Educational technology to support patient safety in the operating room: clinical simulation guides

Abstract

Objective: to develop and validate two clinical simulation guides to support and disseminate a culture of safety in the surgical environment. Method: methodological study supported by the International Nursing Association for Clinical Simulation and Learning theoretical framework. The snowball technique was used to validate the clinical guidelines with experts on the subject. Two scales validated for Brazil were used for the pilot test. Results: 89 operating room professionals took part, including 41 doctors, 40 nursing technicians, four nurses, two radiology technicians, and two nursing trainees. Two guides were created, one on conflict management and teamwork in patient safety during the transfer of the patient from the operating room to the post-anesthetic recovery room, and the other dealing with the assistance of the healthcare team in the transfer of care in the post-anesthetic recovery room. The evaluation of Satisfaction with Simulated Clinical Experiences had an average score of 8.3 and Satisfaction and Self-confidence in learning 4.1. Conclusion: the guides have been validated and are suitable for replication in any surgical environment. We believe that this technology could contribute to improving the safety culture in the operating room by providing an opportunity for reflection and critical thinking.