SAFETY CULTURE

Perceptions of safety culture and recording in the operating room

Understanding barriers to video data capture

Understanding barriers to video data capture

Understanding barriers to video data capture

Published on

June 1, 2022

Surgical Endoscopy

Lauren Gordon, Cheyanne Reed, Jette Led Sorensen, Pansy Schulthess, Jeanett Strandbygaard, Mary Mcloone, Teodor Grantcharov, Eliane M Shore
Lauren Gordon, Cheyanne Reed, Jette Led Sorensen, Pansy Schulthess, Jeanett Strandbygaard, Mary Mcloone, Teodor Grantcharov, Eliane M Shore
Lauren Gordon, Cheyanne Reed, Jette Led Sorensen, Pansy Schulthess, Jeanett Strandbygaard, Mary Mcloone, Teodor Grantcharov, Eliane M Shore

Overview

This cross-sectional survey study aimed to assess pre-implementation attitudes of OR staff toward operative recording using the OR Black Box®. The study explored the relationship between these attitudes and three themes: safety culture, impostor syndrome, and privacy concerns. Forty-three staff members participated, including nurses, gynecologists, and anesthesiologists, with a 45% response rate.

The results showed generally positive opinions toward operative data capture, with nurses tending to have more favorable views compared to gynecologists and anesthesiologists, though not statistically significant. Impostor syndrome characteristics correlated with concerns about litigation related to recording. The study concluded that personal and professional attributes of OR team members impact their perceptions of the OR Black Box and its implications for privacy and litigation. The authors suggest that addressing these concerns may be crucial for successful implementation of the OR Black Box and could lead to improved team communication and patient safety in the operating room.

Results

Forty-three staff members participated in this study, with a response rate of 45% (n = 43/96, 20/22 nurses, 9/11 gynecologists, 14/63 anesthesiologists). Opinions of operative data capture were generally positive (5-point Likert scale, mean = 3.81, SD = 0.91). Nurses tended to have more favorable opinions of the OR Black Box as compared to gynecologists and anesthesiologists, though this did not reach statistical significance (4.15 vs. 3.67 vs 3.43, p = 0.06). Impostor syndrome characteristics correlated with concerns about litigation related to recording (r = - 0.32, p = 0.04).