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Table 1 Implementation phases

From: Implementation of the WHO “Safe Surgery Saves Lives” checklist in a podiatric surgery unit in Spain: a single-center retrospective observational study

Phases

Process

1. Need for implementation and creation of a working group

- Identification of the problem and precision of the verification checklist as a solution

- Creation of a team that will develop the implementation.

2. Definition of purpose of the checklist and the bibliographic review

- Identification of the people to whom the checklist is performed and the type of activity to which this tool is aim to be related to.

3. Analysis of the situation

- Observation of the context where the implementation will be developed.

-Evaluation of the strengths and weaknesses.

4. Elaboration of an activity checklist

- Creation of a sequential list of the actions that are being performed and on which interventions are required.

5. Design of the verification checklist

- Creation of a preliminary format with the help of an activity list.

6. Revision of the checklist

- Periodic review of the checklist with members of the team and participants of the implementation.

7. Proof of the functionality of the verification checklist

- A small-scale evaluation of the checklist.

- Training for professionals.

- Analyses of the experience through the direct observation or questionnaires

8. Approval of the checklist

- Performs of the necessary modifications.

9. Training for professionals

- Training through workshops, talks, live simulations.

10. Regular re-assessment of the checklist

- Analyses of changes on the context of functioning

- Performs of readjustments according to the changes in the situation.

  1. The process of implementation lasts 10 months and it has 10 different phases