Perceptions of Patient Safety Culture among Operating Room Staff in Iran: A Questionnaire-Based Study

Document Type : Original Article

Authors

1 Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.

2 Department of Operating Room, Alborz University of Medical Sciences, Karaj, Iran.

3 BSC Student of Surgical Technology, Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.

Abstract

Introduction:
This study aimed to assess the operating room (OR) staff’s perception of patient safety culture in a dynamic and demanding setting where reducing human errors is critical.
Materials and Methods:
This cross-sectional, descriptive study was conducted between June and October 2022, employed a census sampling method involving surgical technologists and anesthesia technicians. Data collection instruments included the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire and demographic information. Data analysis was performed using SPSS version 22.
Results:
The findings revealed a moderate level of patient safety culture, with 85.4% of respondents reporting no errors in the past year. Supervisor/manager expectations and actions received the highest mean score, while non-punitive response to errors scored the lowest. The overall patient safety culture was determined to be at a moderate level, with an average score of 116.26 ± 12.98.
Conclusion:
This study highlights the crucial need for strategic management interventions to improve patient safety culture, particularly in operating rooms. Health policymakers and nursing managers must prioritize implementing standardized and updated checklists for every surgical procedure, promoting a culture of transparency and accountability. By fostering cooperation, empathy, and a non-punitive response to errors, significant improvements in patient safety can be achieved. Recognizing and addressing these needs is essential for health policymakers and nursing managers to ensure safer operating environments and enhance overall healthcare quality.

Keywords

Main Subjects

References

  1. Rothrock JC. Alexander's care of the patient in Surgery-E-Book. Elsevier Health Sciences; 2022.
  2. Brien BO, Andrews T, Savage E. Nurses keeping patients safe by managing risk in perioperative settings: A classic grounded theory study. Journal of nursing management. 2019; 277:1454-61.
  3. Falcone RA, Simmons J, Carver AM, Mullett B, Kotagal M, Lin E, et al. Perioperative safety: engage, integrate, empower, sustain to eliminate patient safety events. PQS. 2021; 66.
  4. Crissy B, Spruce L, Groah L. PERIOPERATIVE NURSING: Scope and Standards of Practice. AORN Inc. 2021.
  5. Carvalho PA, Göttems LBD, Pires MRGM, Oliveira MLCd. Safety culture in the operating room of a public hospital in the perception of healthcare professionals. Revista latino-americana de enfermagem. 2015; 23:1041-8.
  6. Bates DW, Levine DM, Salmasian H, Syrowatka A, Shahian DM, Lipsitz S, et al. The safety of inpatient health care. NEJM. 2023; 3882:142-53.
  7. Lee SE, Hyunjie L, Sang S. Nurse managers’ leadership, patient safety, and quality of care: a systematic review. WJNR. 2023; 45(2):176-85.
  8. Alanazi NH, Alshamlani Y, Baker OG. The association between nurse managers’ transformational leadership and quality of patient care: A systematic review. INR. 2023; 70(2):175-84.
  9. Ystaas LM, Nikitara M, Ghobrial S, Latzourakis E, Polychronis G, Constantinou CS. The impact of transformational leadership in the nursing work environment and patients’ outcomes: a systematic review. Nursing Reports. 2023; 13(3):1271-90.
  10. Kent PS. Culture of safety. In. Sanchez JA, Higgins RSD, Kent PS. Handbook of Perioperative and Procedural Patient Safety. New York: Elsevier; 2024; 39-49.
  11. Pimentel MPT, Choi S, Fiumara K, Kachalia A, Urman RD. Safety culture in the operating room: variability among perioperative healthcare workers. Journal of patient safety. 2021; 176:412-6.
  12. Agnew Ç, Flin R. Safety Culture in Practice: Assessment, Evaluation, and Feedback. 2nd ed. London: CRC Press; 2018; 110:235-56.
  13. Javad M, Amin G, Mahbobe M, Forooshani R, Abas A, Mohammad A. Validation of Farsi version of hospital survey on patient Safety culture questionnaire, using confirmatory factor analysis method. Hosp J. 2012; 112:19-30. (in persian).
  14. Memarbashi E, Zadi Akhuleh O, Imani F, Nasiri E. Evaluation of the patient safety culture status and its related factors from the perspective of operating room personnel. JCCNC. 2020; 61:23-30.
  15. Norouzinia R, Agha Barary M, Mirzaei S, Rahimi F, Nouri Khaneghah Z. Evaluation the Status of Patient Safety Culture from the Perspective of Healthcare Personnel of Teaching Hospitals Affiliated to Alborz University of Medical Sciences. Journal of Health Based Research. 2018; 42:123-34. (in persian).
  16. Rahmani V, Arjmand A, Arabsorkhi M, Nikbakht D, Hamzepour F, Aghazadeh N. Investigating the relationship between patient safety culture and self-efficacy of operating room: A cross-sectional study on 228 perioperative nurses in Iran. Perioperative Care and Operating Room Management. 2023; 33:100343.
  17. Abreu IMd, Rocha RC, Avelino FVSD, Guimarães DBO, Nogueira LT, Madeira MZdA. Patient safety culture at a surgical center: the nursing perception. Revista Gaúcha de Enfermagem. 2019; 40.
  18. YAVUZ M, Çilingir D, Bulut E, Gürsoy A, AYDIN A, CANDAŞ B. Patient Safety Culture Perception Among Surgical Nurses. JERN. 2023; 202.
  19. Nwosu AD, Ossai E, Ahaotu F, Onwuasoigwe O, Amucheazi A, Akhideno I. Patient safety culture in the operating room: a cross-sectional study using the Hospital Survey on Patient Safety Culture (HSOPSC) Instrument. BMC Health Serv. Res. 2022; 221:1-3.
  20. Mirzaei S, Eftekhari A, Ghazanfari F, Kazeminasab M, Norouzinia R. The Patient Safety Culture from the Viewpoint of Staffs Working in the Selected Hospital of Yazd University of Medical Sciences in 2018. Occupational Hygiene and Health Promotion Journal. 2019; 24:280-92. (in persian).
  21. Asadi H, Habibi Soola A, Davari M, Ershadifard S. The status of patient safety culture in nurses of Imam Khomeini Hospital in Ardabil, Iran during the Outbreak of COVID-19, in 2020. Journal of Military Medicine. 2020; 2211:1162-70. (in persian).
  22. Teleş M, Kaya S. Staff perceptions of patient safety culture in general surgery departments in Turkey. African health sciences. 2019; 192:2208-18.
  23. Ezeuko AY, Nnebue CC, Okechukwu RC, Ifeadike CO. Practice gaps and challenges to effective patient safety culture in a tertiary hospital in Nigeria. Journal of Patient Safety and Infection Control. 2020; 82:54-9.
  24. Kakemam E, Albelbeisi AH, Davoodabadi S, Ghafari M, Dehghandar Z, Raeissi P. Patient safety culture in Iranian teaching hospitals: baseline assessment, opportunities for improvement and benchmarking. BMC Health Serv. Res. 2022; 221:403.
  25. Lee W, Kim SY, Lee Si, Lee SG, Kim HC, Kim I. Barriers to reporting of patient safety incidents in tertiary hospitals: A qualitative study of nurses and resident physicians in South Korea. The International journal of HPM. 2018; 334:1178-88.
  26. Mahfoozpour S, Ainy E, Mobasheri F, Faramarzi A. Patients’ safety culture status among educational hospitals of Shahid Beheshti University of Medical Sciences in 2011. Pajoohandeh journal. 2012; 173:134-41. (in persian).
  27. Saber M, Tehrani H, Hasani Kabootarkhani M, Ghorban Sabagh M, Bagheri M. Acquaintance of Kerman hospitals’ staff about patient safety culture. JHAD. 2015; 42:124-32.

 

Journal of Patient Safety & Quality Improvement
Volume 12, Issue 2
April 2024
Pages 87-95

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