Evaluation of Implementation of the Principles of Patient Safety Standards by Surgical Team in Iranian Hospitals

Abstract

Background: Today, patient safety is one of the main concerns in the health care system; patient safety standards is very important in the Operating Room (OR). Aim: The present study was performed with aim to evaluate the implementation of patient safety standards by the surgical team in Iranian hospitals. Method: This descriptive cross-sectional study was performed in 2019 on 180 surgical cases in the OR of selected centers affiliated to Isfahan University of Medical Sciences. Data collection tools was a checklist (including patients' demographic characteristics and 134 items related to 4 dimensions of anesthesia care standards before, during and after surgery, observance of essential points in safe surgery, observance of the relationship between the surgical team and the standard of patient movement and position during surgery). Results: The highest mean score was related to observing the standards of anesthesia care before, during and after surgery (70.76 ± 10.58), then observing the essential points in safe surgery (65.41 ±19.32), observing the relationship between the surgical team (57.59 ± 18.8) and the standard of patient movement and position during surgery (25.73 ± 7.95) were in the next ranks. The performance of the surgical team in observing safety standards significantly increased with increasing age and weight (p<0.05). Implications for Practice: According to the results of this study, all members of the surgical team should be aware of safe surgery and more training programs should be developed for them to compile with the standards of patient safety in OR. © 2023 Mashhad University of Medical Sciences, All rights reserved.