25 May 2012 | Perioperative Mortality Review Committee
A new overseas study which aims to improve patient safety by identifying and categorizing hazards present during cardiac surgery found a total of 58 hazards.
The study involved the observation of 20 cardiac surgeries in five hospitals during 2008. As well as direct observation during the surgery researchers also made contextual inquiries and took photographs to collect the hazard data.
Hazard categories identified included those related to care providers (eg, practice variations), tasks (eg, high workload), tools and technologies (eg, poor usability), physical environment (eg, cluttered workspace), organisation (eg, hierarchical culture) and processes (eg, non-compliance with guidelines).
The authors concluded that a lot could be done to improve safety and recommended that future efforts focus on strengthening safety culture, increasing compliance with infection control practices, improving communication and teamwork, and developing a partnership among all stakeholders to improve the design of tools and technologies.
The full article can be accessed here on the BMJ Quality & Safety website