. 2020 Sep;44(9):2857-2868.

doi: 10.1007/s00268-020-05518-x.

Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers

Nikhil Panda^{1

2}, Luca Koritsanszky^{3

4}, Megan Delisle^{3

5}, Theophilus T K Anyomih⁶, Eesha V Desai³, Yves Sonnay³, George Molina^{7

3

8}, Katayoun Madani^{9

10

11}, Dominique Vervoort^{9

12}, Thomas G Weiser^{3

4

13}, Evan M Benjamin³, Alex B Haynes^{3

14}

Affiliations

¹ Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB-425, Boston, MA, 02114, USA. nikhil.panda@mgh.harvard.edu.
² Ariadne Labs, Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, 401 Park Drive, 3rd Floor West, Boston, MA, 02215, USA. nikhil.panda@mgh.harvard.edu.
³ Ariadne Labs, Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, 401 Park Drive, 3rd Floor West, Boston, MA, 02215, USA.
⁴ Lifebox Foundation, 48 Charlotte Street, London, W1T 2NS, UK.
⁵ Department of Surgery, University of Manitoba, 347-825 Sherbrook Street, Winnipeg, MB, R3T 2N2, Canada.
⁶ Department of Surgery, Tamale Teaching Hospital, P.O. Box TL111, Tamale, Ghana.
⁷ Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB-425, Boston, MA, 02114, USA.
⁸ Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA.
⁹ International Student Surgical Network (InciSioN), Sint-Truiden, Belgium.
¹⁰ Saint George's University School of Medicine, 3500 Sunrise Highway, Great River, New York, 11739, USA.
¹¹ Northwestern Trauma and Surgical Initiative, Arkes Family Pavilion (Suite 650), 676 North Saint Clair, Chicago, IL, 60611, USA.
¹² Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD, 21205, USA.
¹³ Department of Surgery, Stanford Medicine, 300 Pasteur Drive, H3638, Stanford, CA, 94305, USA.
¹⁴ Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, 2601 Trinity Street, Building B, Austin, TX, 78712, USA.

PMID: 32307554
PMCID: PMC7390667
DOI: 10.1007/s00268-020-05518-x

Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers

Nikhil Panda et al. World J Surg. 2020 Sep.

. 2020 Sep;44(9):2857-2868.

doi: 10.1007/s00268-020-05518-x.

Authors

Affiliations

¹ Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB-425, Boston, MA, 02114, USA. nikhil.panda@mgh.harvard.edu.
² Ariadne Labs, Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, 401 Park Drive, 3rd Floor West, Boston, MA, 02215, USA. nikhil.panda@mgh.harvard.edu.
³ Ariadne Labs, Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, 401 Park Drive, 3rd Floor West, Boston, MA, 02215, USA.
⁴ Lifebox Foundation, 48 Charlotte Street, London, W1T 2NS, UK.
⁵ Department of Surgery, University of Manitoba, 347-825 Sherbrook Street, Winnipeg, MB, R3T 2N2, Canada.
⁶ Department of Surgery, Tamale Teaching Hospital, P.O. Box TL111, Tamale, Ghana.
⁷ Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB-425, Boston, MA, 02114, USA.
⁸ Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA.
⁹ International Student Surgical Network (InciSioN), Sint-Truiden, Belgium.
¹⁰ Saint George's University School of Medicine, 3500 Sunrise Highway, Great River, New York, 11739, USA.
¹¹ Northwestern Trauma and Surgical Initiative, Arkes Family Pavilion (Suite 650), 676 North Saint Clair, Chicago, IL, 60611, USA.
¹² Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD, 21205, USA.
¹³ Department of Surgery, Stanford Medicine, 300 Pasteur Drive, H3638, Stanford, CA, 94305, USA.
¹⁴ Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, 2601 Trinity Street, Building B, Austin, TX, 78712, USA.

PMID: 32307554
PMCID: PMC7390667
DOI: 10.1007/s00268-020-05518-x

Erratum in

Correction to: Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers.
Panda N, Koritsanszky L, Delisle M, Anyomih TTK, Desai EV, Sonnay Y, Molina G, Madani K, Vervoort D, Weiser TG, Benjamin EM, Haynes AB. Panda N, et al. World J Surg. 2020 Sep;44(9):2869. doi: 10.1007/s00268-020-05550-x. World J Surg. 2020. PMID: 32347349

Abstract

Background: The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers.

Methods: From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non-clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non-clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement.

Results: Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03-3.19], p = 0.039). A greater proportion of promoters reported "Improved Operating Room Communication" as a goal of the SSC (0.21 95% CI [0.15-0.27]-vs.-0.12 [0.06-0.17], p = 0.031), while non-promoters reported the SSC goals were "Not Well Understood" (0.08 95% CI [0.03-0.12]-vs.-0.03 [0.01-0.05], p = 0.032). Suggestions for SSC improvement emphasized context-specific adaptability and earlier formal training.

Conclusions: Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers.

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Conflict of interest statement

Compliance with Ethical Requirements:

The authors declare that they have no conflict of interest. Informed consent was obtained from all individual participants included in the study. This human subjects research was approved by the Committee on the Use of Human Subjects at Harvard University.

Figures

**Fig 1. Survey dissemination and selection of participants.**
Survey was distributed through InciSioN NWG (n=1,985) and social media efforts (e.g., Facebook, Instagram, Twitter NWG and InciSioN accounts). Abbreviations: surgical safety checklist (SSC)

**Fig 2. Perceived goals of SSC.**
Proportion of 318 responses among promoters and non-promoters of checklist goals are shown. Count of responses shown within each bar. Tests of equality of proportions were used to determine differences in perceived goals of the SSC among promoters versus non-promoters.*Denotes statistical significance at two-sided alpha <0.05

**Fig 3. Suggestions for improvement of SSC.**
Proportion of 278/318 responses among promoters and non-promoters of suggestions for checklist improvement are shown. Count of responses shown within each bar

See this image and copyright information in PMC

References

1. Haynes AB et al., “A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population,” N. Engl. J. Med, vol. 360, no. 5, pp. 491–499, January 2009. - PubMed
1. Delisle M et al., “Variation in the global uptake of the surgical safety checklist. Br J Surg 2019; [forthcoming].,” Br. J. Surg - PubMed
1. Solsky I and Haynes AB, “Ten Years and Counting: Sustaining Effectiveness of the Surgical Safety Checklist Through Ongoing Implementation Efforts,” World Journal of Surgery, vol. 43, no. 1 Springer New York LLC, pp. 125–126, 15-January-2019. - PubMed
1. Faherty LJ, Mate KS, and Moses JM, “Leveraging trainees to improve quality and safety at the point of care: Three models for engagement,” Acad. Med, vol. 91, no. 4, pp. 503–509, April 2016. - PubMed
1. Lenguerrand E et al., “Effect of hands-on interprofessional simulation training for local emergencies in Scotland: the THISTLE stepped-wedge design randomised controlled trial.,” BMJ Qual. Saf, July 2019. - PMC - PubMed

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Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers

Affiliations

Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers

Authors

Affiliations

Erratum in

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical