ArticleFrontiers in public health2022
Patient safety and staff psychological safety: A mixed methods study on aspects of teamwork in the operating room.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07396675 (Improving Postoperative Debriefings), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Postoperative Debriefings: the Added Value of Operating Room Black Box Supported Debriefings and Their Effect on Healthcare Professionals Perceived Effectiveness and Psychological Safety.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Pooled it
- 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
- Determinants, patterns, and gaps in patient safety and quality of care research in Israel: a scoping review.Israel journal of health policy research · 2026Article
- Integrating Patient-Centered Perioperative Care Continuum Digital Closed-Loop Management With Overall Every Control to Improve Perioperative Efficiency: A Mixed-Methods Study.Journal of nursing management · 2026Article
- Construction and application of a BOPPPS-based clinical teaching model in the operating room: effects on surgical-team performance and patient safety.Frontiers in medicine · 2026Article
- The Influence of Age and Experience on Safety Climate Perceptions Among Healthcare Staff in Operating, Interventional Radiology, and Hybrid Operating Rooms: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Relaxed vigilance: humor as a regulatory capacity in care systems.Frontiers in sociology · 2026Article
- The whole person beneath the drapes: a philosophical reflection on human-centeredness in the operating room.Philosophy, ethics, and humanities in medicine : PEHM · 2025Review
- Neuraxial Anesthesia and Cancer Recurrence Following Prostatectomy: Thinking Outside the Box.Pharmacy (Basel, Switzerland) · 2025Review
- Putting Patients at Risk: The Effect of Health Care Provider Burnout on Patient Care in the Operating Room-A Narrative Review.Journal of patient safety · 2025Review
- Does the Surgical Safety Checklist need a co-pilot? Comparing adherence in gynecological surgery through electronic medical records and OR Black Box video observations.Surgical endoscopy · 2025Observational
- 'I Think the First Priority is Physically Safe First, Before You Can Actually Get Psychologically Safe': Staff Perspectives on Psychological Safety in Inpatient Mental Health Settings.Journal of psychiatric and mental health nursing · 2025Article
- Impact of Safety Risk Defense Mechanism in Operating Room Nursing on Quality and Risk Incidents.Risk management and healthcare policy · 2025Article
- Challenges and dynamics in reporting medical device incidents: a qualitative study.Frontiers in health services · 2025Article
- Healthcare professionals' perception of the World Health Organization Surgical Safety Checklist and psychological safety: a cross-sectional survey.BMJ open quality · 2024Article
- Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis.Surgical endoscopy · 2024Article
- Development and psychometric evaluation of a pneumatic tourniquet work standards scale.Journal of orthopaedic surgery and research · 2024Article
- Cluster of Speaking-Up Behavior in Clinical Nurses and Its Association With Nursing Organizational Culture, Teamwork, and Working Condition: A Cross-Sectional Study.Journal of nursing management · 2024Article
- Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature.Frontiers in surgery · 2024Article
- Second Victim Experience: A Dynamic Process Conditioned by the Environment. A Qualitative Research.International journal of public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To predict the amount of teamwork that takes place throughout a surgery, based on performing a preoperative safety standards (surgical safety checklist and surgical count) and to explore factors affecting patient safety and staff psychological safety during a surgery, based on interprofessional teamwork. Methods: This mixed methods study included quantitative and qualitative analyses. Quantitative data included 2,184 direct observations of surgical cases with regard to the performance of safety standards during surgeries in 29 hospitals, analyzed using multivariate binary logistic regressions. Qualitative data were obtained from an analysis of 25 semi-structured interviews with operating room (OR) clinicians and risk managers, using an inductive thematic analysis approach. Results: Analysis of the OR observations revealed that a lack of teamwork in the preoperative "sign-in" phase doubled the chances of there being a lack of teamwork during surgery [odds ratio = 1.972, 95% confidence interval (CI) 1.741, 2.233, Conclusions: Healthcare organizations should consider the key finding of this study when trying to identify factors that affect teamwork during a surgery. Effective preoperative teamwork positively affects intraoperative teamwork, as does the presence of more clinicians participating in a surgery, with no turnover. Other factors include working in a fixed, designated team, led by a surgeon, which functions with effective interprofessional communication that promotes patient safety and staff psychological safety.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.