Department of Anesthesia, University of Gondar, Gondar 196, Ethiopia.
Department of Global Public Health, Karolinska Institutet, Stockholm 171 77, Sweden.
Int J Qual Health Care. 2024 Jul 11;36(3). doi: 10.1093/intqhc/mzae051.
Patient safety is a fundamental of good quality and also a high priority for the health-care system. Maintaining patient safety reduces errors and harm that patients can suffer during health care. The operating room clinicians have a vital role in ensuring patient safety. The general objective of this study was to assess attitudes towards perioperative safety and associated factors among the operation room clinicians at the University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia, 2022. A cross-sectional study was conducted on operation room clinicians at UoGCSH. The data were collected by using a self-administered structured questionnaire that included the Safety Attitude Questionnaire (SAQ). Binary logistic regression analysis was employed, and the strength of association was described in adjusted odds ratios with a 95% confidence interval (CI). A total of 260 (76% response rate) operation room clinicians have participated in this study. The mean ± SD of attitude toward perioperative safety was 57.8 ± 0.9. Only 32 (12.3%) operation room clinicians have shown a favorable attitude toward perioperative safety. Most of the clinicians were found to have unfavorable attitudes toward all domains of SAQ except the stress recognition domain. Age >30 years [adjusted odds ratios (AOR): 3.1, CI: 1.1, 8.7, P = .035], working for ≥40 h/week (AOR: 3.9, CI: 1.4, 11.1, P = .01), working in ophthalmologic (AOR: 12.0, CI: 3.8, 38.8, P < .001) and gynecologic (AOR: 3.6, CI: 1.1, 12.7, P = .04) operation rooms, and having training on perioperative safety (AOR: 2.6, CI: 1.1, 6.5, P < .03) were found associated with having favorable attitude toward perioperative safety. Most operation room clinicians had an unfavorable attitude toward perioperative safety and all the domains of SAQ except the stress recognition domain. Older age ≥ 30 years, working for ≥40 h/week, having safety-related training, and working in ophthalmologic and gynecologic operation rooms were found associated with having a favorable attitude toward perioperative safety.
患者安全是医疗质量的基础，也是医疗系统的首要任务。维护患者安全可以减少患者在医疗过程中遭受的错误和伤害。手术室临床医生在确保患者安全方面起着至关重要的作用。本研究的总体目标是评估 2022 年在埃塞俄比亚西北部贡德尔大学综合专科医院（UoGCSH）的手术室临床医生对围手术期安全的态度及其相关因素。这是一项在 UoGCSH 手术室临床医生中进行的横断面研究。通过使用包括安全态度问卷（SAQ）在内的自我管理结构问卷收集数据。采用二项逻辑回归分析，并用调整后的优势比（95%置信区间[CI]）描述关联强度。共有 260 名（76%的回复率）手术室临床医生参与了这项研究。对围手术期安全态度的平均得分±标准差为 57.8±0.9。只有 32 名（12.3%）手术室临床医生对围手术期安全表现出有利的态度。大多数临床医生对 SAQ 的所有领域都表现出不利的态度，除了压力识别领域。年龄＞30 岁[调整后的优势比（AOR）：3.1，CI：1.1，8.7，P=0.035]、每周工作≥40 小时（AOR：3.9，CI：1.4，11.1，P=0.01）、在眼科（AOR：12.0，CI：3.8，38.8，P＜0.001）和妇科（AOR：3.6，CI：1.1，12.7，P=0.04）手术室工作以及接受过围手术期安全培训（AOR：2.6，CI：1.1，6.5，P＜0.03）与对围手术期安全有有利的态度有关。大多数手术室临床医生对围手术期安全持不利态度，对 SAQ 的所有领域都持不利态度，除了压力识别领域。年龄≥30 岁、每周工作≥40 小时、接受过安全相关培训、在眼科和妇科手术室工作与对围手术期安全有有利的态度有关。
