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Med Care Res Rev. 2015 Jun;72(3):298-323. doi: 10.1177/1077558715577479. Epub 2015 Mar 31.

Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals.

Author information

1
Harvard T. H. Chan School of Public Health, Boston, MA, USA Harvard Medical School, Boston, MA, USA Massachusetts General Hospital, Boston, MA, USA Stanford University School of Medicine, Stanford, CA, USA ssinger@hsph.harvard.edu.
2
Brigham and Women's Hospital, Boston, MA, USA.
3
Stanford University School of Medicine, Stanford, CA, USA.
4
South Carolina Hospital Association, Columbia, SC, USA.
5
Harvard T. H. Chan School of Public Health, Boston, MA, USA.
6
Ariadne Labs, Boston, MA, USA.
7
Harvard T. H. Chan School of Public Health, Boston, MA, USA Harvard Medical School, Boston, MA, USA Brigham and Women's Hospital, Boston, MA, USA Ariadne Labs, Boston, MA, USA.
8
Harvard T. H. Chan School of Public Health, Boston, MA, USA Ariadne Labs, Boston, MA, USA.

Abstract

We assessed surgical team member perceptions of multiple dimensions of safe surgical practice in 38 South Carolina hospitals participating in a statewide initiative to implement surgical safety checklists. Primary data were collected using a novel 35-item survey. We calculated the percentage of 1,852 respondents with strongly positive, positive, and neutral/negative responses about the safety of surgical practice, compared results by hospital and professional discipline, and examined how readiness, teamwork, and adherence related to staff perception of care quality. Overall, 78% of responses were positive about surgical safety at respondent's hospitals, but in each survey dimension, from 16% to 40% of responses were neutral/negative, suggesting significant opportunity to improve surgical safety. Respondents not reporting they would feel safe being treated in their operating rooms varied from 0% to 57% among hospitals. Surgeons responded more positively than nonsurgeons. Readiness, teamwork, and practice adherence related directly to staff perceptions of patient safety (p < .001).

KEYWORDS:

checklist; health delivery innovation; implementation; surgery; survey

PMID:
25828528
DOI:
10.1177/1077558715577479
[Indexed for MEDLINE]

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