Enhanced surgical safety checklist implementation to improve safety culture among surgical and anesthesiology residents in a Romanian tertiary hospital

ISRCTN	ISRCTN88241350
DOI	https://doi.org/10.1186/ISRCTN88241350
Sponsor	Ovidius University
Funder	Investigator initiated and funded

Submission date: 24/02/2026
Registration date: 26/02/2026
Last edited: 26/02/2026

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Other

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Viorel Gherghina
Scientific, Principal investigator, Public

Tomis 147 Bl A3 Sc C Ap 46
Constanta
900502
Romania

ORCID ID	0000-0002-8695-6104
Phone	+40 745222615
Email	viorel.gherghina@365365univ-ovidius.ro

Ms Iuliana Cîndea
Scientific

Faculty of Medicine, Ovidius University of Constanta
Constanta
900502
Romania

Email	iulia.cindea@365univ-ovidius.ro

Study information

Primary study design	Interventional
Allocation	Non-randomized controlled trial
Masking	Open (masking not used)
Control	Uncontrolled
Assignment	Single
Purpose	Health services research, This study aims to assess the impact of an enhanced Surgical Safety Checklist educational program on safety culture perceptions among surgical and anesthesiology residents.
Scientific title	Enhanced surgical safety checklist implementation improves safety culture among surgical and anesthesiology residents: a prospective interventional study in a resource-limited tertiary hospital
Study objectives	Primary objective To determine whether an enhanced Surgical Safety Checklist implementation strategy improves safety culture perceptions (teamwork climate and safety climate SAQ domains) among surgical and anesthesiology residents after six months Secondary objectives 1. To assess Surgical Safety Checklist compliance rates following enhanced implementation 2. To identify predictors of improvement in safety culture perceptions among residents
Ethics approval(s)	Approved 15/06/2024, Ethics Committee of the Emergency Clinical Hospital of Constanta (Bulevardul Tomis 145, Constanța, 900591, Romania; +40 241 503 245; spitaljudetean_cta@gmail.com), ref: 113/2024
Health condition(s) or problem(s) studied	Patient safety culture in surgical care
Intervention	Implementation of an enhanced Surgical Safety Checklist program including: Interactive SSC training session (2-hour structured education with simulation scenarios). Structured postoperative feedback forms completed by residents after procedures. Biweekly interdisciplinary mentorship sessions with senior surgeons and anesthesiologists. Duration of intervention: 6 months.
Intervention type	Behavioural
Primary outcome measure(s)	Safety culture perceptions measured using Safety Attitudes Questionnaire (SAQ) teamwork climate and safety climate domain scores at Baseline (pre-intervention) and 6 months after implementation.
Key secondary outcome measure(s)
Completion date	31/12/2024

Eligibility

Participant type(s)
Age group	Adult
Lower age limit	24 Years
Upper age limit	40 Years
Sex	All
Target sample size at registration	45
Total final enrolment	45
Key inclusion criteria	Surgical and anesthesiology-intensive care residents rotating in the operating theatre of a tertiary emergency hospital during the study period and providing written informed consent.
Key exclusion criteria	Prior formal Surgical Safety Checklist training or fewer than 10 operating theatre shifts during the study period.
Date of first enrolment	01/07/2024
Date of final enrolment	31/07/2024

Locations

Countries of recruitment

Romania

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not expected to be made available
IPD sharing plan

Editorial Notes

25/02/2026: Trial's existence confirmed by Emergency Clinical Hospital of Constanta.