College of Nursing and Health Professions

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2 Survey of the Safety Culture in the Perianesthesia Setting Linda Wilson PhD, RN, CPAN, CAPA, BC, CNE Dina Krenzischek MAS, RN, CPAN Pamela E. Windle MS, RN, CAN, BC, CPAN, CAPA Patricia Shewokis PhD H. Lynn Kane MSN, MBA, RN, CCRN Myrna Mamaril MSN, RN, CPAN American Society of PeriAnesthesia Nurses ASPAN

3 Objectives Describe the ASPAN Safety Matrix Discuss the research study that investigates the safety culture in the perianesthesia setting

4 American Society of PeriAnesthesia Nurses (ASPAN) The association serving nurses practicing in all phases of preanesthesia and postanesthesia care, ambulatory surgery, and pain management

5 Purpose of the Study To determine the safety culture among perianesthesia nurses in various perianesthesia settings

6 Research Question What is the current safety practice among perianesthesia nurses in their main perianesthesia setting?

7 Perianesthesia Settings Preadmission testing Preoperative / Holding Area Phase I PACU Phase II and III PACU

8 Methodology Survey completed by perianesthesia nurses from a variety of settings: Preadmission testing; Preoperative / Holding Area; Phase I PACU; Phase II and III Recovery

9 Instrument Demographic Data Form ASPAN Safety Matrix Survey Assessing the Safety Culture in the Perianesthesia Setting 60 item instrument with likert scale where 1 = never, 2 = rarely, 3 = sometimes, 4 = usually, and 5 = always

10 ASPAN Safety Matrix Pilot study 36 participants Alpha coefficients PAT =.79 Pre-op =.94 Phase I PACU =.91 Phase II/III PACU =.89

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15 Analysis Descriptive statistics Factor analysis Safety priority identification

16 Sample N = 638 Age = Min. 20; Max. 81; Mean Nursing years = Min. 1; Max. 49; Mean Perianesthesia Nursing = Min. 1; Max. 45; Mean Position = Staff RN 66%; Charge RN 15.8%; NM 11.8%; Educator 4.5%; CNS 1.3%; Researcher.3%

17 Sample Setting = PAT 9.2%; Preop hold 15.8%; Phase I PACU 59.9%; Phase II & III 14.9% Location = Inpt. 70.5%; Amb. 24.1%; Freestanding 4.1% Education = Diploma 20.1%; ADN 23.4%; BSN 46.9%; Masters 8.6%; Doctoral.6% Region = NE 17.9%; Mid South 20.2%; Mid North 29.8%; NW 13.2%; SW 19%

18 Results Factor 1 Medication Safety 16 items Reliability.91 Factor 2 Equipment Safety 14 items Reliability.77 Factor 3 Personnel Safety 7 items Reliability.90 Factor 4 Environmental Safety 5 items Reliability.31 Factor 5 Patient Safety 5 items Reliability.89 The 5 factors explain 38.8% of the variance KMO Measure of Sampling Adequacy.87 Bartlett s Test of Sphericity.000

19 Safety Priorities Medication Safety Equipment Safety Personnel Safety Environmental Safety Patient Safety

20 Future Research Modification and retesting of instrument Analysis using a reduced model

21 ASPAN Safety Activities Safety committee Safety study publications Additional safety research planned Webinar on medication safety June 2007

22 Thank you!