Overview of the Implementation of the Surgical Safety Checklist Among Anesthesia Practitioners in Indonesia

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Published Apr 21, 2026
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Statistic
Vol. 1 No. 1 (2026): January-April

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Arif Ramadan
Anasthesiology Diploma, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia
Ni luh Putu Inca Buntari Agustini
Master of Nursing, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia
Ni Luh Putu Lusiana Devi
Anasthesiology Diploma, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia

Abstract

Background: The Surgical Safety Checklist (SSC) is an essential tool to improve patient safety and reduce surgical complications. This study aimed to provide an overview of the implementation of the Surgical Safety Checklist among anesthesia practitioners in Indonesia.


Methods: This study employed a descriptive quantitative design with a cross-sectional approach. A total of 369 anesthesia practitioners were selected using a cluster sampling technique. Data were collected using a structured questionnaire consisting of 30 items covering three phases of SSC implementation: sign-in, time-out, and sign-out. Data were analyzed using univariate analysis and presented as frequency distributions and percentages.


Result: The results showed that the majority of respondents were male (54%), aged ≤30 years (52%), had a Diploma IV level of education (59%), and had participated in patient safety training (70%). The implementation of SSC was categorized as good in the sign-in phase (71%), followed by the sign-out phase (60%) and the time-out phase (55%), which had the lowest compliance level.   


Conclusion: In conclusion, the implementation of the Surgical Safety Checklist among anesthesia practitioners in Indonesia is generally good but not yet optimal, particularly in the time-out and sign-out phases. Continuous training, supervision, and institutional support are recommended to improve consistency and completeness in SSC implementation, thereby enhancing patient safety and reducing the risk of surgical complications.


 

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