Enhancing patient safety: identifying fall risks during patient transfers in operating rooms

Abstract Background Transfers within operating rooms present significant risks to patient safety, with falls potentially leading to serious consequences for both patients and staff. The aim of this study is to explore the factors contributing to falls during transfers and strategies to enhance patie...

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Main Author: Kübra Okuyucu
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-025-12750-5
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author Kübra Okuyucu
author_facet Kübra Okuyucu
author_sort Kübra Okuyucu
collection DOAJ
description Abstract Background Transfers within operating rooms present significant risks to patient safety, with falls potentially leading to serious consequences for both patients and staff. The aim of this study is to explore the factors contributing to falls during transfers and strategies to enhance patient safety in operating rooms. Methods This is a qualitative study conducted using semi-structured interviews with fifteen operating room staff including nurse (n = 7), anaesthesia technician (n = 7) and scrub person (n = 1). Their ages ranged from 28 to 39 years, with experience years in the operating room ranging from two to ten years. The data were analysed using a thematic analysis approach based on the grounded theory. Results The thematic analysis identified six key factors contributing to falls during patient transfers: human error, team coordination, patient condition, staffing challenges, equipment issues, and inadequate training. Participants recommended improving team collaboration, pre-operative patient education, better infrastructure (e.g., private elevators), hands-on training, and increased staffing. Additionally, policy changes to limit complex outpatient transfers were suggested to reduce risks. Conclusions This study provides valuable insights into the risk factors and potential prevention strategies regarding falls during patient transfers in operating rooms. Future research should incorporate multidisciplinary observational studies involving human factors to provide deeper insights. It is recommended to create systems for anonymous incident reporting and implement comprehensive training programs.
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spelling doaj-art-0d2db92ebcf9426a920c85f539c50b5e2025-08-20T03:18:32ZengBMCBMC Health Services Research1472-69632025-04-012511810.1186/s12913-025-12750-5Enhancing patient safety: identifying fall risks during patient transfers in operating roomsKübra Okuyucu0Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Amasya UniversityAbstract Background Transfers within operating rooms present significant risks to patient safety, with falls potentially leading to serious consequences for both patients and staff. The aim of this study is to explore the factors contributing to falls during transfers and strategies to enhance patient safety in operating rooms. Methods This is a qualitative study conducted using semi-structured interviews with fifteen operating room staff including nurse (n = 7), anaesthesia technician (n = 7) and scrub person (n = 1). Their ages ranged from 28 to 39 years, with experience years in the operating room ranging from two to ten years. The data were analysed using a thematic analysis approach based on the grounded theory. Results The thematic analysis identified six key factors contributing to falls during patient transfers: human error, team coordination, patient condition, staffing challenges, equipment issues, and inadequate training. Participants recommended improving team collaboration, pre-operative patient education, better infrastructure (e.g., private elevators), hands-on training, and increased staffing. Additionally, policy changes to limit complex outpatient transfers were suggested to reduce risks. Conclusions This study provides valuable insights into the risk factors and potential prevention strategies regarding falls during patient transfers in operating rooms. Future research should incorporate multidisciplinary observational studies involving human factors to provide deeper insights. It is recommended to create systems for anonymous incident reporting and implement comprehensive training programs.https://doi.org/10.1186/s12913-025-12750-5FallsOperating roomPatient safetyQualitative study
spellingShingle Kübra Okuyucu
Enhancing patient safety: identifying fall risks during patient transfers in operating rooms
BMC Health Services Research
Falls
Operating room
Patient safety
Qualitative study
title Enhancing patient safety: identifying fall risks during patient transfers in operating rooms
title_full Enhancing patient safety: identifying fall risks during patient transfers in operating rooms
title_fullStr Enhancing patient safety: identifying fall risks during patient transfers in operating rooms
title_full_unstemmed Enhancing patient safety: identifying fall risks during patient transfers in operating rooms
title_short Enhancing patient safety: identifying fall risks during patient transfers in operating rooms
title_sort enhancing patient safety identifying fall risks during patient transfers in operating rooms
topic Falls
Operating room
Patient safety
Qualitative study
url https://doi.org/10.1186/s12913-025-12750-5
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