SAFETY CULTURE
Interprofessional staff perspectives on OR Black Box & simulations to improve patient safety
Published on
October 25, 2023
Research Involvement and Engagement
Overview
This study investigated the implementation of OR Black Box® and SIM Black Box™ in healthcare settings, focusing on identifying facilitators and barriers to their adoption. The research utilized Donabedian's model of health services and healthcare quality as a framework and aimed to gather insights for improving patient safety and quality measures in surgical environments.
The methodology involved two surveys distributed to interprofessional operating room staff, including the validated Teamwork Perceptions Questionnaire (T-TPQ) and open-ended questions. Key findings revealed that staff perceived Quality Improvement, Patient Safety, and Objective Case Review as the primary benefits of OR Black Box implementation. The study also suggested that simultaneous adoption of the OR Black Box and SIM Black Box could promote psychological safety, improve culture and trust, and increase comfort with technology.
Results
Survey 1 captured 71 responses from 334 invited (RR 21%) while survey 2 captured 47 responses from 157 (RR 29.9%). The T-TPQ score was 65.2, with Communication (70.4) the highest construct and Leadership (58.0) the lowest. Quality Improvement (QI), Patient Safety, and Objective Case Review were the most common perceived OR Black Box benefits. Trends suggested a reciprocal benefit of dual OR Black Box and SIM Black Box adoption. Trends also suggested that dual implementation can promote psychological safety, culture, trust, and technology comfort. The need for an implementation plan built on change management principles and a constructive culture were key findings.
