Safety culture and the 5 steps to safer surgery: an intervention study

British Journal of Anaesthesia
M R HillT C E Gale

Abstract

Improvements in safety culture have been postulated as one of the mechanisms underlying the association between the introduction of the World Health Organisation (WHO) Surgical Safety Checklist with perioperative briefings and debriefings, and enhanced patient outcomes. The 5 Steps to Safer Surgery (5SSS) incorporates pre-list briefings, the three steps of the WHO Surgical Safety Checklist (SSC) and post-list debriefings in one framework. We aimed to identify any changes in safety culture associated with the introduction of the 5SSS in orthopaedic operating theatres. We assessed the safety culture in the elective orthopaedic theatres of a large UK teaching hospital before and after introduction of the 5SSS using a modified version of the Safety Attitude Questionnaire - Operating Room (SAQ-OR). Primary outcome measures were pre-post intervention changes in the six safety culture domains of the SAQ-OR. We also analysed changes in responses to two items regarding perioperative briefings. The SAQ-OR survey response rate was 80% (60/75) at baseline and 74% (53/72) one yr later. There were significant improvements in both the reported frequency (P<0.001) and perceived importance (P=0.018) of briefings, and in five of the six safety c...Continue Reading

References

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Citations

Jan 15, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Katie ChristensenMichael Beckmann
May 29, 2019·Journal of Perioperative Practice·Bernard Pennington, Joanne Garside
Jan 12, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Manel MallouliThouraya Ajmi
May 24, 2018·Journal of Nursing Care Quality·Ivana Dehorney, Pamela F Ashcraft
Feb 10, 2021·Journal of General Internal Medicine·Camilla B PimentelChristine W Hartmann
May 11, 2021·International Journal of Clinical Practice·Karthikayini KrishnasamyMohd Idzwan Zakaria
Jun 29, 2017·British Journal of Anaesthesia·C S Webster

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