SAFETY CULTURE
Stakeholder perceptions around implementation of the OR Black Box for patient safety research
Published on
August 1, 2019
BMJ Open Quality
Overview
The study aimed to identify barriers and enablers that could influence patients', clinicians', and senior leadership's support for implementing the OR Black Box® - a new audio-video recording technology in the operating room to support patient safety initiatives. Patients, clinicians, and senior leaders were interviewed using the Theoretical Domains Framework to explore relevant factors.
The results showed that while most stakeholders were generally supportive of the OR Black Box, there were several key issues that need to be addressed during implementation. These include ensuring all stakeholders have adequate knowledge and accurate beliefs about the system and its intended use as a patient safety tool for learning and improvement, addressing concerns around factors like clinicians' emotions, memory/attention, and social influences, and positioning the OR Black Box as a collaborative effort rather than a surveillance system. Addressing these barriers and enablers will be critical for successfully implementing the OR Black Box technology.
Results
Data saturation was achieved at 15 patients, 17 clinicians and 9 senior leadership team members. Seven domains were relevant for patients, nine for clinicians and four for senior leadership. Knowledge and Beliefs about consequences were barriers and enablers for all three groups. Memory, attention and decision processes and Social influences were enablers for both clinicians and senior leadership. Environmental context and resources, Emotion and Behavioural regulation were found to be barriers and enablers for both clinicians and patients. Social/professional role and identity and Reinforcement were enablers for patients only and Optimism and Intentions were barriers and enablers to clinicians.
