• Allison M Muniak, D Douglas Cochrane, Marlies van Dijk, Andy Hamilton, Stephan K W Schwarz, J Patrick O'Connor, and Ramesh L Sahjpaul.
• Human Factors Specialist with Vancouver Coastal Health and the B.C. Patient Safety and Quality Council.
• Healthc Q. 2014 Jan 1;17(4):7-9.

AbstractIf you were to have an operation tomorrow, would you want your surgical team members to feel comfortable speaking up, to defy hierarchy, to interact with each other just as well as they perform technical aspects of the procedure? Would you want to feel like part of the team? Your answers to these admittedly leading questions are based on the culture of the surgical team and the interdependence of team members and are at the heart of a current debate around the surgical checklist's effectiveness. In British Columbia (BC), many individuals responded to the paper by Urbach et al. (2014) that described the minimal impact on patient mortality after implementation of the surgical safety checklist in Ontario. They wrote to the Surgical Quality Action Network (SQAN) to express their perspectives, and interestingly, some refuted and others supported the conclusions. Given the strong reaction this study created in the surgical community, a number of key stakeholders have prepared a response in order to provide another perspective to the article and emphasize the checklist's value for improving the culture of surgical teams.

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