Background: The Italian Ministry of Health has acknowledged the International recommendations regarding the diffusion of the Surgical Safety Checklist as advanced by the WHO, has promoted the implementation of such instrument at local level, and has encouraged its adjustment with respect to any peculiar circumstance. Aim: The main purpose of this study is the analysis of Surgical Safety Checklists adherence, and the assessment of their adequacy in the context of the new Surgical Building (Polo Chirurgico Confortini) set up in August 2011 at the Azienda Ospedaliera Universitaria Integrata of Verona (A.O.U.I. VR) Methodologies: A previously elaborated Surgical Safety Checklist for the A.O.U.I of Verona has been proposed to each surgical speciality (31 operating room) and drawn up on a voluntary basis. Checklists compiled in the time period between the 1st of August 2011 and the 29th of February 2012 have been collected and evaluated qualitatively and quantitatively by means of appropriate software for data analysis. Results and Conclusions: Given that checklists have been drawn up on a voluntary basis, the observed adherence rate to the execution of the Checklist is strongly correlated to the operators’ subjective perspective/opinion on such tool. Some of the alterations carried out in order to adapt checklists to the concrete needs of the A.O.U.I of Verona have came across as strong points, especially those related with the possibility of appending patient identification tags and the implementation of intra-operative parameters monitoring (arterial pressure, oximetry, ECG). Eventually, this study highlights the necessity of assess the formulation of some items and answer options in order to solve ambiguities as emerged from the operators feedback, and the possibility of adaptation of the checklist to some specific surgical specialties (e.g. paediatric surgery, gynaecology) and to Day Surgery.
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