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Effectiveness of an In-Service Education Program to Improve Patient Safety Directed at Surgical Residents: A Randomized Controlled Trial Publisher Pubmed



Ameryoun A1 ; Pakpour AH2, 3 ; Nikoobakht M4 ; Saffari M5, 6 ; Yaseri M7 ; Ogaro KGN8 ; Koenig HG9, 10, 11
Authors
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Authors Affiliations
  1. 1. Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  2. 2. Social Determinants of Health Research Center (SDH), Qazvin University of Medical Sciences, Qazvin, Iran
  3. 3. Department of Nursing, School of Health and Welfare, Jonkoping University, Jonkoping, Sweden
  4. 4. Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
  6. 6. Health Education Department, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran
  7. 7. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States
  9. 9. Duke University Medical Center, Durham, NC, United States
  10. 10. King Abdulaziz University, Jeddah, Saudi Arabia
  11. 11. Ningxia Medical University, Yinchuan, China

Source: Journal of Surgical Education Published:2019


Abstract

Background: Patient safety is a critical issue in healthcare services particularly in surgical units and operation rooms because of the high prevalence and risk of medical errors in such settings. This study was conducted to determine whether a 1-day educational intervention can change the attitude and behavior of surgical residents regarding patient safety. Methods: A total of 90 surgical residents were recruited from 6 university hospitals located in Tehran and Qazvin, Iran, and were randomized to either the intervention or a control group. Those in the intervention group participated in a 1-day workshop on patient safety, whereas the control group received no intervention. Both groups were followed for 3 months after the intervention was completed. The Safety Attitude Questionnaire and Oxford Non-Technical Skills scale were administered at 3 points in time (baseline, 1 month after the intervention, and 3 month later). The data were analyzed using repeated measures analysis of variance. Results: Total score on the Safety Attitude Questionnaire improved from 54.5 (SD = 14.4) at baseline to 58.3 (SD = 13.8) 3 months after the intervention in the intervention group; all dimensions, with the exception of working condition, showed significant changes. In addition, the Oxford Non-Technical Skills scale – as assessed by attending surgeons – improved significantly in all domains (p < 0.05). More than 60% of participants in the intervention group scored in the positive range for items assessing safety and teamwork climate. Conclusions: A 1-day interactive educational workshop may be effective in changing the attitude and practice of surgical residents regarding patient safety. Further assessment of this intervention in other healthcare settings involving health professionals from various specialties and use of an objective measure such as number of reported medical errors are needed to corroborate these findings. © 2019 Association of Program Directors in Surgery
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