en Nursing پژوهشي Research <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Times New Roman;"><b>Background:</b> The operating room is a high-risk environment that requires strict adherence to safety standards. This study aimed to evaluate safety standards in the operating rooms of educational hospitals affiliated with Golestan University of Medical Sciences.<br> <b>Methods:</b> This cross-sectional study evaluated five safety dimensions in five operating room units across four educational hospitals affiliated with Golestan University of Medical Sciences, Iran. Data were collected through direct observation using a previously applied structured checklist with established reliability; supplementary information was obtained from the operating room head nurse when clarification was required. Each operating room unit was assessed on two occasions at a two-week interval, resulting in 10 observations. Raw scores were converted into standardized percentage scores to enable comparisons across domains, and safety status was classified using a threshold of 80% of the maximum possible score.<br> <b>Results:</b> The highest standardized mean scores were observed for personnel safety (86.90 &plusmn; 4.92), fire safety (85.78 &plusmn; 8.13), and the physical environment (84.83 &plusmn; 6.91), followed by patient safety (81.11 &plusmn; 8.16) and infection control (80.45 &plusmn; 7.51). The predefined safety threshold was met in 9 of 10 observations for personnel safety, 8 of 10 for the physical environment, 7 of 10 for fire safety, 6 of 10 for infection control, and 5 of 10 for patient safety.<br> <b>Conclusion</b>: Overall compliance with operating room safety standards was favorable but varied across domains and observations. Personnel safety demonstrated the strongest overall performance, whereas patient safety had the lowest proportion of observations meeting the safety threshold, and infection control had the lowest mean standardized score. Targeted improvements in patient-safety processes, infection-control practices, communication, and consistent checklist implementation are therefore warranted.</span></span></div> Operating Rooms Safety, Safety Standards, Educational Hospitals, Patient Safety 0 0 http://jcbr.goums.ac.ir/browse.php?a_code=A-10-694-1&slc_lang=en&sid=1 Soheyla Kalantari 10031947532846006894 10031947532846006894 Yes Department of Surgical Technology, School of Paramedical Sciences, Golestan University of Medical Sciences, Gorgan, Iran; Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, Iran Maryam Jafari 10031947532846006895 10031947532846006895 No Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran Fatemeh Chenaparchi 10031947532846006896 10031947532846006896 No Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran Fatemeh Mehravar 10031947532846006897 10031947532846006897 No Ischemic Disorders Research Center, Jorjani Clinical sciences Research Institute, Golestan University of Medical Sciences, Gorgan, Iran Amirali Alizadeh 10031947532846006898 10031947532846006898 No Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran Kosar Kordkatuli 10031947532846006899 10031947532846006899 No Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran