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Table 3 Categorisation, and examples, of open-ended questions regarding additional barriers to the use of the checklist

From: Surgical checklists: the human factor

Category

Total number of comments assigned to category

Example

Method of implementation

13

• Too much paper and signatures. Lack of use of x-rays and pathology.

Lack of teamwork

9

• Need for complete staff involvement. Staff frequently do not pay attention or demand silence and attention of all staff.

Timing

6

• Checklist frequently carried out when anaesthetists are busy with airway etc.

Lack of education

5

• Lack of education regarding benefits.

Lack of senior support

4

• Intimidation by senior staff.

Lack of redundancy

3

• Lack of repeating checklist after patient is positioned.

Too much redundancy

2

• Too much repetition.