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Editorial
. 2025 Sep;135(3):538-543.
doi: 10.1016/j.bja.2025.06.018. Epub 2025 Jul 21.

Operationalising perioperative safety: learning to walk the talk

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Editorial

Operationalising perioperative safety: learning to walk the talk

Jonathan Matías Chejfec-Ciociano et al. Br J Anaesth. 2025 Sep.

Abstract

Perioperative care represents a high-burden area for preventable harm, attributable to both clinical complexity and systemic barriers, wherein evidence-based safety guidelines are often inadequately implemented. We highlight the need to bridge the gaps between proven interventions and implementation-ready strategies using systems-based, culture, and context-sensitive approaches. Engaging frontline teams and aligning proposed solutions with real-world clinical workflows are essential to achieving patient safety. To advance perioperative safety, we must bridge the gaps between recommendations and practice by implementing actionable, scalable strategies rooted in implementation science and responsive to the real world challenges of clinical work and the hazards that lead to harm.

Keywords: behaviour; healthcare systems; human factors; implementation science; patient safety; perioperative care.

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Conflict of interest statement

Declarations of interest AWG has consulting relationships with Medtronic and Haisco Pharma, and is a past president of the World Federation of Societies of Anesthesiologists. The other authors declare that they have no conflicts of interest.

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