Date of Award

1-1-2022

Embargo Period

4-22-2022

Document Type

Dissertation - MUSC Only

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Abby Swanson Kazley

Second Advisor

Jillian Harvey

Third Advisor

Aimee Gardner

Abstract

Medical errors still plague healthcare. Operating Room Black Boxes (ORBB) and ORBB-simulations (ORBBSIM) can improve patient safety, yet a paucity of implementation literature exists. Overcoming implementation barriers is critical. This study’s aim was to obtain rich insights about the adoption of ORBB and ORBBSIM. Interprofessional OR staff were invited to complete two surveys assessing staff’s perceptions using TeamSTEPPS’s validated Teamwork Perceptions Questionnaire (T- TPQ) and open-ended questions. Descriptive statistics were calculated for quantitative variables, and inductive phenomenological content analysis was used for qualitative. Survey 1 captured 71 responses from 334 invited (RR 21%) while survey 2 captured 47 responses from 157 (RR 29.9%). UTSW’s T-TPQ score was 65.2, with Communication (70.4) the highest construct and Leadership (58.0) the lowest. Quality Improvement (QI), Patient Safety, and Objective Case Review were the most common perceived ORBB benefits. Trends suggest a reciprocal benefit of dual ORBB and ORBBSIM adoption. Trends also suggest, dual implementation can promote Psychological Safety, culture, trust, and technology comfort. The need for an implementation plan built on change management principles and a constructive culture were key findings. This blueprint provides a paradigm to help organizations adopt ORBB and ORBBSIM. Outcomes can establish an empirical paradigm for future studies.

Rights

All rights reserved. Copyright is held by the author.

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