ArticleBMC health services research2022
Patient safety culture as perceived by operating room professionals: a mixed-methods study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Factors influencing patient safety incident reporting in African healthcare organisations: a systematic integrative review.BMC health services research · 2025Pooled it
- Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis.BMJ open quality · 2025Pooled it
- From Person to Patient: Power, Control and the Construction of Vulnerability in the Operating Room.Nursing inquiry · 2026Article
- Perioperative patient safety: nurses' safety perceptions and observed compliance with safety standards in the operating room.BMC nursing · 2026Article
- Attitudes Toward Patient Safety in Operating Rooms: Cross-Cultural Adaptation and Validation of the French Version of the Operating Room Management Attitudes Questionnaire (ORMAQ).Healthcare (Basel, Switzerland) · 2026Article
- Patient safety culture in the operating room of African hospitals: a systematic review.Patient safety in surgery · 2026Review
- Improving Patient Safety Culture Perceptions in Resource-Limited Operating Rooms: A Nurse-Led Multifaceted Implementation of the WHO Surgical Safety Checklist.Journal of nursing management · 2026Article
- Validation in the Greek Language of the Patients' Perception of the Surgical Safety Questionnaire.Cureus · 2024Article
- Impact of an educational intervention on patient safety culture among gynecology-obstetrics' healthcare professionals.BMC health services research · 2024Article
- Patient Safety Culture: Nurses' Perspective in the Hospital Setting.Healthcare (Basel, Switzerland) · 2024Article
- A qualitative study on patients' and health care professionals' perspectives regarding care delivered during CIED operation.BMC health services research · 2024Article
- Educational technology to support patient safety in the operating room: clinical simulation guides.Revista latino-americana de enfermagem · 2024Article
- Patient Safety Culture, Infection Prevention, and Patient Safety in the Operating Room: Health Workers' Perspective.Risk management and healthcare policy · 2023Article
- Status and Factors Affecting Patient Safety Culture at Dilla University Teaching Hospital: A Mixed-Method Cross-Sectional Study.Risk management and healthcare policy · 2023Article
- Impact of Target Management Card on Patient Safety in the Emergency Department: A Mixed Methods Study.Risk management and healthcare policy · 2023Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoutine assessments of patient safety culture within hospitals have been widely recommended to improve patient safety. Experts suggested that mixed-methods studies can help gain a deeper understanding of the concept. However, studies combining quantitative and qualitative approaches exploring patient safety culture are still lacking. This study aimed to explore patient safety culture as perceived by operating room professionals of two university hospitals in Sousse, Tunisia.
methodsBased on a mixed-methods approach, a cross-sectional survey followed by semi-structured interviews were conducted over a period of two months (December 2019 to January 2020). This study took place in all the operating rooms of two public university hospitals in the district of Sousse, Tunisia. To collect data for this survey, the French version of the Hospital Survey On Patient Safety Culture was used. For interviews, 13 participants were selected purposively using a critical case sampling approach and a topic guide was prepared. Anonymity and confidentiality were respected.
resultsOverall, twelve operating rooms, with different surgical specialties, were included in the study. Survey feedback was provided by 297 professionals representing a response rate of 85.6%. Concerning patient safety culture, the 10 dimensions had low scores (below 50%) and were considered "to be improved". The highest score was found in 'teamwork within units' (45%). Whereas, the lowest scores were allocated to 'non-punitive response to error' (22.9%), followed by "frequency of adverse event reported" (25.6%) and "communication openness" (26.3%). Per qualitative data, participants provided a more detailed picture of patient safety issues such as underreporting, absence of an effective reporting system, lack of freedom of expression, and an existing blame culture in operating rooms.
conclusionsThe findings of this study showed a concerning perception held by participants about the lack of a patient safety culture in their operating rooms. It seems essential to design, implement and evaluate strategies that promote a positive patient safety culture and obliterate punitive climate in operating rooms.
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