A Comparison of US, UK, and Dutch Perioperative Staffing Practices

Beuzekom, M. van; Boer, F.

doi:10.1016/s0001-2092(06)63942-2

Cited by 9 publications

(4 citation statements)

References 24 publications

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“…At the time of the pre-test there were shortages in OR personnel in 14 out of the 60 (23 %) Dutch hospitals investigated [33]. One of the reasons for understaffing in the Netherlands is that working in healthcare is found to be less appealing [34,35]. To limit turnover and to attract new personnel we need to enhance the attractiveness of the profession.…”

Section: Discussionmentioning

confidence: 99%

Patient safety in the operating room: an intervention study on latent risk factors

et al. 2012

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BackgroundPatient safety is one of the greatest challenges in healthcare. In the operating room errors are frequent and often consequential. This article describes an approach to a successful implementation of a patient safety program in the operating room, focussing on latent risk factors that influence patient safety. We performed an intervention to improve these latent risk factors (LRFs) and increase awareness of patient safety issues amongst OR staff.MethodsLatent risk factors were studied using a validated questionnaire applied to the OR staff before and after an intervention. A pre-test/post-test control group design with repeated measures was used to evaluate the effects of the interventions. The staff from one operating room of an university hospital acted as the intervention group. Controls consisted of the staff of the operating room in another university hospital. The outcomes were the changes in LRF scores, perceived incident rate, and changes in incident reports between pre- and post-intervention.ResultsBased on pre-test scores and participants’ key concerns about organizational factors affecting patient safety in their department the intervention focused on the following LRFs: Material Resources, Training and Staffing Recourses. After the intervention, the intervention operating room - compared to the control operating room - reported significantly fewer problems on Material Resources and Staffing Resources and a significantly lower score on perceived incident rate. The contribution of technical factors to incident causation decreased significantly in the intervention group after the intervention.ConclusionThe change of state of latent risk factors can be measured using a patient safety questionnaire aimed at these factors. The change of the relevant risk factors (Material and Staffing resources) concurred with a decrease in perceived and reported incident rates in the relevant categories. We conclude that interventions aimed at unfavourable latent risk factors detected by a questionnaire focussed at these factors may contribute to the improvement of patient safety in the OR.

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Section: Discussionmentioning

confidence: 99%

Patient safety in the operating room: an intervention study on latent risk factors

et al. 2012

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“…The Association of periOperative Registered Nurses (AORN) was the first professional organization to represent the view of nurses providing patient care to patients undergoing surgery in America (Driscoll 1976). The perioperative nurse’s role is to care for the patient before, during and after surgical intervention (van Beuzekom & Boer 2006). Overall, perioperative nursing is identified by the practice environment (Morton 1998, Moszczynski 2008).…”

Section: Introductionmentioning

confidence: 99%

Student nurses’ perceptions of learning in a perioperative placement

Callaghan

2010

Journal of Advanced Nursing

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“…Our study supports these and other studies (McGarvey et al . , Beuzekom & Boer , Mitchell & Flin ) by showing that lack of continuity and the variation in competence and experience in the surgical teams working outside day shifts seem to influence optimal positioning. Based on these findings, we suggest to establish permanent surgical teams ensuring continued collaboration among team members, and to improve practice among staff in the correct positioning of patients.…”

Section: Discussionmentioning

confidence: 99%