title: A study to assess the influence of interprofessional point of care simulation training on safety culture in the operating theatre environment of a university teaching hospital.
abstract: Interprofessional point of care or in situ simulation is used as a training tool in our operating theatre directorate with the aim of improving crisis behaviours. This study aimed to assess the impact of interprofessional point of care simulation on the safety culture of operating theatres. A validated Safety Attitude Questionnaire was administered to staff members before each simulation scenario and then re-administered to the same staff members after 6-12 months. Pre- and post-training Safety Attitude Questionnaire-Operating Room (SAQ-OR) scores were compared using paired sample t-tests. Analysis revealed a statistically significant perceived improvement in both safety (p < 0.001) and teamwork (p = 0.013) climate scores (components of safety culture) 6-12 months after interprofessional simulation training. A growing body of literature suggests that a positive safety culture is associated with improved patient outcomes. Our study supports the implementation of point of care simulation as a useful intervention to improve safety culture in theatres.
authors: a Department of Anaesthesia, Plymouth Hospitals NHS Trust , Plymouth , UK.
authors: Theresa
authors: T
authors: Hinde
authors: a Department of Anaesthesia, Plymouth Hospitals NHS Trust , Plymouth , UK.|b Collaboration for the Advancement of Medical Education Research and Assessment (CAMERA), Plymouth University Peninsula Schools of Medicine and Dentistry , Plymouth , UK.
authors: Thomas
authors: T
authors: Gale
authors: c University Hospital Crosshouse , Kilmarnock , UK.
authors: Ian
authors: I
authors: Anderson
authors: b Collaboration for the Advancement of Medical Education Research and Assessment (CAMERA), Plymouth University Peninsula Schools of Medicine and Dentistry , Plymouth , UK.
authors: Martin
authors: M
authors: Roberts
authors: a Department of Anaesthesia, Plymouth Hospitals NHS Trust , Plymouth , UK.
authors: Paul
authors: P
authors: Sice
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003299:Cooperative Behavior; D006126:Group Processes; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D009873:Operating Rooms / Q000458:organization & administration*; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration*
keywords: Interprofessional learning; operating theatres; safety climate; simulation; teamwork climate