Effectiveness and meaningful use of paediatric surgical safety checklists and their implementation strategies: a systematic review with narrative synthesis

ObjectiveTo examine the effectiveness and meaningful use of pediatric surgical safety checklists (SSCs) and their implementation strategies through a systematic review with narrative synthesis. Summary Background Data Since the launch of the World Health Organization SSC, checklists have been integrated into surgical systems worldwide. Information is sparse on how SSCs have been integrated into the pediatric surgical environment. Methods A broad search strategy was created using Pubmed, Embase, CINAHL, Cochrane Central, Web of Science, Science Citation Index and Conference Proceedings Citation Index. Abstracts and full texts were screened independently, in duplicate for inclusion. Extracted study characteristic and outcomes generated themes explored through subgroup analyses and idea webbing. Results 1826 of 1921 studies were excluded after title and abstract review (kappa 0.77) and 47 after full-text review (kappa 0.86). 20 studies were of sufficient quality for narrative synthesis. Cl...