What are the attitudes and perceptions of Surgeons

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What are the attitudes and perceptions of Surgeons and Scrub Nurses towards Surgical Briefing

What are the attitudes and perceptions of Surgeons and Scrub Nurses towards Surgical Briefing and Debriefing? Pamela Firth, BSc. Golden Jubilee National Hospital, Thoracic Theatres.

BACKGROUND World Health Organisation (2008) Surgical Safety Checklist Sign in Time out Sign out.

BACKGROUND World Health Organisation (2008) Surgical Safety Checklist Sign in Time out Sign out. National Patient Safety Agency (2009) – Five Steps to safer surgery. Surgical Briefs Surgical Debriefs

Surgical Briefs and Debriefs Scottish Patient Safety Programme (2014) Improves Team and Patient Safety

Surgical Briefs and Debriefs Scottish Patient Safety Programme (2014) Improves Team and Patient Safety Reduce Morbidity and Mortality Manage Human Error Reduces Avoidable Mistakes Improves Team Communication

Surgical Briefs - Recommendations for Best Practice East Cheshire NHS Trust (2015) Team introductions

Surgical Briefs - Recommendations for Best Practice East Cheshire NHS Trust (2015) Team introductions Review cases Discuss changes, expectations, concerns and issues Anticipated duration Equipment required Patient recovery

Surgical Debrief Requires all team members present What went well and why? Near misses

Surgical Debrief Requires all team members present What went well and why? Near misses and errors Changes to be made to improve patient care and safety

Research Over half of complications related to surgery are preventable. Atul Gawande (2011) Compliance

Research Over half of complications related to surgery are preventable. Atul Gawande (2011) Compliance Structure Information Sharing Communication

Aims and Objectives To explore the perceived efficacy and attitudes that drive the safe

Aims and Objectives To explore the perceived efficacy and attitudes that drive the safe performance of a frontline surgical team in theatre. To identify effective/challenging key factors in teamwork, that can have a positive/negative impact on the safety culture in surgery.

METHODS Study Design – One to one interviews Sample Size – Ten participants Ethics

METHODS Study Design – One to one interviews Sample Size – Ten participants Ethics Approval Access Pilot Study

RESULTS 100% of participants reported debriefing is very rarely carried out. 90% of participants

RESULTS 100% of participants reported debriefing is very rarely carried out. 90% of participants reported inconsistencies-Structure, Information Sharing. 90% of participants reported a lack of introductions. 90% of participants reported an unsuitable environment.

Limitations One Unit/One Hospital Selecting two Healthcare Professionals Majority of participants were Scrub Nurses

Limitations One Unit/One Hospital Selecting two Healthcare Professionals Majority of participants were Scrub Nurses

CONCLUSIONS IMPROVEMENTS Implementation of Debriefs Introduction of Structured Briefs Team Communication Suitable Environment

CONCLUSIONS IMPROVEMENTS Implementation of Debriefs Introduction of Structured Briefs Team Communication Suitable Environment

QUESTIONS

QUESTIONS

References Eastcheshire. nhs. uk. (2015). Five Steps to Safer Surgical Interventions. [online] Available at:

References Eastcheshire. nhs. uk. (2015). Five Steps to Safer Surgical Interventions. [online] Available at: http: //www. eastcheshire. nhs. uk/About-The. Trust/policies/S/Safer%20 Surgical%20 Interventions%20 ECT 2362. pdf [Accessed 19 Mar. 2017]. Gawande, A. (2011). The checklist manifesto: How to get things right. Atul Gawande. London: Profile Books. National Patient Safety Agency. (2009). How to guide to the five steps to safer surgery. [online] Available at: http: //www. nrls. npsa. nhs. uk/Easy. Site. Web/getresource. axd? Asset. ID=932 86 [Accessed 12 Apr. 2017] Scottish patient safety Programme national conference - driving improvements in patient safety. (2014). [online] Available at: http: //www. scottishpatientsafetyprogramme. scot. nhs. uk/Media/Docs/Confere nce. Scottish%20 Patient%20 Safety%20 Programme%20 Conference%20 Highli ghts. pdf [Accessed 6 Feb. 2017]. WHO, (2008). WHO surgical safety checklist and implementation manual. [online] Available at: http: //www. who. int/patientsafety/safesurgery/ss_checklist/en/ [Accessed 5 Feb. 2017].

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