Author Interviews, Heart Disease, Johns Hopkins, Outcomes & Safety, Surgical Research / 01.09.2015
Study Examines Safety Climate and Support Within Cardiac Surgical Teams
MedicalResearch.com Interview with:
Jill A. Marsteller, PhD, MPP
Department of Health Policy and Management,
Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland and
Juan A. Sanchez, MD, MPA, FACS, FACC
Associate Professor of Surgery
Associate Faculty, Armstrong Institute for Patient Safety and Quality
Johns Hopkins Medicine
Medical Research: What is the background for this study? What are the main findings?
Response: The culture of healthcare organizations with regards to safety has an impact on patient outcomes. A strong culture serves as a platform for preventing medical errors. This study examines the culture of safety along several dimensions in cardiac surgical teams and compares this data to surgery of all types using a large database. In our study, cardiac surgery teams scored highest in teamwork and lowest in non-punitive responses to error. In addition, there was substantial variation on safety climate perception across team roles. For example, surgeons and support staff had higher perceptions of a safety climate than other team members. Compared to all types of surgery teams, cardiac surgery teams scored higher in overall perceptions of safety except for anesthesiologists who reported lower scores on communication about errors and communication openness.
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