Interprofessional staff perspectives on the adoption of or black box technology and simulations to improve patient safety: a multi-methods survey.

Autor: Campbell K; UT Southwestern Simulation Center, University of Texas Southwestern Medical Center, Dallas, TX, USA. Krystle.campbell@utsouthwestern.edu.; Department of Healthcare Leadership and Management, College of Health Professions, Doctor of Health Administration, Medical University of South Carolina, Charleston, SC, USA. Krystle.campbell@utsouthwestern.edu., Gardner A; Department of Psychiatry, Baylor College of Medicine, Houston, TX, USA., Scott DJ; Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA., Johnson J; Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, SC, USA., Harvey J; Department of Healthcare Leadership and Management, College of Health Professions, Doctor of Health Administration, Medical University of South Carolina, Charleston, SC, USA., Kazley A; Department of Healthcare Leadership and Management, College of Health Professions, Doctor of Health Administration, Medical University of South Carolina, Charleston, SC, USA.
Jazyk: angličtina
Zdroj: Advances in simulation (London, England) [Adv Simul (Lond)] 2023 Oct 25; Vol. 8 (1), pp. 24. Date of Electronic Publication: 2023 Oct 25.
DOI: 10.1186/s41077-023-00263-2
Abstrakt: Introduction: Medical errors still plague healthcare. Operating Room Black Box (ORBB) and ORBB-simulation (ORBBSIM) are innovative emerging technologies which continuously capture as well as categorize intraoperative data, team information, and audio-visual files, in effort to improve objective quality measures. ORBB and ORBBSIM have an opportunity to improve patient safety, yet a paucity of implementation literature exists. Overcoming implementation barriers is critical. This study sought to obtain rich insights while identifying facilitators and barriers to adoption of ORBB and ORBBSIM in alignment with Donabedian's model of health services and healthcare quality. Enrichment themes included translational performance improvement and real-world examples to develop sessions.
Methods: Interprofessional OR staff were invited to complete two surveys assessing staff's perceptions using TeamSTEPPS's validated Teamwork Perceptions Questionnaire (T-TPQ) and open-ended questions. Descriptive statistics were calculated for quantitative variables, and inductive phenomenological content analysis was used for qualitative.
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 ORBB benefits. Trends suggested a reciprocal benefit of dual ORBB and ORBBSIM 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.
Conclusions: Findings supported ORBB implementation themes from previous literature and deepened our understanding through the exploration of team culture. This blueprint provides a model to help organizations adopt ORBB and ORBBSIM. Outcomes can establish an empirical paradigm for future studies.
(© 2023. Society in Europe for Simulation Applied to Medicine (SESAM) and BioMed Central Ltd.)
Databáze: MEDLINE
Externí odkaz: