Team, Competence and Safety Climate in the Operating Room

NCT ID: NCT02329691

Last Updated: 2017-03-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

125 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-12-31

Study Completion Date

2016-11-30

Brief Summary

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The main objective is to explore and evaluate the effect of a change in the WHO checklist on the safety climate in the operating room at a University Hospital in Gothenburg.

Detailed Description

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This study will assess the underlying safety climate in one operating ward at Sahlgrenska University Hospital, Göteborg. The Safety Attitude Questionnaire (SAQ) Operating Room version will be used to assess baseline safety climate. The use of the WHO check list will be investigated and documented according to a pre-defined CRF (case record form).

After this evaluation, changes in the WHO checklist will be performed. The changes will include educational efforts and involving focus groups to receive suggestions on improvements of the WHO checklist. The revised version of the WHO checklist will be implemented. To evaluate effects of the changes the SAQ will once again be distributed to the involved personnel.

The main objective is to explore, describe, educate and thereby improve the safety climate in the operating room. The setting is one of the operating room departments in Sahlgrenska University Hospital Gothenburg. The project includes to following parts:

* To assess baseline regarding the safety climate at a surgical ward at the Sahlgrenska University Hospital.
* Educational efforts on safety climate, team work, communication, and WHO check list by lectures and focus group discussions involving the OR team members to get input and suggestions on improvements of the WHO checklist.
* To explore differences in safety attitudes between different professions working in the OR.
* To identify areas for improvement in team work, communication and other non-technical skills.
* To re-implement the WHO check list with the aim to obtain more focus on the importance of teamwork and knowledge about the patient and procedure.
* To compare results from SAQ after implementation of safety related objectives with SAQ baseline data.

Conditions

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Surgery

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Changes in the WHO checklist

Specific changes in the WHO checklist will be performed after observational studies to enhance the WHO checklist at the specific institution

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Health care personnel working in the OR at Sahlgrenska University Hospital Östra, general surgery

Exclusion Criteria

* All other health care personnel
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sahlgrenska University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Eva Angenete

Senior Consultant Surgeon, Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eva Angenete

Role: PRINCIPAL_INVESTIGATOR

Sahlgrenska Universitetssjukhuset/Östra

Locations

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Dept. of Surgery, Sahlgrenska University Hospital/Ostra

Gothenburg, , Sweden

Site Status

Countries

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Sweden

References

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Erestam S, Haglind E, Bock D, Andersson AE, Angenete E. Changes in safety climate and teamwork in the operating room after implementation of a revised WHO checklist: a prospective interventional study. Patient Saf Surg. 2017 Jan 31;11:4. doi: 10.1186/s13037-017-0120-6. eCollection 2017.

Reference Type DERIVED
PMID: 28163786 (View on PubMed)

Other Identifiers

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Team and safety

Identifier Type: -

Identifier Source: org_study_id

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