Barreras y limitaciones en la implementación de la lista de verificación de la seguridad quirúrgica de la Organización Mundial de la Salud

Introduction: The surgical safety checklist of the World Health Organization (WHO) is a tool that checks and evaluates each procedure in the operating room. Despite its demonstrated effectiveness, it has many limitations and barriers to its implementation. The aim of this article was to present the current evidence regarding limitations and barriers to achieve a successful implementation of the surgical safety WHO checklist. Methods: A narrative review was designed. We performed a systematic literature search in PubMed/MEDLINE. Articles that describe or present as primary or secondary endpoints barriers or limitations during the implementation of the checklist WHO were selected. Observational or experimental articles were included from the date of the official launch of the WHO list. To describe the data a summary table was designed. Detailed results were organized qualitatively extracting the most prevalent limitations. Results: 17 studies were included in the final review process. The main findings were: 1) a large number of constraints reported in the literature that hinder the implementation process, 2) limitations were grouped into 9 categories according to their similarities and 3) the most frequently reported category was “knowledge”. Discussion: There are several factors that limit the proper implementation of the surgical safety checklist WHO. Among these, cultural factors, knowledge, indifference and / or relevance, communication, filling completeness, among others. Effective implementation strategies would reach its successful implementation. Introducción: La lista de verificación de la Organización Mundial de la Salud (OMS) es un instrumento que revisa de forma ordenada el cumplimiento de procedimientos en el quirófano. A pesar de su demostrada efectividad presenta múltiples limitaciones y barreras en su implementación. Objetivo: Presentar la evidencia actual relacionada con las limitaciones y barreras para la implementación adecuada en instituciones de salud de la lista de verificación de seguridad para la cirugía de la OMS. Metodología: Revisión narrativa en la que se diseñó una búsqueda sistemática en Pubmed/MEDLINE. Se seleccionaron artículos que describieran o presentaran como objetivos primarios o secundarios el describir barreras o limitaciones en la implementación de la lista de verificación de la OMS. Se incluyeron artículos observacionales o experimentales y publicados a partir de la fecha de lanzamiento oficial de la lista OMS. Se d