Patient safety climate in operating rooms at Colombian hospitals: differences by profession and type of contract

  • José H. Arias-Botero a. Epidemiology and Biostatistics, CES University, Medellin, Colombia. b. Quality, Safety and Health Education Research Group, Colombian Society of Anesthesiology and Resuscitation (S.C.A.R.E.), Bogota, Colombia.
  • Ángela M Segura-Cardona a. Graduate School of CES University, Medellin, Colombia. b. Epidemiology and Biostatistics Research Group of CES University, Medellin, Colombia.
  • Fernando Acosta Rodríguez a. CES University, Medellin, Colombia. b. School of Medicine, CES University, Medellin, Colombia.
  • Carlos A. Saldarriaga a. School of Medicine, CES University, Medellin, Colombia.
  • Rubén D. Gómez-Arias a. Graduate School of CES University, Medellin, Colombia. b. Epidemiology and Biostatistics Research Group of CES University, Medellin, Colombia.
Keywords: Patient safety climate, Patient safety culture, Operating rooms, HSOPS, Anesthesiologists

Abstract

Introduction:

The safety climate (SC) measurement in the hospitals, is essential for the development of a patient safety policy (PSP). Information about SC in the operating rooms is scarce.

Objective:

To measure the dimensions of SC in Colombian Operating Rooms according to characteristics of surgical staff.

Methods:

Cross-sectional study. The Hospital Survey on Patient Safety and an additional module for operating rooms were administered to healthcare workers in 6 high-complexity hospitals in the Metropolitan Area of Medellín (Colombia). The positive responses percentage for each dimension was measured. Differences by profession and type of contract were analyzed.

Results:

A total of442 participants were included. The workers in the operating rooms perceive a weak SC in terms of non-punitive response to error and workload (49.4% and 59.3% positive responses, respectively). Differences were found between physicians and nurses with lower scores in nursing for dimensions related to patient care. Anesthesiologists present low scores in events reporting. There are also differences by the type of work contract.

Conclusion:

Despite the PSP, the perception of a punitive culture to error, with a high workload. Recognizing differences between the groups within the surgical units helps to focus interventions strengthening the patient safety.

References

1. Vogus TJ, Sutcliffe KM. The safety organizing scale: development and validation of a behavioral measure of safety culture in hospital nursing units. Med Care 2007;45:46-54.

2. Ministerio de la Protección Social Lineamientos para la implementación de la Política de Seguridad del Paciente. Bogotá DC: Dirección General de Calidad y Servicios; 2008.

3. Kohn L, Corrigan J, Donaldson M. To err is human: building a safer health system. Washington DC: National Academy Press; 1999.

4. Guldenmund FW. The nature of safety culture: a review of theory and research. Saf Sci 2000;34:215-257.

5. Zhao P, Li Y, Li Z, et al. Use of patient safety culture instruments in operating rooms: a systematic literature review. J Evid Based Med 2017;10:145-151.

6. Agency for Healthcare Research and Quality. Surveys on patient safety cultureTM. [Internet]. Rockville, MD USA [Cited 10 Feb 2019]. Available at: https://www.ahrq.gov/sops/index.html.

7. Sorra JS, Nieva VF. Hospital survey on patient safety culture. (Prepared by Westat, under contract no 290-96-0004). 2004; Agency for Healthcare Research and Quality, Rockville, MD:Contract No.: AHRQ Publication No. 04-0041.

8. Sorra J, Gray L, Streagle S. Agency for Healthcare Research and Quality. AHRQ hospital survey on patient safety culture: user’s guide. AHRQ Publication No 18-0036-EF Rockville: Agency for Healthcare Research and Quality; 2018.

9. Kaafarani HM, Itani KM, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Am J Surg 2009;198:70-75.

10. Reis CT, Paiva SG, Sousa P. The patient safety culture: a systematic review by characteristics of hospital survey on patient safety culture dimensions. Int J Qual Health Care 2018;30:660-677.

11. Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffingin nine countries: a cross-sectional study. Int J Nurs Stud 2018;78:10-15.

12. Reiling J, Hughes RG, Murphy MR. Hughes RG. Advances in patient safety the impact of facility design on patient safety. Patient safety and quality: an evidence-based handbook for nurses Rockville, MD: Agency for Healthcare Research and Quality (US); 2008.

13. Clarke SP. Nurse staffing in acute care settings: research perspectives and practice implications. Jt Comm J Qual Patient Saf 2007;33 (11 suppl):30-44.

14. Gurses AP, Carayon P, Wall M. Impact of performance obstacles on intensive care nurses’ workload, perceived quality and safety of care, and quality of working life. Health Serv Res 2009;44 (2 Pt 1):422-443.

15. Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care 2009;47:23-31.

16. Mallouli M, Tlili MA, Aouicha W, et al. Assessing patient safety culture in Tunisian operating rooms: a multicenter study. Int J Qual Health Care 2017;29:176-182.

17. Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among perioperative healthcare workers. J Patient Saf 2017;[Epub ahead of print].

18. Chen IC, Li HH. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res 2010;10:152.

19. Eiras M, Escoval A, Grillo IM, et al. The hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliability. Int J Health Care Qual Assur 2014;27:111-122.

20. Robida A. Hospital survey on patient safety culture in Slovenia: a psychometric evaluation. Int J Qual Health Care 2013;25:469-475.

21. Barbosa-Ramírez LC, Cárdenas-Clavijo E, García-Castillo LP, et al. Establecimiento de una línea de base de la cultura de la seguridad de los pacientes en un hospital universitario de Bogotá. Revista Iberoamericana de Psicología 2008;1:19-29.

22. Gomez Ramírez O, Arenas Gutiérrez W, González Vega L, et al. Patient safety culture of nursing staff in Bogotá, Colombia. Cienc Enferm 2011;17:97-111.

23. Walshe K. Adverse events in health care: issues in measurement. Qual Health Care 2000;9:47-52.

24. Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM 2015;108:273-277.

25. Vincent C, Stanhope N, Crowley-Murphy M. Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract 1999;5:13-21.

26. Harper ML, Helmreich RL. Henriksen K, Battles JB, Marks ES, et al. Advances in patient safety identifying barriers to the success of a reporting system. Advances in patient safety: from research to implementation (Volume 3: Implementation Issues) Rockville (MD): Agency for Healthcare Research and Quality (US); 2005.

27. Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005;14:364-366.
How to Cite
1.
Arias-Botero JH, Segura-Cardona Ángela M, Acosta Rodríguez F, Saldarriaga CA, Gómez-Arias RD. Patient safety climate in operating rooms at Colombian hospitals: differences by profession and type of contract. Colomb. J. Anesthesiol. [Internet]. 2020 Apr. 1 [cited 2024 Mar. 28];48(2):71-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/129

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How to Cite
1.
Arias-Botero JH, Segura-Cardona Ángela M, Acosta Rodríguez F, Saldarriaga CA, Gómez-Arias RD. Patient safety climate in operating rooms at Colombian hospitals: differences by profession and type of contract. Colomb. J. Anesthesiol. [Internet]. 2020 Apr. 1 [cited 2024 Mar. 28];48(2):71-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/129
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