Perception of safety of surgical practice among healthcare professionals who work in an operating room in ambulatory surgery centers in the United States: A retrospective analysis of survey data

Molina, George; Singal, Robbie; Haynes, Alex B.; Mahishi, Vrinda; Davis, Kristina; Foster, Gregory; Miller, Melissa A.; Urman, Richard D.; Rajan, Niraja; Singer, Sara J.; Battles, James B; Berry, William R.

doi:10.1016/j.pcorm.2017.07.002

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…Jorge Amado University, Salvador, BA, Brazil. 2 Federal Fluminense University, CNPq researcher, Rio de Janeiro, Brazil. 3 Present Address: Rua Dr. Celestino, 74, 6°andar, Niterói, Rio de Janeiro CEP: 24020-091, Brazil.…”

Section: Fundingmentioning

confidence: 99%

“…The occurrence rate of perioperative adverse events is between 3 and 16% in surgical procedures, and nearly 7 million patients suffer significant complications each year [1]. Half of these complications can be avoided by improving communication and thereby reducing injuries in patients [1,2]. The surgical procedure of operating frightens patients who might be afraid of the surgery itself or are concerned about the diagnosis, the treatment, the procedure, the postoperative care, and other factors [3].…”

Section: Introductionmentioning

confidence: 99%

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Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

Schulz

Santana²,

Santos

et al. 2020

BMC Nurs

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Background: Patient undergoing surgery may be afraid and concerned about the diagnosis, the treatment, the procedure, the postoperative care, and the surgical recovery. Good communication between staff and patients can minimize or prevent this situation. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients undergoing laparoscopic cholecystectomy and hernia repair. Methods: This study was performed in two different institutions located in Rio de Janeiro, Brazil. A total of 43 patients were enrolled. The experimental group consisted of 22 patients who had access to the telephone followup intervention, and the control group consisted of 21 patients who received conventional treatment without telephone follow-up. This was a randomized controlled study with patients who were 60 years or older and awaiting operative procedures of hernia repair and laparoscopic cholecystectomy who had a mobile or landline phone and were available for telephone contact. Results: There was a reduction in "loss of appetite with nausea" (p = 0.013); "need help to complete self-care" (p = 0.041); "pain" (p = 0.041); and "postoperative sensation" (p = 0.023). The experimental group showed a significantly larger decrease in factors related to the "Delayed surgical recovery" diagnosis, suggesting a positive effect of the intervention compared to the effect in control group.\. Conclusion: Telephone consultation identified factors that increased the risk of complications after surgery, recognized potential patients for delayed surgical recovery and helped perioperative nurses provide accurate interventions to prevent or mitigate delayed recovery. This study was registered in the platform Brazilian Registry of Clinical Trials (ReBEC)-link: http://www. ensaiosclinicos.gov.br under registration number RBR-4C249M, retrospectively registered on April 13, 2020.

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Section: Fundingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

Schulz

Santana²,

Santos

et al. 2020

BMC Nurs

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“…The number of outpatient surgeries has been growing due to the invention of new anesthetic methods and the numerous benefits brought by them, such as minimum changes in the patients' routine, diminished risk of hospital infections, less physical disability, faster return to daily life activities, diminution in morbidity and mortality rates, increased availability of hospital beds, and lower prices (8) . That is why specific checklists for procedures in these environments is essential, and they should be available to guarantee the safety of the patient (9)(10) .…”

Section: Introductionmentioning

confidence: 99%

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures

Porcari

Cavalari

Roscani

et al. 2020

Rev. Gaúcha Enferm.

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Purpose: To prepare and validate the content of a checklist in order to assure the safety for outpatient surgical procedures. Method: Methodological research, performed between May and December 2018, as per three stages: 1) preparation of the checklist; 2) validation of content by five judges; and 3) preliminary testing of the instrument. The concord, among the judges, was measured by the Content Validity Index and the values over 0.9 were considered as being satisfactory. Results: Initially the instrument was prepared having 58 items, considering the heading and six topics. In the first round, two topics and 27 items had an index below 0.9. After reformulations, in the second round, only two items had values below 0.9 and, in the third, all items reached an index of 1.0. Along the preliminary testing, modifications were realized. The final version it has 43 items, distributed as per five topics. Conclusion: The “Checklist for Safe Surgery regarding Ambulatory Surgical Procedures” was prepared and its contents were validated.

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“…In a landmark report, these hierarchical differences in health care team interactions were identified as partly responsible for many medical errors (Institute of Medicine, 2003). In addition, research has shown that members of perioperative teams do not share a unified perception of patient safety, with physicians reporting more positive perceptions of surgical safety than nurses and surgical technicians (Molina et al, 2017).…”

mentioning

confidence: 99%

Managing safety in perioperative settings

Brooks

Nelson-Brantley

2023

Health Care Manage Rev

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Background: Perioperative nursing units are described as one of the most challenging practice environments, characterized by a distinct hierarchal culture and rapid pace. These dynamics create challenges for creating a culture of safety, where meso-level nurse leaders (MLNLs) must operate in the space between the micro level of direct patient care and the macro-level administrative priorities. Purpose: Guided by complexity leadership theory, we sought to understand the strategies MLNLs used to facilitate a culture of safety in perioperative settings. Methodology: A qualitative descriptive study with semistructured interviews was conducted. Inductive thematic analysis was used to analyze content from the interviews, and several techniques (audit trail, reflexivity, peer debriefing) were used to ensure rigor. Results: Seventeen MLNLs completed an interview, and analysis identified four strategies that MLNLs reported to foster safety as meso-leaders in perioperative environments: (a) recognizing the unique perioperative management environment, (b) learning not to take interactions personally, (c) developing "super meso-level nurse leader" skills, and (d) appealing to policies and patient safety. Conclusion: Perioperative environments require MLNLs to use multifaceted strategies to keep the peace among many stakeholders and foster patient safety. Practice Implications: Our study shows how clear organizational policies and procedures can serve as a vital tool-moving attention away from a feeling of individual "policing" and toward joint discussion about shared patient safety goalsand ultimately support MLNLs in challenging perioperative work environments. Perioperative environments create unique challenges, and organizations should consider perioperative-specific leadership training to prepare MLNLs for these roles.

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Perception of safety of surgical practice among healthcare professionals who work in an operating room in ambulatory surgery centers in the United States: A retrospective analysis of survey data

Cited by 7 publications

References 12 publications

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures

Managing safety in perioperative settings

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