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  • Title: How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?
    Author: Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM.
    Journal: Am J Surg; 2009 Jul; 198(1):70-5. PubMed ID: 19268901.
    Abstract:
    BACKGROUND: A strong patient safety culture in the operating room (OR) and post-anesthesia care unit (PACU) is essential to promote safe care. METHODS: The Patient Safety Climate in Healthcare Organizations (PSCHO) survey was administered to employees at 30 Veterans Affairs (VA) hospitals. The survey consisted of 42 close-ended items representing 12 different dimensions of safety. We measured percent problematic response (PPR); higher PPR values reflect weaker safety culture. The "OR/PACU" and the "Other Work Areas" groups' item-specific, dimension-specific, and overall problematic responses were compared. RESULTS: The overall and dimension-specific PPRs were similar between the OR/PACU and the Other Work Areas group (overall: 20.2% and 18.1%, respectively; P = .41). When the 2 groups were compared on an item-by-item level, the OR/PACU staff reported more frequent witnessing of unsafe patient care (PPR 55.1% vs 43.2%; P = .01), and perceived less understanding by senior leadership of clinical care (PPR 28.3% vs 17.1%; P = .01) and less hospital interest in quality of care (PPR 20.4% vs 12.5%; P = .03). CONCLUSIONS: Specific areas of safety culture in the OR/PACU were found that should be targeted for improvement.
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