A systematic review of surgical safety checklist studies in the Russian Federation

Objective. A systematic review of studies on development, implementation and application of surgical safety checklists, as well as attitudes of healthcare workers towards ensuring safety using these checklists in the Russian Federation. Material and methods. The review included publications describing development and/or implementation and/or results of surgical safety checklists and/or attitude of healthcare workers towards surgical safety in the Russian Federation. We reviewed the PubMed, Google Scholar, eLibrary.Ru, CyberLeninka, Yandex (https://ya.ru/) and Google (https://www.google.ru/) platforms using the terms and phrases (in Russian and English) «surgical safety checklist» and «safe surgery checklist». No formal assessment of study quality was conducted. Results. This review indicates local use of surgical safety checklists in several Russian healthcare facilities. In some cases, lower complication rates and better process organization were reported. However, available data are limited in scope, not representative and characterized by low methodological quality (no control groups, standardized assessment criteria and long-term monitoring). Key barriers to checklist implementation include insufficient staff training and resistance from certain healthcare professionals. Successful integration requires educational initiatives and leadership support. Conclusion. Available data in Russia are limited and do not allow for general conclusions about effectiveness of checklists. This determines the need for further research with higher evidence level.