Mapping Interventions to Promote Safety Culture in the OR: A Scoping Review

Area of Science:

• Healthcare Management
• Patient Safety
• Surgical Safety

Background:

• The operating room (OR) presents a high-risk environment for safety incidents.
• Effective safety culture interventions are crucial for risk mitigation in the OR.

Purpose of the Study:

• To conduct a scoping review mapping interventions and measures evaluated for examining safety culture in the OR.
• To identify common targets of safety culture initiatives in surgical settings.

Main Methods:

• A scoping review following Joanna Briggs Institute methodology.
• Inclusion of qualitative, quantitative, and mixed-methods studies.
• Focus on interventions targeting healthcare providers and learners to promote OR safety culture.

Main Results:

• Interventions commonly targeted teamwork, communication, safety attitudes, perceptions, and safety-related incidents.
• A diverse range of methods have been employed to evaluate OR safety culture.
• Most interventions aimed to improve provider collaboration and communication.

Conclusions:

• Safety culture initiatives in the OR are diverse and varied.
• Effective initiatives can enhance teamwork and communication.
• Promoting a strong safety culture is linked to a reduction in safety incidents within the OR.