Exploring Senior Residents’ Intraoperative Error Management Strategies: A Potential Measure of Performance Improvement

Performance assessment using sensor technology

“…One of the most powerful aspects of our multimodal methodology is that it can be adapted to capture the performance criteria in various medical procedures. To this end, we have collected data from procedures spanning multiple surgical specialties, such as general, cardiothoracic, microsurgery, and gynecology 3,19,28,29 . One of the most important factors that facilitate productive data collection and collaboration is working with principal investigators who have already developed simulators or educational curricula for surgical education in their own fields.…”

“…Future applications will allow for automated detection of procedure actions through the use of artificial intelligence. AI‐driven video segmentation would greatly increase the efficiency of these reviews 3 . Additionally, supplementing video segmentation with other sources of data streams would potentially increase its accuracy and efficiency 29 .…”

“…During the video‐based review of the simulated LVH repair, the total number of errors committed and the type of each error was recorded. Figure 10 shows the errors categorized as either omission (failure to perform a step entirely) or commission (failure to perform a step correctly) errors and cognitive versus technical errors 3 …”

“…In 2013, John Birkmeyer et al published a landmark study in the New England Journal of Medicine linking technical performance to patient outcomes 3 . This study was the first to show that the OSATS checklist could be used to stratify surgeons based on their technical skills and show significant correlations to patient outcomes.…”

Efficacy of Trauma Surgery Technical Skills Training Courses

“…Other authors have recognized the value of developing trainees as individuals, supporting training for decision-making, team performance, and surgical technical skill in a controlled environment with a goal of reducing errors in practice 20 . In addition, error management strategies may be an important component of performance improvement in surgical training, to include error recognition and recovery 24 , as well as decision-making skills 25 .…”