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Examining patient safety attitudes among urology trainees
Alistair Geraghty1, Sarah Reid, Craig McIlhenny
1Scottish Clinical Simulation Centre, Forth Valley Royal Hospital, Larbert, UK.
BJU International
|September 24, 2013
Summary
Urology trainees show improved attitudes towards teamwork and feedback, but remain resistant to acknowledging the impact of stress and fatigue on performance. Further training is recommended to address these patient safety concerns.
Area of Science:
- Medical Education
- Surgical Safety
- Healthcare Management
Background:
- Patient safety is paramount in surgical settings.
- Recent initiatives emphasize safety protocols and operating theatre procedures.
- Understanding trainee attitudes is crucial for improving surgical care.
Purpose of the Study:
- To assess current patient safety attitudes among urology trainees.
- To determine if attitudes have evolved with new safety measures and working procedures.
Main Methods:
- The study involved 28 urology trainees in the West of Scotland, UK.
- Attitudes were measured using the validated Operating Room Management Attitudes Questionnaire.
Main Results:
- Trainees demonstrated strong positive attitudes towards teamwork, information sharing, and multidisciplinary feedback.
- Acceptance of preoperative briefing and feedback improved compared to a historical cohort.
- A significant portion of trainees underestimated the impact of stress, fatigue, and personal issues on performance.
- Attitudes towards leadership and questioning senior decisions remained largely unchanged.
Conclusions:
- Improved attitudes towards briefing and feedback align with the implementation of surgical checklists and feedback tools.
- Persistent underestimation of human performance limitations, particularly fatigue and stress, requires further attention.
- Enhanced training is suggested to improve understanding of error mechanisms, human performance limits, and assertiveness in challenging decisions.
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