Table 1

Enablers and barriers to checklist uptake

  • Support from ‘external’ respected sources (eg, BSG Endoscopy lead)

  • Support from other departments familiar with checklist (eg, anaesthetics, surgery and management)

  • Endorsement from trust medical director

  • Strong leadership from within the endoscopy team; core team members leading by example

  • Followership encouraged: following by example (eg, by more junior staff or new team members)

  • Lack of evidence from within endoscopy (currently being addressed by ongoing work)

  • Professional hierarchy

  • ‘Tick-box’ exercise

  • Partial uptake and suboptimal practice tolerated

  • Cumbersome repetitive processes with duplicate forms

  • Lack of team engagement and feedback on successes, failures and modifications