3.8 Article

Patient safety during joint replacement surgery: experiences of operating room nurses

期刊

BMJ OPEN QUALITY
卷 10, 期 4, 页码 -

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjoq-2021-001604

关键词

management; patient safety; attitudes

资金

  1. Strategic Research Area Health Care Science (SFO-V) in Sweden [350033022 SFO-V]
  2. JC Kempe's foundation in Sweden
  3. Umea University in Sweden

向作者/读者索取更多资源

This study explored patient safety practices during joint replacement surgery through interviews with operating room nurses. Nurses described organizational, team, and individual level safety hazards, emphasizing the importance of teamwork, professional skill, and experience in addressing risks and ensuring patient safety. The study concludes that consistent performance attention and organizational support are needed to limit complications during surgeries.
Background Avoidable complications for surgical patients still occur despite efforts to improve patient safety processes in operating rooms. Analysis of experiences of operating room nurses can contribute to better understanding of perioperative processes and flow, and why avoidable complications still occur. Aim To explore aspects of patient safety practice during joint replacement surgery through assessment of operating room nurse experiences. Method A qualitative design using semistructured interviews with 21 operating room nurses currently involved in joint replacement surgery in Sweden. Inductive qualitative content analysis was used. Results The operating room nurses described experiences with patient safety hazards on an organisational, team and individual level. Uncertainties concerning a reliable plan for the procedure and functional reporting, as well as documentation practices, were identified as important. Teamwork and collaboration were described as crucial at the team level, including being respected as valuable, having shared goals and common expectations. On the individual level, professional knowledge, skills and experience were needed to make corrective steps. Conclusion The conditions to support patient safety, or limit complication risk, during joint replacement surgery continue to be at times inconsistent, and require steady performance attention. Operating room nurses make adjustments to help solve problems as they arise, where there are obvious risks for patient complications. The organisational patient safety management process still seems to allow deviation from established practice standards at times, and relies on individual-based corrective measures at the 'bedside' at times for good results.

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