementation.
Result: The compliance of using surgical safety checklist was 630 cases (100%), the completeness of
checklist was only 3.17 %, (4% in elective cases and 1.6% in emergency cases). A small number of surgeons participated in this activities (13.8%). Forty four percent of health care team reported that time was a main barrier.
Conclusion: The surgical safety checklist was used in every cases but completeness remained poor because of time constraint.

Article Details

Original articles


Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: a modeling strategy based on available data. The Lancet 2008; 372 (9633): 139-44.
Reason J. Human error models and management. BMJ 2000; 320(7237): 768-70.
WHO Surgical Safety Checklist Implementation [Internet]. 2009 [cited 2017 Mar 26]; Available from:
Haynes AB, Weiser TG, William RB, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J 2009;360(5): 491-99.
Bergs J, Hellings J, Simons PAM, et al. Surgical safety checklists an update. Acta Chirurgica Belgica 2014; 114(4): 219-24.
Fourcade A, Blache JL, Grenier C, et al. Barriers to staff adoption of a surgical safety checklist. BMJ qual saf 2012; 21(3):191-7.
Kasatpibal N, Senaratana W, Chitreecheur J, et al. Implementation of the World Health Organization surgical safety checklist at a university hospital in Thailand. Surg infect 2012; 13(1): 50-6.