Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey

BMJ Open Quality

article

Jeanett Strandbygaard¹  Nynne Dose³  Kjestine Emilie Moeller¹  Lauren Gordon⁴  Eliane Shore⁵  Susanne Rosthøj⁶  Bent Ottesen⁷  Teodor Grantcharov⁸  Jette Led Sorensen² 

[1] Department of Obstetrics and Gynaecology, Juliane Marie Centre for Women, Children and Reproduction , Rigshospitalet, University Hospital of Copenhagen;Institute of Clinical Medicine , University of Copenhagen;Department of Obstetrics and Gynaecology , Herlev Hospital;Division of Vascular Surgery , St Michael's Hospital, University of Toronto;Department of Obstetrics and Gynaecology , St Michael's Hospital, University of Toronto;Department of Biostatistics , University of Copenhagen;Juliane Marie Centre for Women, Children and Reproduction , Rigshospitalet, University Hospital of Copenhagen;Department of Surgery, Clinical Excellence Research , Stanford University

关键词: Anaesthesia;    Attitudes;    Continuous quality improvement;    Healthcare quality improvement;    Obstetrics and gynecology;   

DOI  :  10.1136/bmjoq-2022-001819

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Introduction Comprehensive data capture systems such as the Operating Room Black Box (OR Black Box) are becoming more widely implemented to access quality data in the complex environment of the OR. Prior to installing an OR Black Box, we assessed perceptions on safety attitudes, impostor phenomenon and privacy concerns around digital information sharing among healthcare professionals in the OR. A parallel survey was conducted in Canada, hence, this study also discusses cultural and international differences when implementing new technology in healthcare.Methods A cross-sectional survey using three previously validated questionnaires (Safety Attitudes Questionnaire (SAQ), Clance Impostor Phenomenon Scale, Dispositional Privacy Concern) was distributed through Research Electronic Data Capture to 145 healthcare professionals from the OR (July to December 2019). Analysis of variance and analysis of covariance were used to test for differences.Results 124 responded (86%): 100 completed the survey (69%) (38 nurses, 10 anaesthesiologists, 36 obstetricians/gynaecologists, 16 residents). Significant variability in all six SAQ domains, safety climate and teamwork being the lowest ranked and job satisfaction ranked highest for all groups. The SAQ varied in all domains in Canada. Moderate to frequent impostor phenomenon was experienced by 71% predominantly among residents (p=0.003). 72% in the Canadian study. Residents were most comfortable with digital information sharing (p<0.001), only 13% of all healthcare professionals were concerned/heavy concerned compared with 45% in Canada.Conclusions The different healthcare professional groups had diverse perceptions about safety culture, but were mainly concerned about safety climate and teamwork in the OR. Impostor phenomenon decreased with age. All groups were unconcerned about digital information sharing. The Canadian study had similar findings in terms of impostor phenomenon, but a variety within the SAQ and were more concerned about data safety, which could be due to medical litigation per se and is not widespread in Scandinavia compared with North America.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND