Table 2 |
|
| Safety program | |
| Awareness | To create awareness about safety, a symposium about safety was organized. Topics were: the system approach to human error safety problems in the OR and incident reporting |
| Error reporting | A local committee of the department’s anaesthesiology and surgery was set. |
| Introduction of an electronic incident reporting management system accessible to all staff and easy to use. | |
| Providing feedback to demonstrate that reporting leads to changes. | |
| Errors were discussed in the team meetings. | |
| Every month a newsletter was distributed with information on reported errors. | |
| and measures taken promoting report of near misses and errors. | |
| Material Resources | Inventory of all equipment and supplies of anaesthesia and surgery. |
| Standardization of equipment and supplies in anaesthesia and surgery for all equipment development of manuals with a uniform design. | |
| Training | Training of all OR staff in the use of equipment. |
| Staffing Resources | Increasing participation in decision making. |
| Introduction of frequently held staff meeting, at least once a month. | |
| Increasing job autonomy shifting for a specific task responsibility and control from supervisor to staff. | |
| Responsibility for safety in the working environment. | |
| Intervision for registered nurses. | |
| Personal coaches assigned to trainees. | |
| Social activities to promote team building. | |
| More trainees were trained. | |
van Beuzekom et al. BMC Surgery 2012 12:10 doi:10.1186/1471-2482-12-10