Sustainability of using the WHO surgical safety checklist: a mixed-methods longitudinal evaluation following a nationwide blended educational implementation strategy in Madagascar.
Michelle C WhiteKirsten RandallVaonandianina A RavelojaonaHery H AndriamanjatoVanessa AndeanJames CallahanMark G ShrimeStephanie RussAndrew J M LeatherNick SevdalisPublished in: BMJ global health (2018)
74% of participants reported sustained checklist use 12-18 months following nationwide implementation in Madagascar, with associated improvements in job satisfaction, culture and compliance with safety procedures. Further work is required to examine this implementation model in other countries.