Perceptions of safety culture and recording in the operating room: understanding barriers to video data capture.


Journal

Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653

Informations de publication

Date de publication:
06 2022
Historique:
received: 05 12 2020
accepted: 23 08 2021
pubmed: 6 10 2021
medline: 14 5 2022
entrez: 5 10 2021
Statut: ppublish

Résumé

Recording in the operating room is an important tool to help surgical teams improve their performance. This is becoming more feasible using the Operating Room Black Box, a comprehensive data capture platform. Operating room (OR) staff, however, may voice reasonable concerns as recording initiatives are implemented. The objective of this study was to assess pre-implementation attitudes of OR staff toward operative recording and explore the relationship of these attitudes to the themes of (1) safety culture, (2) impostor syndrome, and (3) privacy concerns. This cross-sectional survey study measured staff members' beliefs and opinions of operative recording and used three previously validated tools (safety attitudes questionnaire, clance impostor phenomenon scale, and dispositional privacy concern) to assess personal and professional factors. Concepts were correlated using Pearson's correlation coefficient. Forty-three staff members participated in this study, with a response rate of 45% (n = 43/96, 20/22 nurses, 9/11 gynecologists, 14/63 anesthesiologists). Opinions of operative data capture were generally positive (5-point Likert scale, mean = 3.81, SD = 0.91). Nurses tended to have more favorable opinions of the OR Black Box as compared to gynecologists and anesthesiologists, though this did not reach statistical significance (4.15 vs. 3.67 vs 3.43, p = 0.06). Impostor syndrome characteristics correlated with concerns about litigation related to recording (r =  - 0.32, p = 0.04). There are personal and professional attributes of the OR team that impact perceptions of the OR Black Box and implications around privacy and litigation. Addressing these concerns may facilitate successful implementation of the OR Black Box and improve team communication and patient safety in the OR.

Identifiants

pubmed: 34608519
doi: 10.1007/s00464-021-08695-5
pii: 10.1007/s00464-021-08695-5
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3789-3797

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Lauren Gordon (L)

International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 61 Queen St East, 5th Floor, Toronto, ON, M5C 2T2, Canada.
Department of Vascular Surgery, University of Toronto, Toronto, Canada.

Cheyanne Reed (C)

Faculty of Medicine, University of Toronto, Toronto, Canada.

Jette Led Sorensen (JL)

Department of Obstetrics and Gynaecology, Juliane Marie Centre for Children, Women and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Pansy Schulthess (P)

International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 61 Queen St East, 5th Floor, Toronto, ON, M5C 2T2, Canada.
Department of Perioperative Services, St. Michael's Hospital, Toronto, Canada.

Jeanett Strandbygaard (J)

Department of Obstetrics and Gynaecology, Juliane Marie Centre for Children, Women and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Mary Mcloone (M)

Department of Anaesthesia, St. Michael's Hospital, Toronto, Canada.

Teodor Grantcharov (T)

International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 61 Queen St East, 5th Floor, Toronto, ON, M5C 2T2, Canada.
Department of Surgery, University of Toronto, Toronto, Canada.

Eliane M Shore (EM)

International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 61 Queen St East, 5th Floor, Toronto, ON, M5C 2T2, Canada. eliane.shore@unityhealth.to.
Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Canada. eliane.shore@unityhealth.to.
Department of Obstetrics and Gynaecology, St. Michael's Hospital, Toronto, Canada. eliane.shore@unityhealth.to.

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