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Updated: Apr 15, 2026

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Safety culture and care: a program to prevent surgical errors.

Maureen White Hemingway, Catherine O'Malley, Sandra Silvestri

    AORN Journal
    |April 4, 2015
    PubMed
    Summary

    Improving surgical safety culture is vital for quality patient care. A hospital

    Area of Science:

    • Healthcare Quality Improvement
    • Patient Safety
    • Surgical Care

    Background:

    • Surgical errors are a significant concern in healthcare.
    • Hospitals utilize safety measures for performance benchmarking.
    • Analyzing care quality is essential for understanding patient safety.

    Purpose of the Study:

    • To describe the development of a robust safety program in a Perioperative Services department.
    • To detail initiatives aimed at enhancing the culture of safety.
    • To evaluate the impact of these initiatives on staff behavior.

    Main Methods:

    • Implemented changes in safety reporting processes.
    • Revised performance improvement plans.
    • Allocated additional resources and created new nurse roles.
    Keywords:
    preventing surgical errorsprocess improvementquality assurancesafety culturesafety program

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  • Developed communication strategies for adverse events and care improvement.
  • Main Results:

    • A comprehensive safety program was established.
    • Processes for safety reporting and performance improvement were enhanced.
    • A 54% increase was observed in staff willingness to speak up about patient care concerns.

    Conclusions:

    • Targeted initiatives can significantly improve a safety culture in surgical settings.
    • Enhanced communication and reporting mechanisms empower staff to advocate for patient safety.
    • Investing in resources and specific roles strengthens the overall quality of care.