Attitudes to Surgical Checklist Questionnaire


Author of Tool: 

O’Connor, Reddin, O’Sullivan, O’Duffy, & Keogh

Key references: 

O’ Connor, P., Reddin, C., O’Sullivan, M., O’Duffy, F. & Keogh, I. (2013). Surgical checklists: the human factor. Patient Safety in Surgery, 7,14. Open access article available for download from:

Primary use / Purpose: 

To assess attitudes towards the use of surgical checklists by operating theatre personnel


Surgical checklists have been shown to be effective in reducing mortality rates and improving teamworking when applied in operating theatres.However, despite the benefits of checklist for patient safety, in some cases the practical implementation of the checklist has been found to be less than universal, and to decay over time.Based upon 14 semi-structured interviews, the 27-item questionnaire attitudes to surgical checklist questionnaire was developed. The questionnaire consisted of five subscales: attitudes towards hospital norms on the use of the checklist (five items), the impact of the checklist on safety and teamwork (five items), support of the checklist from specific groups (six items), intent to initiate the checklist (2 items), and barriers to the use of the checklist (five items). Also included were: an item asking whether there was a difference between the surgical checklist used at the hospital and the WHO surgical checklist, an open ended question allowing the respondent to identify additional barriers to the use of the checklist, and two demographic questions. 


The Cronbach’s alphas for each subscale were: norms (0.70), impact on teamwork and safety (0.84), support (0.73), initiate (0.87), and barriers (0.56).



PDF iconmidss.pdf

Digital Object Identifier (DOI):


Welcome to the Measurement Instrument Database for the Social Sciences (MIDSS). The site is designed to be a repository for instruments that are used to collect data from across the social sciences. Please use the site to discover instruments you can use in you own research.