barriers to implementing the surgical safety checklist in operating rooms of educational hospitals of dezful university of medical sciences: a qualitative study

Background: the surgical safety checklist is a tool introduced by the world health organization in 2008 to reduce surgical complications such as performing surgery on the wrong site or patient, leaving instruments, and enhancing patient safety during anesthesia. the surgical safety checklist (who ssc) consists of three stages: sign-in, time-out, and sign-out.aim: the present study was conducted with aim to identify the barriers to the proper implementation of the surgical safety checklist in hospitals affiliated with dezful university of medical sciences.method: this qualitative study employs the conventional content analysis strategy by the graneheim and lundman method. the study participants include one anesthesiologist, one pediatric surgery subspecialist, one master’s graduate in operating room nursing, and seven perioperative nurses. purposeful sampling was conducted and semi-structured interviews were utilized to collect data.results: the analysis resulted in the extraction of 255 codes, categorized into four main categories, including individual barriers, educational barriers, managerial barriers, and cultural barriers.implications for practice: to effectively implement the surgical safety checklist, periodic training for specialists and experts should be conducted during their student years and throughout their professional re-training course. additionally, it seems that to have a culture of implementation, there is a need for oversight of the implementation and providing appropriate feedback to staff and specialists.