Safety culture in the gynecology robotics operating room.
OBJECTIVE
To measure the safety culture in the robotics surgery operating room before and after implementation of the Robotic Operating Room Computerized Checklist (RORCC).


METHODS
Prospective study.


METHODS
Gynecology surgical staff (n = 32).


METHODS
An urban community hospital.


METHODS
The Safety Attitudes Questionnaire domains examined were teamwork, safety, job satisfaction, stress recognition, perceptions of management, and working conditions. Questions and domains were described using percent agreement and the Cronbach alpha. Paired t-tests were used to describe differences before and after implementation of the checklist.


RESULTS
Mean (SD) staff age was 46.7 (9.5) years, and most were women (78%) and worked full-time (97%). Twenty respondents (83% of nurses, 80% of surgeons, 66% of surgical technicians, and 33% of certified registered nurse anesthetists) completed the Safety Attitudes Questionnaire; 6 were excluded because of non-matching identifiers. Before RORCC implementation, the highest quality of communication and collaboration was reported by surgeons and surgical technicians (100%). Certified registered nurse anesthetists reported only adequate levels of communication and collaboration with other positions. Most staff reported positive responses for teamwork (48%; α = 0.81), safety (47%; α = 0.75), working conditions (37%; α = 0.55), stress recognition (26%; α = 0.71), and perceptions of management (32%; α = 0.52). No differences were observed after RORCC implementation.


CONCLUSIONS
Quality of communication and collaboration in the gynecology robotics operating room is high between most positions; however, safety attitude responses are low overall. No differences after RORCC implementation and low response rates may highlight lack of staff support.
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio.
Melissa D
MD
Zullo
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio. Electronic address: mccarrollm@summahealth.org.
Michele L
ML
McCarroll
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio.
Thomas M
TM
Mendise
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio.
Edward F
EF
Ferris
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio.
G D
GD
Roulette
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio.
Jessica
J
Zolton
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio.
Stephen J
SJ
Andrews
Kent State University College of Public Health, Kent, Ohio; Summa Health System, Department of Obstetrics and Gynecology, Akron, Ohio.
Vivian E
VE
von Gruenigen
D000328:Adult; D001291:Attitude of Health Personnel; D057189:Checklist; D003142:Communication; D003299:Cooperative Behavior; D005260:Female; D006176:Gynecology / Q000458:organization & administration / Q000592:standards; D006801:Humans; D007588:Job Satisfaction; D008875:Middle Aged; D009873:Operating Rooms / Q000592:standards*; D015279:Organizational Culture; D061214:Patient Safety; D019555:Physician-Nurse Relations; D011446:Prospective Studies; D012371:Robotics; D017751:Safety Management / Q000458:organization & administration* / Q000592:standards; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration
Checklist; Quality; Robotic assisted; Team cohesiveness