Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Septoplasty

Tseng, Ya Wei; Vedula, S. Swaroop; Malpani, Anand; Ahmidi, Narges; Boahene, Kofi; Papel, Ira D.; Kontis, Theda C.; Maxwell, Jessica H.; Wanamaker, John R.; Byrne, Patrick J.; Malekzadeh, Sonya; Hager, Gregory D.; Ishii, Lisa E.; Ishii, Masaru

doi:10.1001/jamafacial.2018.1171

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…This study also reported an inverse relationship between fatigue and technical skill. 48 Cognitive 4) traumatic brain injury (7%). 23 Of the doctors clinically referred for neuropsychological assessment, impaired doctors were referred predominantly with known neurological disease, known psychiatric (eg, Parkinson's disease, major depression) or suspected cognitive diagnoses.…”

Section: Impairmentmentioning

confidence: 99%

Systematic review of the factors and the key indicators that identify doctors at risk of complaints, malpractice claims or impaired performance

Austin

Nullwala

et al. 2021

BMJ Open

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ObjectiveTo identify the risk factors associated with complaints, malpractice claims and impaired performance in medical practitioners.DesignSystematic review.Data sourcesOvid-Medline, Ovid Embase, Scopus and Cochrane Central Register of Controlled Trials were searched from 2011 until March 2020. Reference lists and Google were also handsearched.ResultsSixty-seven peer-reviewed papers and three grey literature publications from 2011 to March 2020 were reviewed by pairs of independent reviewers. Twenty-three key factors identified, which were categorised as demographic or workplace related. Gender, age, years spent in practice and greater number of patient lists were associated with higher risk of malpractice claim or complaint. Risk factors associated with physician impaired performance included substance abuse and burn-out.ConclusionsIt is likely that risk factors are interdependent with no single factor as a strong predictor of a doctor’s risk to the public. Risk factors for malpractice claim or complaint are likely to be country specific due to differences in governance structures, processes and funding. Risk factors for impaired performance are likely to be specialty specific due to differences in work culture and access to substances. New ways of supporting doctors might be developed, using risk factor data to reduce adverse events and patient harm.PROSPERO registration numberPROSPERO registration number: CRD42020182045.

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Section: Impairmentmentioning

confidence: 99%

Systematic review of the factors and the key indicators that identify doctors at risk of complaints, malpractice claims or impaired performance

Austin

Nullwala

et al. 2021

BMJ Open

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show abstract

“…To the Editor We read with interest the article by Tseng et al, and we congratulate the authors on the originality of their study. However, besides the biases and limitations already reported by the authors, we noticed some further ambiguities that could potentially mislead readers.…”

mentioning

confidence: 96%

“…Second, in their study the authors recruited physicians with very different training levels (junior residents, senior residents, and fellows), and therefore diverse surgical abilities, which may represent a bias when comparing surgical performances. This potential bias is confirmed by the fact that attending physician-rated skill scores were higher among senior residents than junior residents.…”

mentioning

confidence: 99%

Daytime Sleepiness and Surgical Skill

Ori

D’Ascanio

Ricci

2019

JAMA Facial Plast Surg

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“…In Reply We appreciate the interest shown by Ori et al in our article . It seems to us that the criticisms about ambiguities in our study being misleading are unfounded and unsubstantiated.…”

mentioning

confidence: 99%