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Related Experiment Videos

Operating room briefings and wrong-site surgery.

Martin A Makary1, Arnab Mukherjee, J Bryan Sexton

  • 1Department of Surgery, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Medical Institutions, Baltimore, MD 21224, USA.

Journal of the American College of Surgeons
|January 27, 2007
PubMed
Summary
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Implementing operating room (OR) briefings significantly reduces the perceived risk of wrong-site surgery. These structured discussions also enhance collaboration and coordination among surgical teams, improving patient safety.

Area of Science:

  • Patient Safety
  • Surgical Team Communication
  • Healthcare Quality Improvement

Background:

  • Wrong-site surgery poses significant risks to patients, caregivers, and healthcare institutions.
  • Communication breakdowns are a primary cause of wrong-site surgery.
  • The effectiveness of preventive strategies like operating room briefings is not well-established.

Purpose of the Study:

  • To evaluate the impact of operating room (OR) briefings on care coordination.
  • To assess the effect of OR briefings on the risk of wrong-site surgery.
  • To measure changes in staff perceptions of teamwork and surgical site awareness.

Main Methods:

  • A case-based Safety Attitudes Questionnaire (SAQ) was administered to OR staff before and after implementing an OR briefing program.

Related Experiment Videos

  • The questionnaire assessed staff perceptions of overall coordination and awareness of the surgical site.
  • Multivariate Analysis of Variance (MANOVA) was used to compare pre- and post-briefing assessments.

    • Main Results:

    • Operating room briefings were associated with improved caregiver perceptions of reduced risk for wrong-site surgery and enhanced collaboration.
    • Significant improvements were observed in 5 out of 6 assessed items, including teamwork and awareness of the surgical site.
    • Post-briefing, 91.5% of staff agreed that surgery and anesthesia worked as a well-coordinated team, compared to 67.9% pre-briefing.

    Conclusions:

    • Operating room briefings are an effective strategy for reducing the perceived risk of wrong-site surgery.
    • Briefings significantly improve perceived collaboration and teamwork among operating room personnel.
    • Implementing OR briefings enhances overall patient safety by improving communication and coordination.