why are surgical never events still occurring: A Delphi study research sample across NHS England operating theatres.

Journal article


Roberts, N., Wordsworth, S. and Stupple, E. 2023. why are surgical never events still occurring: A Delphi study research sample across NHS England operating theatres. Perioperative care and operating room management. 32, pp. 1-8. https://doi.org/10.1016/j.pcorm.2023.100327
AuthorsRoberts, N., Wordsworth, S. and Stupple, E.
Abstract

This paper examines the application of the Surgical Safety Checklist (SSC) within NHS hospital operating theatres
England. The aim of the study, through a combination of open-ended questions, was to solicit specific information
including views and opinions from operating theatre experts to establish from how the World Health Organisations (WHO) SSC is being applied, and therefore and why intraoperative ‘Never Events’ continue to occur more than a decade after the SSC was introduced. Participants were from the seven regions identified by NHS England. The intention of this paper is not to establish definitively whether the quantitatively identified themes; including a lack of training and engagement with human factors explains the increased presence of intraoperative ‘Never Events’. However, these themes, when subjected to methodological triangulation with the current literature, do appear consistent, and therefore provide an exploratory approach to inform research intended to improve safety in the operating theatre by informing policy and its application to safe practice ultimately towards quality improvements.

KeywordsNational safety standards; Invasive procedures; Never events,; Patient safety; World Health Organisation; Safety checklist, ; Human Factors; Delphi Study
Year2023
JournalPerioperative care and operating room management
Journal citation32, pp. 1-8
PublisherElseveir
ISSN2405-6030
Digital Object Identifier (DOI)https://doi.org/10.1016/j.pcorm.2023.100327
Web address (URL)https://www.sciencedirect.com/science/article/pii/S2405603023000225?via%3Dihub
FunderUniversity of Derby
Accepted author manuscript
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Open
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File Access Level
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Output statusPublished
Publication dates
Online17 Jun 2023
Publication process dates
Accepted13 Jun 2023
Deposited26 Jun 2023
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