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CTRI Number  CTRI/2025/01/079637 [Registered on: 28/01/2025] Trial Registered Prospectively
Last Modified On: 27/01/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Qualitive 
Study Design  Other 
Public Title of Study   Surgical Safety Checklist - Practices, Barriers and Facilitators: A Qualitative analysis 
Scientific Title of Study   Examining the views of Surgeons and hospital staff on using the Surgical Checklist 
Trial Acronym  ELEPHANT 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Lovenish Bains 
Designation  Professor 
Affiliation  Maulana Azad Medical College 
Address  Dept of Surgery, Maulana Azad Medical College, New Delhi

New Delhi
DELHI
110002
India 
Phone  9910777700  
Fax    
Email  lovenishbains@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Lovenish Bains 
Designation  Professor 
Affiliation  Maulana Azad Medical College 
Address  Dept of Surgery, Maulana Azad Medical College, New Delhi


DELHI
110002
India 
Phone  9910777700  
Fax    
Email  lovenishbains@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Lovenish Bains 
Designation  Professor 
Affiliation  Maulana Azad Medical College 
Address  Dept of Surgery, Maulana Azad Medical College, New Delhi


DELHI
110002
India 
Phone  9910777700  
Fax    
Email  lovenishbains@gmail.com  
 
Source of Monetary or Material Support  
Maulana Azad Medical College, 2 BSZ Marg, New Delhi-110002 India 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [Investigator Initiated] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Lovenish Bains  Maulana Azad Medical College  Department of Surgery, Bahadur Shah Zafar Marg, New Delhi
New Delhi
DELHI 
9910777700

lovenishbains@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE MAMC MAULANA AZAD MEDICAL COLLEGE 3rd FLOOR ROOM NO 306A BAHADUR SHAH ZAFAR MARG DELHI New Delhi Delhi-110002  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  No Health condition- Only interviews of surgeons, nurses, anesthetist about Surgical Safety Checklist 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Participants-Surgeon, Nurse, Anesthetist
2. At least 3 years of experience
3. Working in Govt/private/Rural hospitals 
 
ExclusionCriteria 
Details  Medical and Nursing Students under training
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Practices and perceptions of the surgical team on utilisation of the WHO surgical safety checklist
2. Key barriers and facilitators for Surgical Safety Checklist its successful implementation 
3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Key barriers & facilitators for Surgical Safety Checklist its successful implementation  6 months 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Surgical Safety Checklist (SSCL) is one measure whose use has shown reduction in postoperative morbidity and mortality and improved team communication. Despite implementation in many hospitals throughout the country, there is still lack of awareness and concern in many health care facilities towards SSCL and its use.  This research explores the implementation of the WHO Surgical Safety Checklist by examining the views of surgeons, nurses and anaesthetists.  Through qualitative analysis, we aim to identify key practices, barriers, and facilitators associated with the checklist’s use. The findings will provide insights into the practical challenges and enablers of checklist implementation, offering valuable information for improving safety protocols in surgical settings. The findings will inform strategies to optimize the adoption and effectiveness of safety checklists in surgical environments.

 
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