title: Compliance with the Surgical Safety Checklist Results of an Audit in a Teaching Hospital in Italy.
abstract: OBJECTIVE
  We carried out an audit to verify compliance to Surgical Safety Checklist (SSC), as we have become aware that compliance across different teams and by individual surgeons has not been optimal.
  
  
  METHODS
  100 SSC records from October-December 2014 and 100 from March-June 2015 were inspected to verify correct . 44 surgeons and 34 scrub nurses were asked to complete a questionnaire to know surgeons' compliance to the different stages of the Checklist and the compliance of each surgical team. 100% of scrub nurse and 73.7% of surgeons completed the questionnaire.
  
  
  RESULTS
  All Checklist records were correctly filled out but we could verify that while nurses have a strong commitment to the SSC, the Checklist's implementation is not being actively supported by all surgical team members.
  
  
  CONCLUSIONS
  Many surgeons showed limited awareness of not collaborating during SSC procedure and admitted delegating the responsibility for answering questions to other members of their team. A number of them fell into contradiction answering to various parts of the questionnaire. Consistent with the literature, at our hospital there is a gap between quality of Checklist paper records and correct use of this safety tool.
  
  
  CONCLUSIONS
  Thanks to the data we have collected we will improve the way the SSC is used and promote change in the behavior of surgeons. Eighteen surgeons (40.9%) expressed willingness to be involved in a work group to revise the SSC and we hope that their commitment to safety and quality will increase.
  
  
  BACKGROUND
  Surgical Safety Checklist, Surgeons commitment.
authors.forename: Rossana
authors.initials: R
authors.lastname: Alloni
authors.forename: Anna
authors.initials: A
authors.lastname: De Benedictis
authors.forename: Lucia
authors.initials: L
authors.lastname: Nobile
authors.forename: Leonilde
authors.initials: L
authors.lastname: Sica
authors.forename: Claudio
authors.initials: C
authors.lastname: Pensieri
authors.forename: Maria Rita
authors.initials: MR
authors.lastname: Sechi
authors.forename: Modesto
authors.initials: M
authors.lastname: D'Aprile
mesh_terms: D001291:Attitude of Health Personnel; D057189:Checklist; D019983:Guideline Adherence; D006785:Hospitals, University; D006801:Humans; D007558:Italy; D009726:Nurses / Q000523:psychology* / Q000706:statistics & numerical data; D009871:Operating Room Nursing / Q000592:standards; D032024:Personnel Delegation; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D058996:Quality Improvement; D017751:Safety Management / Q000592:standards*; D066231:Surgeons / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires