Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers
Background The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers. Methods From July to Septembe...
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| Veröffentlicht in: | World journal of surgery 2020-09, Vol.44 (9), p.2857-2868 |
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| creator | Panda, Nikhil Koritsanszky, Luca Delisle, Megan Anyomih, Theophilus T. K. Desai, Eesha V. Sonnay, Yves Molina, George Madani, Katayoun Vervoort, Dominique Weiser, Thomas G. Benjamin, Evan M. Haynes, Alex B. |
| description | Background
The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers.
Methods
From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non-clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non-clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement.
Results
Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03–3.19],
p
= 0.039). A greater proportion of promoters reported “Improved Operating Room Communication” as a goal of the SSC (0.21 95% CI [0.15–0.27]-vs.-0.12 [0.06–0.17],
p
= 0.031), while non-promoters reported the SSC goals were “Not Well Understood” (0.08 95% CI [0.03–0.12]-vs.-0.03 [0.01–0.05],
p
= 0.032). Suggestions for SSC improvement emphasized context-specific adaptability and earlier formal training.
Conclusions
Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers. |
| doi_str_mv | 10.1007/s00268-020-05518-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7390667</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2427393387</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5254-3e8bb62bc253978e71f4cd98ec810ab8da176f7bda92bd1739c4b3f3d4e1b9fe3</originalsourceid><addsrcrecordid>eNqNUctu1DAUtRAVnRZ-gAWKxIYFAb8SJywqlVFbQK2o1CKWlh83My6ZeLCTaYevx2lKoSwQK1_rPHSODkLPCX5DMBZvI8a0rHJMcY6LglT5zSM0I5zRnDLKHqMZZiVPN2G7aC_GK4yJKHH5BO0mGIui4DP046T1WrXZxRA2sM18k51DMLDune_i-O2XMIILZ0aWaqDfZvMlmG-ti312uPLdIjsDO8H9YKHr4-vsMijXAaRLdTY7UqFNKhUAQnYe_MZZCPEp2mlUG-HZ3buPvhwfXc4_5KefTz7OD09zU9CC5wwqrUuqDS1YLSoQpOHG1hWYimClK6tSq0Zoq2qqLRGsNlyzhlkORNcNsH10MPmuB70Ca1LCoFq5Dm6lwlZ65eRDpHNLufAbmaxwWYpk8OrOIPjvA8Rerlw00LaqAz9ESVlNecE5oYn68i_qlR9Cl-pJymkyZKwaDenEMsHHGKC5D0OwHKeV07QyTStvp5U3SfTizxr3kl9bJsK7iXDtWtj-h6X8-uni_THGhRjFbBLHpOsWEH4H_0emn2bzws4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2427393387</pqid></control><display><type>article</type><title>Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Panda, Nikhil ; Koritsanszky, Luca ; Delisle, Megan ; Anyomih, Theophilus T. K. ; Desai, Eesha V. ; Sonnay, Yves ; Molina, George ; Madani, Katayoun ; Vervoort, Dominique ; Weiser, Thomas G. ; Benjamin, Evan M. ; Haynes, Alex B.</creator><creatorcontrib>Panda, Nikhil ; Koritsanszky, Luca ; Delisle, Megan ; Anyomih, Theophilus T. K. ; Desai, Eesha V. ; Sonnay, Yves ; Molina, George ; Madani, Katayoun ; Vervoort, Dominique ; Weiser, Thomas G. ; Benjamin, Evan M. ; Haynes, Alex B.</creatorcontrib><description>Background
The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers.
Methods
From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non-clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non-clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement.
Results
Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03–3.19],
p
= 0.039). A greater proportion of promoters reported “Improved Operating Room Communication” as a goal of the SSC (0.21 95% CI [0.15–0.27]-vs.-0.12 [0.06–0.17],
p
= 0.031), while non-promoters reported the SSC goals were “Not Well Understood” (0.08 95% CI [0.03–0.12]-vs.-0.03 [0.01–0.05],
p
= 0.032). Suggestions for SSC improvement emphasized context-specific adaptability and earlier formal training.
Conclusions
Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-020-05518-x</identifier><identifier>PMID: 32307554</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adaptability ; Adult ; Cardiac Surgery ; Career Choice ; Careers ; Checklist ; Complications ; Exposure ; Female ; General Surgery ; Global health ; Humans ; Logistic Models ; Male ; Medical students ; Medicine ; Medicine & Public Health ; Original Scientific Report ; Patient Safety ; Perception ; Polls & surveys ; Promoters ; Regression analysis ; Safety ; Students ; Students, Medical ; Surgery ; Surgical Procedures, Operative - adverse effects ; Surgical Procedures, Operative - education ; Surveys and Questionnaires ; Thoracic Surgery ; Training ; Training level ; Vascular Surgery ; Young Adult</subject><ispartof>World journal of surgery, 2020-09, Vol.44 (9), p.2857-2868</ispartof><rights>Société Internationale de Chirurgie 2020. corrected publication 2020</rights><rights>2020 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2020. corrected publication 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5254-3e8bb62bc253978e71f4cd98ec810ab8da176f7bda92bd1739c4b3f3d4e1b9fe3</citedby><cites>FETCH-LOGICAL-c5254-3e8bb62bc253978e71f4cd98ec810ab8da176f7bda92bd1739c4b3f3d4e1b9fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-020-05518-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-020-05518-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32307554$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Panda, Nikhil</creatorcontrib><creatorcontrib>Koritsanszky, Luca</creatorcontrib><creatorcontrib>Delisle, Megan</creatorcontrib><creatorcontrib>Anyomih, Theophilus T. K.</creatorcontrib><creatorcontrib>Desai, Eesha V.</creatorcontrib><creatorcontrib>Sonnay, Yves</creatorcontrib><creatorcontrib>Molina, George</creatorcontrib><creatorcontrib>Madani, Katayoun</creatorcontrib><creatorcontrib>Vervoort, Dominique</creatorcontrib><creatorcontrib>Weiser, Thomas G.</creatorcontrib><creatorcontrib>Benjamin, Evan M.</creatorcontrib><creatorcontrib>Haynes, Alex B.</creatorcontrib><title>Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers.
Methods
From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non-clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non-clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement.
Results
Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03–3.19],
p
= 0.039). A greater proportion of promoters reported “Improved Operating Room Communication” as a goal of the SSC (0.21 95% CI [0.15–0.27]-vs.-0.12 [0.06–0.17],
p
= 0.031), while non-promoters reported the SSC goals were “Not Well Understood” (0.08 95% CI [0.03–0.12]-vs.-0.03 [0.01–0.05],
p
= 0.032). Suggestions for SSC improvement emphasized context-specific adaptability and earlier formal training.
Conclusions
Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers.</description><subject>Abdominal Surgery</subject><subject>Adaptability</subject><subject>Adult</subject><subject>Cardiac Surgery</subject><subject>Career Choice</subject><subject>Careers</subject><subject>Checklist</subject><subject>Complications</subject><subject>Exposure</subject><subject>Female</subject><subject>General Surgery</subject><subject>Global health</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical students</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Scientific Report</subject><subject>Patient Safety</subject><subject>Perception</subject><subject>Polls & surveys</subject><subject>Promoters</subject><subject>Regression analysis</subject><subject>Safety</subject><subject>Students</subject><subject>Students, Medical</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - adverse effects</subject><subject>Surgical Procedures, Operative - education</subject><subject>Surveys and Questionnaires</subject><subject>Thoracic Surgery</subject><subject>Training</subject><subject>Training level</subject><subject>Vascular Surgery</subject><subject>Young Adult</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNUctu1DAUtRAVnRZ-gAWKxIYFAb8SJywqlVFbQK2o1CKWlh83My6ZeLCTaYevx2lKoSwQK1_rPHSODkLPCX5DMBZvI8a0rHJMcY6LglT5zSM0I5zRnDLKHqMZZiVPN2G7aC_GK4yJKHH5BO0mGIui4DP046T1WrXZxRA2sM18k51DMLDune_i-O2XMIILZ0aWaqDfZvMlmG-ti312uPLdIjsDO8H9YKHr4-vsMijXAaRLdTY7UqFNKhUAQnYe_MZZCPEp2mlUG-HZ3buPvhwfXc4_5KefTz7OD09zU9CC5wwqrUuqDS1YLSoQpOHG1hWYimClK6tSq0Zoq2qqLRGsNlyzhlkORNcNsH10MPmuB70Ca1LCoFq5Dm6lwlZ65eRDpHNLufAbmaxwWYpk8OrOIPjvA8Rerlw00LaqAz9ESVlNecE5oYn68i_qlR9Cl-pJymkyZKwaDenEMsHHGKC5D0OwHKeV07QyTStvp5U3SfTizxr3kl9bJsK7iXDtWtj-h6X8-uni_THGhRjFbBLHpOsWEH4H_0emn2bzws4</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Panda, Nikhil</creator><creator>Koritsanszky, Luca</creator><creator>Delisle, Megan</creator><creator>Anyomih, Theophilus T. K.</creator><creator>Desai, Eesha V.</creator><creator>Sonnay, Yves</creator><creator>Molina, George</creator><creator>Madani, Katayoun</creator><creator>Vervoort, Dominique</creator><creator>Weiser, Thomas G.</creator><creator>Benjamin, Evan M.</creator><creator>Haynes, Alex B.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202009</creationdate><title>Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers</title><author>Panda, Nikhil ; Koritsanszky, Luca ; Delisle, Megan ; Anyomih, Theophilus T. K. ; Desai, Eesha V. ; Sonnay, Yves ; Molina, George ; Madani, Katayoun ; Vervoort, Dominique ; Weiser, Thomas G. ; Benjamin, Evan M. ; Haynes, Alex B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5254-3e8bb62bc253978e71f4cd98ec810ab8da176f7bda92bd1739c4b3f3d4e1b9fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Adaptability</topic><topic>Adult</topic><topic>Cardiac Surgery</topic><topic>Career Choice</topic><topic>Careers</topic><topic>Checklist</topic><topic>Complications</topic><topic>Exposure</topic><topic>Female</topic><topic>General Surgery</topic><topic>Global health</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical students</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Scientific Report</topic><topic>Patient Safety</topic><topic>Perception</topic><topic>Polls & surveys</topic><topic>Promoters</topic><topic>Regression analysis</topic><topic>Safety</topic><topic>Students</topic><topic>Students, Medical</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - adverse effects</topic><topic>Surgical Procedures, Operative - education</topic><topic>Surveys and Questionnaires</topic><topic>Thoracic Surgery</topic><topic>Training</topic><topic>Training level</topic><topic>Vascular Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Panda, Nikhil</creatorcontrib><creatorcontrib>Koritsanszky, Luca</creatorcontrib><creatorcontrib>Delisle, Megan</creatorcontrib><creatorcontrib>Anyomih, Theophilus T. K.</creatorcontrib><creatorcontrib>Desai, Eesha V.</creatorcontrib><creatorcontrib>Sonnay, Yves</creatorcontrib><creatorcontrib>Molina, George</creatorcontrib><creatorcontrib>Madani, Katayoun</creatorcontrib><creatorcontrib>Vervoort, Dominique</creatorcontrib><creatorcontrib>Weiser, Thomas G.</creatorcontrib><creatorcontrib>Benjamin, Evan M.</creatorcontrib><creatorcontrib>Haynes, Alex B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Panda, Nikhil</au><au>Koritsanszky, Luca</au><au>Delisle, Megan</au><au>Anyomih, Theophilus T. K.</au><au>Desai, Eesha V.</au><au>Sonnay, Yves</au><au>Molina, George</au><au>Madani, Katayoun</au><au>Vervoort, Dominique</au><au>Weiser, Thomas G.</au><au>Benjamin, Evan M.</au><au>Haynes, Alex B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2020-09</date><risdate>2020</risdate><volume>44</volume><issue>9</issue><spage>2857</spage><epage>2868</epage><pages>2857-2868</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
The Surgical Safety Checklist (SSC) has been shown to reduce perioperative complications across global health systems. We sought to assess perceptions of the SSC and suggestions for its improvement among medical students, trainees, and early career providers.
Methods
From July to September 2019, a survey assessing perceptions of the SSC was disseminated through InciSioN, the International Student Surgical Network comprising medical students, trainees, and early career providers pursuing surgery. Individuals with ≥2 years of independent practice after training were excluded. Respondents were categorized according to any clinical versus solely non-clinical SSC exposure. Logistic regression was used to evaluate associations between clinical/non-clinical exposure and promoting future use of the SSC, adjusting for potential confounders/mediators: training level, human development index, and first perceptions of the SSC. Thematic analysis was conducted on suggestions for SSC improvement.
Results
Respondent participation rate was 24%. Three hundred and eighteen respondents were included in final analyses; 215 (67%) reported clinical exposure and 190 (60%) were promoters of future SSC use. Clinical exposure was associated with greater odds of promoting future SSC use (aOR 1.81 95% CI [1.03–3.19],
p
= 0.039). A greater proportion of promoters reported “Improved Operating Room Communication” as a goal of the SSC (0.21 95% CI [0.15–0.27]-vs.-0.12 [0.06–0.17],
p
= 0.031), while non-promoters reported the SSC goals were “Not Well Understood” (0.08 95% CI [0.03–0.12]-vs.-0.03 [0.01–0.05],
p
= 0.032). Suggestions for SSC improvement emphasized context-specific adaptability and earlier formal training.
Conclusions
Clinical exposure to the SSC was associated with promoting its future use. Earlier formal clinical training may improve perceptions and future use among medical students, trainees, and early career providers.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32307554</pmid><doi>10.1007/s00268-020-05518-x</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | World journal of surgery, 2020-09, Vol.44 (9), p.2857-2868 |
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| source | Wiley-Blackwell Journals; MEDLINE; SpringerLink (Online service) |
| subjects | Abdominal Surgery Adaptability Adult Cardiac Surgery Career Choice Careers Checklist Complications Exposure Female General Surgery Global health Humans Logistic Models Male Medical students Medicine Medicine & Public Health Original Scientific Report Patient Safety Perception Polls & surveys Promoters Regression analysis Safety Students Students, Medical Surgery Surgical Procedures, Operative - adverse effects Surgical Procedures, Operative - education Surveys and Questionnaires Thoracic Surgery Training Training level Vascular Surgery Young Adult |
| title | Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers |
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