{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T07:46:20Z","timestamp":1767771980597,"version":"3.46.0"},"reference-count":20,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"unspecified","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,4,4]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Strengthening the safety climate in surgical centres is essential for ensuring care and patient safety, which directly impacts the reduction in the occurrence of adverse events and complications. In this sense, used to strengthen the safety climate in the operating room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>A scoping review will be carried out on the basis of the method proposed by the JBI and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) will be applied. The selection of studies, data extraction and synthesis will occur on the basis of the following inclusion criteria: Participants (leaders and health professionals), Concept (strategies for improving the safety climate) and Context (operating room) framework. This scoping review considers studies that address improvement strategies employed to strengthen the safety climate within the operating room. The review encompasses all studies published from 2009 to the present. The results will be presented in a narrative format with tables or diagrams.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>No ethics committee approval is required for this study as it does not involve human participants. The results of the study will be disseminated through peer-reviewed publications, presentations at scientific congresses and targeted knowledge-sharing sessions with relevant stakeholders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-094904","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T20:05:27Z","timestamp":1745870727000},"page":"e094904","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation strategies by leaders and health professionals to improve the safety climate in the operating room: a scoping review protocol"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7274-8753","authenticated-orcid":false,"given":"Rosilene Alves","family":"Ferreira","sequence":"first","affiliation":[{"name":"College of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8011-378X","authenticated-orcid":false,"given":"Soraia Cristina de Abreu","family":"Pereira","sequence":"additional","affiliation":[{"name":"University of Porto, Porto, Portugal"},{"name":"Escola Superior de Sa\u00fade Norte da Cruz Vermelha Portuguesa, Oliveira de Azemeis, Portugal"}]},{"given":"Olga Maria Pimenta Lopes","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Porto Higher School of Nursing, Porto, Portugal"}]},{"given":"Andressa Aline Bernardo","family":"Bueno","sequence":"additional","affiliation":[{"name":"College of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil"}]},{"given":"Felipe Caldonazzo de Almeida","family":"Pereira","sequence":"additional","affiliation":[{"name":"Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0656-1680","authenticated-orcid":false,"given":"Danielle Mendon\u00e7a","family":"Henrique","sequence":"additional","affiliation":[{"name":"College of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4330-953X","authenticated-orcid":false,"given":"Flavia Giron","family":"Camerini","sequence":"additional","affiliation":[{"name":"College of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6089-9670","authenticated-orcid":false,"given":"Cintia Silva","family":"Fassarella","sequence":"additional","affiliation":[{"name":"College of Nursing, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil"}]}],"member":"239","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"2025120802002361000_15.4.e094904.1","unstructured":"World Health Organization . 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