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Volume 94, Issue 6 p. 590-598
Featured Article

Implementing the World Health Organization Surgical Safety Checklist: A Model for Future Perioperative Initiatives

First published: 25 November 2011
Citations: 18
Editor's note: The Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery is a trademark of the Joint Commission, Oakbrook Terrace, IL.


In the fall of 2008, perioperative leaders at Brigham and Women's Hospital, Boston, Massachusetts, conducted a two-week trial of the World Health Organization Surgical Safety Checklist in the main OR. The checklist was incorporated by using a Plan-Do-Study-Act cycle. In 2009, we began a 14-week rollout of the surgical safety checklist to all our ORs. Critical factors that led to the success of this implementation included gaining executive leadership endorsement; recruiting volunteers from each discipline to lead the project; using quality methodologies to ensure a thoughtful, organizing implementation; providing frequent feedback and data; and confirming standardized use of the checklist by creating a policy.