Going beyond compliance: A qualitative study of the practice of surgical safety checklist

Lim, Shu Rong; Ng, Qin Xiang; Xin, Xiaohui; Moyal-Smith, Rachel; Etheridge, James C.; Teng, Chai Lian; Havens, Joaquim M.; Brindle, Mary E.; Yong, Tze Tein; Tan, Hiang Khoon

doi:10.1016/j.socscimed.2024.116652

Cited by 1 publication

(1 citation statement)

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“…Thus, this multicentre, cross-sectional study aimed to explore the degree to which the experience of an adverse event is common, as well as its impact, and factors affecting their responses and perceived support systems amongst surgeons locally. There are certain nuances within the Asian context which may make healthcare organizations more hierarchical [ 18 ] and influence the outcome and response to intraoperative adversities, encumbering individual surgeons across psychological, emotional, and physical domains. Through our findings, we hope to improve current understanding of the topic and inform further mitigation and resolution strategies when adverse events occur, ultimately aiding surgical professionals in managing them more effectively.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative adverse events among surgeons in Singapore: a multicentre cross-sectional study on impact and support

Yaow,

Ng,

Chong

et al. 2024

BMC Health Serv Res

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Background It is known that many surgeons encounter intraoperative adverse events which can result in Second Victim Syndrome (SVS), with significant detriment to their emotional and physical health. There is, however, a paucity of Asian studies in this space. The present study thus aimed to explore the degree to which the experience of an adverse event is common among surgeons in Singapore, as well as its impact, and factors affecting their responses and perceived support systems. Methods A self-administered survey was sent to surgeons at four large tertiary hospitals. The 42-item questionnaire used a systematic closed and open approach, to assess: Personal experience with intraoperative adverse events, emotional, psychological and physical impact of these events and perceived support systems. Results The response rate was 57.5% (n = 196). Most respondents were male (54.8%), between 35 and 44 years old, and holding the senior consultant position. In the past 12 months alone, 68.9% recalled an adverse event. The emotional impact was significant, including sadness (63.1%), guilt (53.1%) and anxiety (45.4%). Speaking to colleagues was the most helpful support source (66.7%) and almost all surgeons did not receive counselling (93.3%), with the majority deeming it unnecessary (72.2%). Notably, 68.1% of the surgeons had positive takeaways, gaining new insight and improving vigilance towards errors. Both gender and surgeon experience did not affect the likelihood of errors and emotional impact, but more experienced surgeons were less likely to have positive takeaways (p = 0.035). Individuals may become advocates for patient safety, while simultaneously championing the cause of psychological support for others. Conclusions Intraoperative adverse events are prevalent and its emotional impact is significant, regardless of the surgeon’s experience or gender. While colleagues and peer discussions are a pillar of support, healthcare institutions should do more to address the impact and ensuing consequences.

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Section: Introductionmentioning

confidence: 99%