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Nurses Outsmart Surgeons When It Comes Safety And Team Wok

lot or copilot who wasn’t happy with his working environment and the same applies to the OR,' he says.

The SAQ was adapted from the Flight Management Attitudes Questionnaire (FMAQ) and its predecessor, the Cockpit Management Attitudes Questionnaire (CMAQ), both of which were developed to address accidents in the airline industry. The theory behind all these surveys is that improving work-area issues improves safety, according to co-researcher J. Bryan Sexton, Ph.D., an assistant professor of anesthesia and critical care medicine at Hopkins. The survey is not limited to the OR. Variations of the SAQ have been used to analyze work environments throughout the hospital, he says.

'We found that using frontline caregiver assessments of patient safety can give you a valid and reliable consensus on how things are going in a particular patient care area, and that this is related to important outcomes like hospital acquired infections, length of stay and nurse turnover,' says Sexton.

Reports by the Institute of Medicine regarding safety in the OR, rising malpractice costs and the demonstrated vulnerability and devastation hospitals face after public exposure of deaths due to OR errors have all drawn attention to the importance of developing sound hospital systems to reduce OR errors. As a result, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) will require all hospitals to measure their culture beginning in 2007.

Wrong-site/wrong-procedure surgeries, retained sponges, unchecked blood transfusions, mismatched organ transplants and overlooked allergies are examples of potentially catastrophic events that, in certain circumstances, can be prevented by improved communication and safer hospital systems.

The team fine-tuned the SAQ by reviewing the literature on patient safety, by asking OR health care providers to review the survey, and by conducting focus groups.

These SAQ questions
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