Faculty Opinions recommendation of The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

Author(s):  
Mitchell Tsai ◽  
Weili Gray
2010 ◽  
Vol 25 (6) ◽  
pp. 457-461 ◽  
Author(s):  
Brian T. Carney ◽  
Priscilla West ◽  
Julia Neily ◽  
Peter D. Mills ◽  
James P. Bagian

Author(s):  
Steven C. Mallam ◽  
Jørgen Ernstsen ◽  
Salman Nazir

Working at sea places individuals in an inherently dangerous environment for extended periods, exposing them to unique risks not found in land-based industries. Safety-critical socio-technical systems demand an inherent organizational safety culture for reliable and safe operations. Safety climate acts as a mediating factor between the broader organizational climate and safety behavior of individuals and teams. This paper investigates safety climate of individuals working at sea. Two hundred persons (47.3 yrs ±12.9; 175 males, 25 females) working as seafarers ( n=132) and onboard service staff ( n=68) with Norwegian maritime companies completed an online safety climate questionnaire. Results indicate that maritime workers generally have lower perceptions of safety within their organizations in comparison to other industries. Furthermore, certified seafarers have lower perceptions of safety then onboard service staff, who have lower restrictions to working at sea, and generally less maritime safety education and training.


2019 ◽  
Vol 26 (6) ◽  
pp. 3-11 ◽  
Author(s):  
Luz S. Marin ◽  
Francisca O. Muñoz-Osuna ◽  
Karla Lizbeth Arvayo-Mata ◽  
Clara Rosalía Álvarez-Chávez

2021 ◽  
Vol 133 ◽  
pp. 105024
Author(s):  
Aurora B. Le ◽  
Su-Wei Wong ◽  
Hsien-Chang Lin ◽  
Todd D. Smith

2010 ◽  
Vol 18 (1) ◽  
pp. 135-142 ◽  
Author(s):  
Carl de Wet ◽  
Paul Johnson ◽  
Robert Mash ◽  
Alex McConnachie ◽  
Paul Bowie

2019 ◽  
Author(s):  
Alexander D Hilt ◽  
Ad A Kaptein ◽  
Martin J Schalij ◽  
Jan van Schaik

BACKGROUND Improving teamwork in surgery is a complex goal and difficult to achieve. Human factors questionnaires, such as the Safety Attitudes Questionnaire (SAQ), can help us understand medical teamwork and may assist in achieving this goal. OBJECTIVE This paper aimed to assess local team and safety culture in a cardiovascular surgery setting to understand how purposeful teamwork improvements can be reached. METHODS Two cardiovascular surgical teams performing complex aortic treatments were assessed: an endovascular-treatment team (ETT) and an open-treatment team (OTT). Both teams answered an online version of the SAQ Dutch Edition (SAQ-NL) consisting of 30 questions related to six different domains of safety: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions. In addition, one open-ended question was posed to gain more insight into the completed questionnaires. RESULTS The SAQ-NL was completed by all 23 ETT members and all 13 OTT members. Team composition was comparable for both teams: 57% and 62% males, respectively, and 48% and 54% physicians, respectively. All participants worked for 10 years or more in health care. SAQ-NL mean scores were comparable between both teams, with important differences found between the physicians and nonphysicians of the ETT. Nonphysicians were less positive about the safety climate, job satisfaction, and working climate domains than were the physicians (<i>P</i>&lt;.05). Additional education on performed procedures, more conjoined team training, as well as a hybrid operating room were suggested by participants as important areas of improvement. CONCLUSIONS Nonphysicians of a local team performing complex endovascular aortic aneurysm surgery perceived safety climate, job satisfaction, and working conditions less positively than did physicians from the same team. Open-ended questions suggested that this is related to a lack of adequate conjoined training, lack of adequate education, and lack of an adequate operating room. With added open-ended questions, the SAQ-NL appears to be an assessment tool that allows for developing strategies that are instrumental in improving quality of care.


10.14444/6057 ◽  
2019 ◽  
Vol 13 (5) ◽  
pp. 423-428
Author(s):  
HAROLD I. SALMONS ◽  
MAYAN LENDNER ◽  
SRIKANTH N. DIVI ◽  
MYLES DWORKIN ◽  
JAMES MCKENZIE ◽  
...  

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