Variation in compliance with safe surgery checklist in hospitals with different levels of patient safety culture

ABSTRACT

Background

Positive patient safety climate can improve the adherence of care services to safety standards and consequently promote safe surgery as fundamental healthcare services. This study aimed to investigate the variation in compliance with safe surgery checklist in hospitals with different levels of safety culture.

Methods

This was a descriptive cross-sectional study conducted in six training hospitals affiliated by Qom University of Medical Sciences, Iran in 2016. Patient safety culture was assessed among 206 operating room staff who were selected to participate in the study through consensus method. In addition all safe surgery checklists in study time period (April to June 2016) were collected and analyzed by SPSS version 20 and use of descriptive and analytical statistical tests.

Results

Findings revealed that patient safety culture among employees was assessed in a moderate level (117.05 ± 4.7). Among different dimensions of patient safety climate, the highest score belonged to teamwork (36.9 ± 1.2), perception of safety among personnel (32.1 ± 0.7), and managerial support (31.7 ± 0.4). Furthermore results confirmed that hospitals with different levels of patient safety culture had various compliance rates with safe surgery checklist.

Conclusion

Promoting patient safety culture in hospitals can increase the congruence rate of safe surgery standards in operating rooms. Therefore focusing on significant cultural dimensions such as effective communication and teamwork, supportive work environment and continuous organizational learning are suggested to improve patient safety culture among personnel.

KEYWORDS:

• Patient safety
• surgery
• checklist
• compliance
• culture
• climate

Disclosure statement

No potential conflict of interest was reported by the authors.

Source of support: This study was not under financial support of any organization.

Ethical clearance: Ethical obligations of the study were approved in 96th meeting of ethical committee held in research center of Qazvin Medical University in June, 2016. The assigned ethical code was IR.QUMS.REC.1395.61.

Notes on contributors

Saeed Asefzadeh is a full professor in department of healthcare management, school of health, Qazvin University of Medical Sciences.

Sima Rafiei is an assistant professor working in department of healthcare management, school of health, Qazvin University of Medical Sciences.

Masoomeh Karimi is graduated in MS degree of health care management from school of health, Qazvin University of Medical Sciences.