Building global capacity for patient safety: A training program for surgical safety research in developing and transitional countries

Louise Hull; Sonal Arora; Ana Carolina Amaya; Ana Wheelock; Hernando Gaitán-Duarte; Charles Vincent; Nick Sevdalis

doi:10.1016/j.ijsu.2012.07.005

Building global capacity for patient safety: A training program for surgical safety research in developing and transitional countries

Louise Hull^*, Sonal Arora, Ana Carolina Amaya, Ana Wheelock, Hernando Gaitán-Duarte, Charles Vincent, Nick Sevdalis

^*Corresponding author for this work

Health Service & Population Research

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

Background: Recent studies show a significant rate of adverse events in hospitalized patients in developing/transitional countries e with approximately 18% of them related to surgical procedures. Understanding and preventing these errors requires adequate training in patient safety research methods e however, relevant training programs are currently lacking. We developed, delivered and evaluated a training program to address this gap.

Methods: A one-day training program was developed based on the recently published WHO core competencies for patient safety research. The focus was on surgical patient safety research e including human factors, operating room (OR) teamwork, the OR environment, and safety culture. Feasibility, relevance and preliminary evaluation of the program ('proof of concept' testing) was conducted in Bogota, Colombia in July 2011. A validated evaluation framework was utilized, assessing participants' objective knowledge, attitudes, and observational skills.

Results: 30 postgraduate students from a range of clinical/non-clinical disciplines signed up and 17 attended the program. Participants' knowledge of surgical patient safety significantly improved upon program completion (Mean pre-course = 55% vs. Mean post-course = 68%, P <0.01), as did their confidence and understanding of problems and methodologies to assess OR patient safety, and teamwork issues (P <0.05). Observational skills in recognizing safety-related behaviors using OTAS (i.e., quality of teamwork) improved on qualitative evaluation.

Conclusions: We have developed a viable, WHO-driven training program that can be delivered to clinical and non-clinical researchers to develop their competencies and thereby build capacity in developing/transitional countries to carry out surgical safety research. All program materials are available in English and Spanish for research, training and dissemination.

Original language	English
Pages (from-to)	493-499
Number of pages	7
Journal	International Journal Of Surgery
Volume	10
Issue number	9
DOIs	https://doi.org/10.1016/j.ijsu.2012.07.005 https://doi.org/10.1016/j.ijsu.2012.07.005
Publication status	Published - 2012

Keywords

Patient safety
Teamwork
Operating room
Human factors
OBSERVATIONAL TEAMWORK ASSESSMENT
ADVERSE EVENTS
NONTECHNICAL SKILLS
SURGEONS
COMMUNICATION
HOSPITALS

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Hull, L., Arora, S., Amaya, A. C., Wheelock, A., Gaitán-Duarte, H., Vincent, C., & Sevdalis, N. (2012). Building global capacity for patient safety: A training program for surgical safety research in developing and transitional countries. International Journal Of Surgery, 10(9), 493-499. https://doi.org/10.1016/j.ijsu.2012.07.005, https://doi.org/10.1016/j.ijsu.2012.07.005

@article{90cbefa0121f48a1972f22266d05b5ea,

title = "Building global capacity for patient safety: A training program for surgical safety research in developing and transitional countries",

abstract = "Background: Recent studies show a significant rate of adverse events in hospitalized patients in developing/transitional countries e with approximately 18% of them related to surgical procedures. Understanding and preventing these errors requires adequate training in patient safety research methods e however, relevant training programs are currently lacking. We developed, delivered and evaluated a training program to address this gap.Methods: A one-day training program was developed based on the recently published WHO core competencies for patient safety research. The focus was on surgical patient safety research e including human factors, operating room (OR) teamwork, the OR environment, and safety culture. Feasibility, relevance and preliminary evaluation of the program ('proof of concept' testing) was conducted in Bogota, Colombia in July 2011. A validated evaluation framework was utilized, assessing participants' objective knowledge, attitudes, and observational skills.Results: 30 postgraduate students from a range of clinical/non-clinical disciplines signed up and 17 attended the program. Participants' knowledge of surgical patient safety significantly improved upon program completion (Mean pre-course = 55% vs. Mean post-course = 68%, P <0.01), as did their confidence and understanding of problems and methodologies to assess OR patient safety, and teamwork issues (P <0.05). Observational skills in recognizing safety-related behaviors using OTAS (i.e., quality of teamwork) improved on qualitative evaluation.Conclusions: We have developed a viable, WHO-driven training program that can be delivered to clinical and non-clinical researchers to develop their competencies and thereby build capacity in developing/transitional countries to carry out surgical safety research. All program materials are available in English and Spanish for research, training and dissemination.",

keywords = "Patient safety, Teamwork, Operating room, Human factors, OBSERVATIONAL TEAMWORK ASSESSMENT, ADVERSE EVENTS, NONTECHNICAL SKILLS, SURGEONS, COMMUNICATION, HOSPITALS",

author = "Louise Hull and Sonal Arora and Amaya, {Ana Carolina} and Ana Wheelock and Hernando Gait{\'a}n-Duarte and Charles Vincent and Nick Sevdalis",

year = "2012",

doi = "10.1016/j.ijsu.2012.07.005",

language = "English",

volume = "10",

pages = "493--499",

journal = "International Journal Of Surgery",

issn = "1743-9191",

publisher = "Elsevier",

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}

Hull, L, Arora, S, Amaya, AC, Wheelock, A, Gaitán-Duarte, H, Vincent, C & Sevdalis, N 2012, 'Building global capacity for patient safety: A training program for surgical safety research in developing and transitional countries', International Journal Of Surgery, vol. 10, no. 9, pp. 493-499. https://doi.org/10.1016/j.ijsu.2012.07.005, https://doi.org/10.1016/j.ijsu.2012.07.005

TY - JOUR

T1 - Building global capacity for patient safety

T2 - A training program for surgical safety research in developing and transitional countries

AU - Hull, Louise

AU - Arora, Sonal

AU - Amaya, Ana Carolina

AU - Wheelock, Ana

AU - Gaitán-Duarte, Hernando

AU - Vincent, Charles

AU - Sevdalis, Nick

PY - 2012

Y1 - 2012

N2 - Background: Recent studies show a significant rate of adverse events in hospitalized patients in developing/transitional countries e with approximately 18% of them related to surgical procedures. Understanding and preventing these errors requires adequate training in patient safety research methods e however, relevant training programs are currently lacking. We developed, delivered and evaluated a training program to address this gap.Methods: A one-day training program was developed based on the recently published WHO core competencies for patient safety research. The focus was on surgical patient safety research e including human factors, operating room (OR) teamwork, the OR environment, and safety culture. Feasibility, relevance and preliminary evaluation of the program ('proof of concept' testing) was conducted in Bogota, Colombia in July 2011. A validated evaluation framework was utilized, assessing participants' objective knowledge, attitudes, and observational skills.Results: 30 postgraduate students from a range of clinical/non-clinical disciplines signed up and 17 attended the program. Participants' knowledge of surgical patient safety significantly improved upon program completion (Mean pre-course = 55% vs. Mean post-course = 68%, P <0.01), as did their confidence and understanding of problems and methodologies to assess OR patient safety, and teamwork issues (P <0.05). Observational skills in recognizing safety-related behaviors using OTAS (i.e., quality of teamwork) improved on qualitative evaluation.Conclusions: We have developed a viable, WHO-driven training program that can be delivered to clinical and non-clinical researchers to develop their competencies and thereby build capacity in developing/transitional countries to carry out surgical safety research. All program materials are available in English and Spanish for research, training and dissemination.

AB - Background: Recent studies show a significant rate of adverse events in hospitalized patients in developing/transitional countries e with approximately 18% of them related to surgical procedures. Understanding and preventing these errors requires adequate training in patient safety research methods e however, relevant training programs are currently lacking. We developed, delivered and evaluated a training program to address this gap.Methods: A one-day training program was developed based on the recently published WHO core competencies for patient safety research. The focus was on surgical patient safety research e including human factors, operating room (OR) teamwork, the OR environment, and safety culture. Feasibility, relevance and preliminary evaluation of the program ('proof of concept' testing) was conducted in Bogota, Colombia in July 2011. A validated evaluation framework was utilized, assessing participants' objective knowledge, attitudes, and observational skills.Results: 30 postgraduate students from a range of clinical/non-clinical disciplines signed up and 17 attended the program. Participants' knowledge of surgical patient safety significantly improved upon program completion (Mean pre-course = 55% vs. Mean post-course = 68%, P <0.01), as did their confidence and understanding of problems and methodologies to assess OR patient safety, and teamwork issues (P <0.05). Observational skills in recognizing safety-related behaviors using OTAS (i.e., quality of teamwork) improved on qualitative evaluation.Conclusions: We have developed a viable, WHO-driven training program that can be delivered to clinical and non-clinical researchers to develop their competencies and thereby build capacity in developing/transitional countries to carry out surgical safety research. All program materials are available in English and Spanish for research, training and dissemination.

KW - Patient safety

KW - Teamwork

KW - Operating room

KW - Human factors

KW - OBSERVATIONAL TEAMWORK ASSESSMENT

KW - ADVERSE EVENTS

KW - NONTECHNICAL SKILLS

KW - SURGEONS

KW - COMMUNICATION

KW - HOSPITALS

U2 - 10.1016/j.ijsu.2012.07.005

DO - 10.1016/j.ijsu.2012.07.005

M3 - Article

C2 - 22846618

SN - 1743-9191

VL - 10

SP - 493

EP - 499

JO - International Journal Of Surgery

JF - International Journal Of Surgery

IS - 9

ER -

Building global capacity for patient safety: A training program for surgical safety research in developing and transitional countries

Abstract

Keywords

UN SDGs

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