ArticleBMJ open quality2022
Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.
Article in BMJ open quality, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Perception of safety climate among nursing staff in operating rooms in Slovenia: a cross-sectional analytical study.BMJ open · 2026Article
- Decoding the OR Black Box and Similar Technologies and Considerations in Otolaryngologic Surgery.Laryngoscope investigative otolaryngology · 2026Review
- Development of a stakeholder-informed framework for the implementation of surgical sabermetrics to enhance training and education.The British journal of surgery · 2026Article
- The impact of imposter phenomenon: an unmet need in the education of healthcare personnel- a cross-sectional study.BMC medical education · 2025Article
- Article
- Advancing healthcare practice and education via data sharing: demonstrating the utility of open data by training an artificial intelligence model to assess cardiopulmonary resuscitation skills.Advances in health sciences education : theory and practice · 2025Article
- Healthcare professionals' perception of the World Health Organization Surgical Safety Checklist and psychological safety: a cross-sectional survey.BMJ open quality · 2024Article
- Enhancing surgical performance in cardiothoracic surgery with innovations from computer vision and artificial intelligence: a narrative review.Journal of cardiothoracic surgery · 2024Review
- Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events.BMJ open quality · 2023Article
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Authors and funding
9 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionComprehensive data capture systems such as the Operating Room Black Box (OR Black Box) are becoming more widely implemented to access quality data in the complex environment of the OR. Prior to installing an OR Black Box, we assessed perceptions on safety attitudes, impostor phenomenon and privacy concerns around digital information sharing among healthcare professionals in the OR. A parallel survey was conducted in Canada, hence, this study also discusses cultural and international differences when implementing new technology in healthcare.
methodsA cross-sectional survey using three previously validated questionnaires (Safety Attitudes Questionnaire (SAQ), Clance Impostor Phenomenon Scale, Dispositional Privacy Concern) was distributed through Research Electronic Data Capture to 145 healthcare professionals from the OR (July to December 2019). Analysis of variance and analysis of covariance were used to test for differences.
results124 responded (86%): 100 completed the survey (69%) (38 nurses, 10 anaesthesiologists, 36 obstetricians/gynaecologists, 16 residents). Significant variability in all six SAQ domains, safety climate and teamwork being the lowest ranked and job satisfaction ranked highest for all groups. The SAQ varied in all domains in Canada. Moderate to frequent impostor phenomenon was experienced by 71% predominantly among residents (p=0.003). 72% in the Canadian study. Residents were most comfortable with digital information sharing (p<0.001), only 13% of all healthcare professionals were concerned/heavy concerned compared with 45% in Canada.
conclusionsThe different healthcare professional groups had diverse perceptions about safety culture, but were mainly concerned about safety climate and teamwork in the OR. Impostor phenomenon decreased with age. All groups were unconcerned about digital information sharing. The Canadian study had similar findings in terms of impostor phenomenon, but a variety within the SAQ and were more concerned about data safety, which could be due to medical litigation per se and is not widespread in Scandinavia compared with North America.
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