Patient Safety Culture, Infection Prevention, and Patient Safety in the Operating Room: Health Workers’ Perspective

Abstract

Ni Njoman Juliasih,1 Inge Dhamanti,2– 4 I Nyoman Semita,5 Minarni Wartiningsih,1 Mahmudah Mahmudah,6 Fitri Yakub7 1Department of Public Health, School of Medicine, Universitas Ciputra Surabaya, Surabaya, Indonesia; 2Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia; 3Center for Patient Safety Research, Universitas Airlangga, Surabaya, Indonesia; 4School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia; 5Department of Orthopedic, Faculty of Medicine, University of Jember, Jember, Indonesia; 6Department of Epidemiology, Biostatistics Population and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia; 7Malaysia-Japan International Institute of Technology, Universiti Teknologi Malaysia, Skudai, MalaysiaCorrespondence: Inge Dhamanti, Email [email protected]: A hospital’s patient safety culture affects surgical outcomes. Operating room safety culture has been overlooked despite the importance of patient safety. The AHRQ’s Hospital Survey on Patient Safety Culture (HSOPSC) has been used worldwide to assess and enhance patient safety culture. This study examined how patient safety culture and infection prevention effect patient safety in the Operating Room (OR).Methods: This observational study used an online survey and included 143 OR workers. Descriptive statistics and multilinear regression were used to examine how patient safety culture and infection prevention affects level of patient safety.Results: Most responders worked in excellent-accredited general hospitals. Most responders were male, aged between 26 to 40 years old, and had bachelor’s degrees. Most were hospital-experienced nurses. Less than half had worked in units for over ten years. Organizational Learning - Continuous Improvement; Teamwork and Handoffs; and Information Exchange had the most positive responses in the OR. However, Staffing, Work Pace, and Patient Safety ranked lowest. Organizational Learning - Continuous Improvement and Hospital Management Support for Infection Prevention Efforts were found to affect OR patient safety level perceptions.Conclusion: According to the findings of our study, the overall patient safety culture in the operating room remains weak which highlights the importance of continuing efforts to improve patient safety in the OR. Further study could be directed to identify organizational learning in infection prevention to enhance the patient safety in the OR.Keywords: patient safety, infection prevention, organizational culture, safety culture, operating room

Keywords

• patient safety
• infection prevention
• organizational culture
• safety culture
• operating room