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Development of the Surgical Patient safety Observation Tool (SPOT)
A J Heideveld-Chevalking1, H Calsbeek2, Y J Emond2
1Department of Operating Theatres Radboud University Medical Centre Nijmegen The Netherlands.
BJS Open
|June 29, 2018
Summary
A new Surgical Patient safety Observation Tool (SPOT) was developed to monitor and benchmark perioperative safety. The tool demonstrated good measurability, applicability, and improvement potential in a pilot study.
Area of Science:
- Healthcare quality and safety research
- Surgical patient safety
- Health services research
Background:
- A Surgical Patient safety Observation Tool (SPOT) was created to address the need for monitoring perioperative safety.
- The tool integrates international patient safety goals and Dutch guidelines.
Purpose of the Study:
- To develop and test a comprehensive tool for monitoring and benchmarking perioperative patient safety.
- To evaluate the measurability, applicability, improvement potential, discriminatory capacity, and feasibility of the SPOT tool.
Main Methods:
- A multicentre observational pilot study was conducted.
- The Delphi method was used for expert consensus on tool content.
- The tool was piloted in eight hospitals, assessing key performance indicators.
Main Results:
- SPOT showed good measurability across 19 patient safety topics.
- High applicability (median 97%) and improvement potential (median 89%) were observed.
- The tool exhibited good discriminatory capacity and was considered straightforward and easy to use by auditors.
Conclusions:
- A validated, comprehensive tool for measuring perioperative safety was developed.
- The SPOT tool enables hospitals to effectively monitor, benchmark, and enhance patient safety performance.
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