Table 1.

Facilitators and barriers to the implementation of endoscopy safety checklist.

Facilitators

Barriers

✔Concise and specific safety checklist ✔Rising awareness among the entire team regarding quality control and safety in endoscopy ✔Senior physician/professor leadership ✔Endoscopic procedures performed during the first part of the working day ✔Daily nomination of a team member responsible for checklist ✔The young age of the person nominated to be responsible for the checklist ✔Minimize distractions in the endoscopy room ✔Immediate targeted feedback ✔Constant checklist reassessment and fast adjustments in the daily practice

✔Irrelevant safety checklist items ✔The additional time required to complete the checklist ✔Fear that additional time spent per procedure will lead to less funding ✔Deficient patient safety culture ✔Team resistance to change ✔Loss of physician autonomy ✔Lack of leadership ✔Lack of a designated member responsible for the checklist ✔Fear of accentuating patient anxiety