“It's a Big Part of Being Good Surgeons”: Surgical Trainees’ Perceptions of Error Recovery in the Operating Room

Gabrysz-Forget, Fanny; Zahabi, Sarah; Young, Meredith; Nepomnayshy, Dmitry; Nguyen, Lily H. P.

doi:10.1016/j.jsurg.2021.03.015

Cited by 7 publications

(10 citation statements)

References 25 publications

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Section: Discussionsupporting

confidence: 79%

“…Recent research has called for further investigations into how surgeons cope with intraoperative errors1 and has identified training in error recovery as an important target 12. Consistent with this research,1,12 participants in our interviews indicated a distinct need for more enhanced discussion, formal training, and the development of tools to assist surgeons in coping with intraoperative errors. Hence, here we offer a framework for coping with intraoperative errors that provides both trainees and experienced surgeons with a process that is intended to remove uncertainty and direct surgeons into a potentially more effective coping process—surgical errors could be met with STOPS: Stop, Talk to your Team, Obtain help, Plan, and Succeed.…”

Section: Discussionsupporting

confidence: 79%

“…17 A hybrid process of inductive and deductive coding was utilized 19 with a priori codes derived from previous literature on surgeon stress and psychological coping. 1,10,12,13,15 Three authors (J.D.D., S.L., M.W.) independently read all the transcripts and met repeatedly to develop and refine codes, code rules, identify code examples, and discuss emergent themes.…”

Section: Discussionmentioning

confidence: 99%

“…We conducted a thematic analysis 17. A hybrid process of inductive and deductive coding was utilized19 with a priori codes derived from previous literature on surgeon stress and psychological coping 1,10,12,13,15. Three authors (J.D.D., S.L., M.W.)…”

Section: Methodsmentioning

confidence: 99%

“…Rather, surgeons develop coping strategies through trial and error or by observing senior colleagues,10 which could lead to frustration, habituation of poor coping strategies, or burnout if the surgeon is not successful. Given the lack of formal education structures in how to cope with surgical errors, it is not surprising that surgical residents perceive training in error recovery to be both “inadequate and variable.”11 Consequently, there have been recent calls to target training in error recovery when educating surgical trainees 12…”

mentioning

confidence: 99%

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Stops

et al. 2022

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Objective: To investigate the steps faculty surgeons take upon experiencing intraoperative error and synthesize these actions to offer a framework for coping with errors. Background: While intraoperative errors are inevitable, formal training in error recovery is insufficient and there are no established curricula that teach surgeons how to deal with the intraoperative error. This is problematic because insufficient error recovery is detrimental to both patient outcomes and surgeon psychological well-being. Methods: We conducted a thematic analysis. One-hour in-depth semistructured interviews were conducted with faculty surgeons from 3 hospitals. Surgeons described recent experiences with intraoperative error. Interviews were transcribed and coded. Analysis allowed for development of themes regarding responses to errors and coping strategies. Results: Twenty-seven surgeons (30% female) participated. Upon completion of the analysis, themes emerged in 3 distinct areas: (1) Exigency, or a need for training surgical learners how to cope with intraoperative errors, (2) Learning, or how faculty surgeons themselves learned to cope with intraoperative errors, and (3) Responses, or how surgeons now handle intraoperative errors. The latter category was organized into the STOPS framework: Intraoperative errors could produce STOPS: Stop, Talk to your Team, Obtain Help, Plan, Succeed. Conclusions and Relevance: This study provides both novel insight into how surgeons cope with intraoperative errors and a framework that may be of great use to trainees and faculty alike.

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Section: Discussionsupporting

confidence: 79%