scholarly journals Good practices for patient safety in the operating room: nurses' recommendations

2018 ◽  
Vol 71 (suppl 6) ◽  
pp. 2775-2782 ◽  
Author(s):  
Larissa de Siqueira Gutierres ◽  
José Luís Guedes dos Santos ◽  
Caroline Cechinel Peiter ◽  
Fernando Henrique Antunes Menegon ◽  
Luciara Fabiane Sebold ◽  
...  
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Interpersonal Communication ◽  
Online Survey ◽  
Management Strategies ◽  
Patient Safety Culture ◽  
Exploratory Research ◽  
Multiprofessional Team ◽  
Operating Room Nurses ◽  
Quantitative Descriptive

ABSTRACT Objective: To describe nurses' recommendations for good patient safety practices in the operating room. Method: Quantitative, descriptive and exploratory research developed from an online survey of 220 operating room nurses from different regions of Brazil. The data processing for textual analysis was performed by the software IRAMUTEQ. Results: There were eight recommendations: (1) Involvement of the multiprofessional team and the managers of the institution; (2) Establishment of a patient safety culture; (3) Use of the safe surgery checklist; (4) Improvement of interpersonal communication; (5) Expansion of nurses' performance; (6) Adequate availability of physical, material and human resources; (7) Individual search for professional updating; and (8) Development of continuing education actions. Conclusion: These recommendations can be used as care management strategies by nurses for patient safety in the operating room.

scholarly journals Safety culture in the context of operating room: Nurses' perception regarding notification of errors/adverse events

2018 ◽  
Vol 9 (3) ◽  
pp. 40
Author(s):  
Teresa Vinagre ◽  
Rita Marques
Keyword(s):  
Patient Safety ◽  
Pilot Study ◽  
Adverse Events ◽  
Operating Room ◽  
Safety Culture ◽  
Continuous Training ◽  
Operating Room Nurses ◽  
Quantitative Descriptive ◽  
Probabilistic Sample

The notification of errors/adverse events is one of the central aspects for the quality of care and patient safety. The purpose of this pilot study is to analyse the safety culture of the operating room in relation to the errors/adverse events and their notification, in the nurses’ perception. It is a quantitative, descriptive-exploratory pilot study. A survey “Nurses’ Perception regarding Notification of Errors/Adverse Events” was applied, consisting of 8 closed questions to an intentional non-probabilistic sample consisting of 43 nurses working in the operating room of a private hospital in Lisbon. The results showed that only 51.2% of the adverse events that caused damage to patients were always notified by the nurses. Of the various adverse events occurred, 60.5% were not reported, justified by “lack of time”. There was also a negative correlation between professional experience and the frequency of error notification (p < .05). The factors referred as those that contributed most to the occurrence of errors were, pressure to work quickly (100.0%), lack of human resources (86.0%), demotivation (86.0%), professional inexperience and hourly overload (83.7%), lack of knowledge (74.4%) and communication failures (65.1%). The perception of Patient Safety was assessed by the majority of participants as “acceptable”. In conclusion, it was evident the reduced notification of adverse events in the operation room so it becomes crucial to focus on the continuous training of health professionals, as well as work on the error, to increase a safety culture with quality.

scholarly journals Development of the Austrian version of the Hospital Survey on Patient Safety Culture

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
ŠD Draganović ◽  
G O Offermanns
Keyword(s):  
Patient Safety ◽  
Factor Structure ◽  
Safety Culture ◽  
Health Professionals ◽  
Online Survey ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Added Value ◽  
Fit Indices ◽  
New Instrument

Abstract Background Patient safety culture in hospitals (PSC), as well as its measurement and development, have received plenty of attention in Europe in recent years. Several instruments have been developed for its measurement in European countries. As Austria does not have empirically reviewed questionnaires to measure PSC jet, the research question of this study was: Is the globally admitted American questionnaire “Hospital Survey on Patient Safety Culture (HSOPSC)” (Sorra & Nieva, 2004) suitable for the healthcare system in Austria? Methods The HSOPSC contains 42 questions, which constituted twelve factors altogether. The pre-test was done with 101 health professionals. The online survey was conducted in ten public hospitals in 2017. Overall 1525 health professionals participated, which corresponded to a response rate of 23%. A new instrument, namely “Hospital Survey on Patient Safety Culture in Austria (HSPSC-AUT)”, was developed using the Exploratory Factor Analysis (EFA) and the Confirmatory Analysis (CFA). Results The factor structure of HSOPSC was not identical to the factor structure of HSPSC-AUT, developed in our study. The study showcased a new tool, HSPSC-AUT, with 30 items altogether, consisting of seven departmental factors, two hospital factors and one outcome factor. This new tool (HSPSC-AUT) showed pleasant results on the model, indicator, and construct level. The results of CFA for HSPSC-AUT (χ2 [360] = 1408.245, p = 0.0001) showed a better model compared to HSOPSC. The absolute and relative fit-indices showed excellent model adjustment (RMSEA = 0.049, SRMR = 0.041, GFI = 0.927, CFI = 0.941, TLI = 0.929). Conclusions The study presents a new instrument, HSPSC-AUT, for the measurement of PSC. According to the results, HSPSC-AUT (10-factor structure) has a better model fit than the original HSOPSC. This was confirmed by chi-square test, absolute and relative fit-indices, informational criteria, reliability, and construct validity. Key messages The development of an instrument for measuring safety culture is the first step leading to a better PSC. For this reason, HSPSC-AUT is recommended as an instrument to measure the PSC in Austria. Finally, it can be said that the development of a new questionnaire as well as the related measurements of validity and reliability have added value to science and practice.

scholarly journals GAMBARAN BUDAYA KESELAMATAN PROFESIONAL PEMBERI ASUHAN DI KAMAR OPERASI

2019 ◽  
Vol 3 (2) ◽  
pp. 139
Author(s):  
Hamzah Hamzah ◽  
Susmiati Susmiati ◽  
Emil Huriani
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Team Work ◽  
Average Score ◽  
Attitude Questionnaire ◽  
Safety Attitude Questionnaire ◽  
Safety Attitude

Budaya keselamatan pasien di rumah sakit di Kota Jambi masih belum cukup baik seperti yang dapat dilihat dari jumlah insiden keselamatan pasien yang dilaporkan dari tim KPRS. Penelitian bertujuan untuk melihat gambaran budaya keselamatan profesional pemberi asuhan (PPA) di kamar operasi rumah sakit umumKota Jambi. Desain Penelitian kuantitatif deskriptif. Alat pengumpulan data menggunakan safety attitude questionnaire yang diadaptasi dalam bahasa Indonesia. Analisa data secara univariat dengan jumlah sampel 126 orang yang terdiri dari dokter spesialis, perawat bedah, penata anestesi, dan apoteker. Total skor budaya keselamatan (71,08), skor rata-rata iklim kerja tim (75,54), iklim keselamatan (74,83), kepuasan kerja (83,81), pengakuan stres (42,50), persepsi manajemen (69,56), dan kondisi kerja (64,28). Penelitian ini merekomendasikan perlu mengembangkan kebijakan terhadap upaya evaluasi penerapan budaya keselamatan pasien di rumah sakit, begitu juga evaluasi terhadap semua standar prosedur operasional ditinjau dari pertimbangan budaya keselamatan serta faktor yang mempengaruhinya. Kata kunci: Persepsi profesional pemberi asuhan, kamar operasi, budaya keselamatan pasien Abstract Professional safety culture description in operating rooms. The culture of patient safety in hospitals in Jambi City is still not good enough as can be seen from the number of patient safety incidents reported from the KPRS team. The aim of this study was to look at a picture of the culture of professional safety of care givers (PPA) in the operating room of the Jambi City General Hospital. Descriptive quantitative research design. The data collection tool uses a safety attitude questionnaire that was adapted in Indonesian. Univariate data analysis with a sample of 126 people consisting of specialist doctors, surgical nurses, anesthetists, and pharmacists. Total safety culture score (71.08), average score of team work climate (75.54), safety climate (74.83), job satisfaction (83.81), stres recognition (42.50), management perception ( 69.56), and working conditions (64.28). This study recommends that it is necessary to develop policies for evaluating the application of patient safety culture in hospitals, as well as evaluating all standard operating procedures in terms of safety culture considerations and the factors that influence them. Keywords: professional perceptions of caregiver, operating room, patient safety culture

Operating Room Nurses' Experiences of Securing for Patient Safety

2015 ◽  
Vol 45 (5) ◽  
pp. 761 ◽  
Author(s):  
Kwang-Ok Park ◽  
Jong Kyung Kim ◽  
Myoung-Sook Kim
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Operating Room Nurses
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