Institute of Clinical Education, Peninsula College of Medicine & Dentistry, Universities of Exeter and Plymouth, The Knowledge Spa, Royal Cornwall Hospital, Truro, Cornwall TR1 3HD, UK.
BMJ Qual Saf. 2011 Aug;20(8):711-7. doi: 10.1136/bmjqs.2009.032672. Epub 2011 Jun 14.
In 2008, the WHO produced a surgical safety checklist against a background of a poor patient safety record in operating theatres. Formal team briefings are now standard practice in high-risk settings such as the aviation industry and improve safety, but are resisted in surgery. Research evidence is needed to persuade the surgical workforce to adopt safety procedures such as briefings.
To investigate whether exposure to pre-surgery briefings is related to perception of safety climate.
Three Safety Attitude Questionnaires, completed by operating theatre staff in 2003, 2004 and 2006, were used to evaluate the effects of an educational intervention introducing pre-surgery briefings.
Individual practitioners who agree with the statement 'briefings are common in the operating theatre' also report a better 'safety climate' in operating theatres.
The study reports a powerful link between briefing practices and attitudes towards safety. Findings build on previous work by reporting on the relationship between briefings and safety climate within a 4-year period. Briefings, however, remain difficult to establish in local contexts without appropriate team-based patient safety education. Success in establishing a safety culture, with associated practices, may depend on first establishing unidirectional, positive change in attitudes to create a safety climate.
2008 年，世卫组织在手术室患者安全记录不佳的背景下制定了手术安全检查表。现在，在航空等高风险环境中，正式的团队简介已成为标准做法，可提高安全性，但在手术中却遭到抵制。需要研究证据来说服外科工作人员采用简介等安全程序。
调查手术前简介的接触是否与安全氛围的认知有关。
使用三份安全态度调查问卷，由手术室工作人员于 2003 年、2004 年和 2006 年填写，以评估引入术前简介的教育干预的效果。
同意“在手术室中经常进行简介”这一说法的个体从业者也报告手术室的“安全氛围”更好。
该研究报告了简报做法与安全态度之间的强大联系。调查结果在报告简报与 4 年内的安全氛围之间的关系方面建立在之前的工作基础上。但是，如果没有适当的基于团队的患者安全教育，在当地环境中建立简介仍然很困难。成功建立安全文化并随之采用相关实践可能取决于首先在态度上建立单向的积极变化，以营造安全氛围。
