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Enferm Clin. 2015 Mar-Apr;25(2):64-72. doi: 10.1016/j.enfcli.2014.08.002.

[Nursing professionals and health care assistants' perception of patient safety culture in the operating room].

[Article in Spanish]

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Departamento de Enfermería, Universitat Jaume I, Castellón de la Plana, España. Electronic address:
Departamento de Enfermería, Universitat Jaume I y Universidad de Alicante, España.
Departamento de Enfermería, Universidad de Alicante, España.



To assess nursing professionals and health care assistants' perceptions, opinions and behaviours on patient safety culture in the operating room of a public hospital of the Spanish National Health Service. To describe strengths and weaknesses or opportunities for improvement according to the Agency for Healthcare Research and Quality criteria, as well as to determine the number of events reported.


A descriptive, cross-sectional study was conducted using the Spanish version of the questionnaire Hospital Survey on Patient Safety Culture. The sample consisted of nursing professionals, who agreed to participate voluntarily in this study and met the selection criteria. A descriptive and inferential analysis was performed depending on the nature of the variables and the application conditions of statistical tests. Significance if p < .05.


In total, 74 nursing professionals responded (63.2%). No strengths were found in the operating theatre, and improvements are needed concerning staffing (64.0%), and hospital management support for patient safety (52.9%). A total of 52.3% (n = 65) gave patient safety a score from 7 to 8.99 (on a 10 point scale); 79.7% (n = 72) reported no events last year. The total variance explained by the regression model was 0.56 for "Frequency of incident reporting" and 0.26 for "Overall perception of safety".


There was a more positive perception of patient safety culture at unit level. Weaknesses have been identified, and they can be used to design specific intervention activities to improve patient safety culture in other nearby operating theatres.


Administración de la seguridad; Cultura organizacional; Operating rooms; Organizational culture; Patient safety; Quirófanos; Safety management; Seguridad del paciente

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