Abstract: Objective: To identify problems of OR safety management approach, discover issues, propose ways to improve,and ultimately to enhance surgical patient safety. Method: Randomly selected 46 trainees who attended "surgical patient safety management training program" in Chongqing to take the "Surgical safety management approach questionnaire for surgical team members". Result: The average score of management approach is 2.55±1.00. Several significant items were detected among different qualifications and different hospital level. Both of the individual and management put patient safety as primary concern. 86.96% of the respondents agreed that they had made errors in OR, medical errors are discussed to prevent recurrence, and confidential reporting system that documents medical errors is important for safety, 19.57 of them agreed that "Errors committed during patient management are not important, as long as the patient improves". Conclusion: OR managers have positive attitude on surgical patient safety and good understanding on medical error. But still need improvements on questioning, adverse event reporting,multidisciplinary teamwork coordination and effective communication.