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Assessing the effects of EWR on safety climate attitudes in the operating room (OR) setting.


Michael E. Chua,
Lorelei D. Sapno,
Saturnino L. Luna Jr.

Related Institution

Institute of Urology - St. Luke's Medical Center

Publication Information

Publication Type
St. Luke
Publication Date
January-March 2014


Background. ten years have passed since Executive WalkRounds began as a means of health care organizations to promote safer patient care delivery. But there have only been a few studies done to assess its effectiveness, especially in the Philippine setting. This study was done to measure the impact of Executive WalkRounds (EWR) on safety climate attitudes in the SLMC Operating Room Setting by comparing Pre and Post EWR Safety Quality Survey Results. 

Design. Randomized control trial of EWRs in the operating rooms of two tertiary care hospital was conducted. Urology and Anesthesia consultants, Urology and Anesthesia residents, OR nurses, and Clinical pharmacists participated. EWRs were conducted by one of the six hospital executives once every four weeks for two visits. Provider attitudes about safety climate before and after EWRs were measured using Safety Attitudes Questionnaire developed by Sexton (2005). Mean scores, pre- and post-EWR, were reported and compared with the use of Analysis of Variance (ANOVA) and two-tailed T-test.

Results. Post EWRs, mean scores were significantly different compared to the baseline mean scores in three domains: teamwork climate (66.7938, 76.6970; p=0.005), safety climate (72.0660, 80.4230; p=0.008) and perception of management (50.7789, 66.4352; p=0.010). No significant change of mean scores was noted in the control group except for domain of job satisfaction (81.6667, 73.3333; p=0.028).

Conclusion. EWRs have a positive effect on safety climate attitudes on the following domains: safety climate, teamwork climate, and perception of management.


1. Frankel A, , Graydon-Baker E, , Neppl C, , Simmonds T, , Gustafson M, , Gandhi TK, . "Patient Safety Leadership Walk Rounds" J Qual Saf 29, 16-26, 2003
2. Nieva VF, , Sorra J, . "Safety culture assessment: a tool for improving patient safety in healthcare organizations" Qual Saf Health Care 12, 17-23, 2003
3. Joint Commission on Accreditation of Healthcare Organizations: Comprehensive Accreditation Manual for Hospitals: The Official Handbook Oakbrook Terrace, IL: Joint Commission Resources, 2004.
4. National Quality Forum (NQF): The National Quality Forum Safe Practices for Better Healthcare: A Consensus Report Washington, DC: 2003.
5. NQF: A National Framework for Healthcare Quality Measurement and Reporting Washington, DC: 2002.
6. McGlynn E.A, . "Establishing national goals for quality improvement." Med Care 41(1 suppl): 116-129, 2003
7. (). The Leapfrog Group: Leapfrog Survey Summary. . Retrieved from: http://www. leapfroggroup.org/Readout.pdf
8. Birkmeyer J.D, . Leapfrog Safety Standards: Potential Benefits of Universal Adoption. Washington, D.C: The Leapfrog Group, 2000.
9. Ranger C.A, , Bothwell S, . "Making sure the right patient gets the right care" Qual Saf Health Care 13, 329, 2004
10. (). Seven Steps to Patient Safety-Step 1. National Health System, National Patient Safety Agency. . Retrieved from: documents/492_Final%20Step%201.pdf
11. Columbia Accident and Investigation Board, NASA Washington DC: 2003.
12. Frankel AS, . Essential guide for patient safety officers. Joint Commission Resources, 2009. Chapter 5, Systematic flow of information.
13. Thomas E J, , Sexton J B, , Neilands T B, , Frankel A, , Helmreich R L, . "The Effect of Executive Walk Rounds on Nurse Safety Climate Attitudes: a Randomized Trial of Clinical Units" BioMed Central Health Services Research 5(1): 28, 2005
14. Sexton JB, , Helmreich RL, , Neilands TB, , Rowan K, , Vella K, , Boyden J, , Roberts PR, , Thomas EJ, . "The Safety Attitudes Questionnaire: Psychometric Properties, Benchmarking Data, and Emerging Research." BMC Health Services Research 6, 44, 2006
15. Colla J, , Bracken A, , Kinney L, , Weeks W, . "Measuring Patient Safety Climate: A Review of Surveys" Quality and Safety in Health Care 14, 364-6, 2005
16. Defontes J, , Surbida S, . "Preoperative Safety Briefing Project" Permanente Journal 8(2): 21-7, 2004
17. Pronovost P J, , Sexton J B, . " Assessing Safety Culture: Guidelines and Recommendations" Quality and Safety in Health Care 14, 231-3, 2005
18. (). Safety Attitudes Questionnaire - Operating Room Version available. . Retrieved from: http://www.uth.tmc.edu/schools/med/imed/pa-tient_safety/documents/Survey-SAQ-OR-2003.pdf

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Philippine Council for Health Research and Development Box. No. 35 Fulltext
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