Perceptions of safety culture and recording in the operating room: understanding barriers to video data capture

Gordon, Lauren; Reed, Cheyanne; Sørensen, Jette Led; Schulthess, Pansy; Strandbygaard, Jeanett; Mcloone, Mary; Grantcharov, Teodor P.; Shore, Eliane M.

doi:10.1007/s00464-021-08695-5

Cited by 12 publications

(17 citation statements)

References 25 publications

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“…24 Nevertheless, concerns about privacy and the risk of litigation have also been expressed, underlining the importance of addressing these concerns to facilitate successful implementation. 25,26 The present study showed improved team performance when training only one "link in the chain", the scrub nurse, with SBE. These results underline that SBE is beneficial to the surgeon, the scrub nurse and, potentially, also patient safety.…”

Section: Discussionmentioning

confidence: 54%

Simulation-Based Education of Endovascular Scrub Nurses Reduces Stress and Improves Team Performance

Skov¹,

Lawaetz²,

Konge³

et al. 2022

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 54%

Simulation-Based Education of Endovascular Scrub Nurses Reduces Stress and Improves Team Performance

Skov¹,

Lawaetz²,

Konge³

et al. 2022

Journal of Surgical Research

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“…The questions measuring participant beliefs and opinions towards the OR Black Box were developed in collaboration with our research partners from the University of Toronto and St Michael’s Hospital, Toronto, Canada. 19 A 5-point Likert scale (strongly disagree, slightly disagree, neutral, slightly agree, strongly agree) was used for the entire survey. A score of 3 is considered neutral, while scores below 3 represent a negative opinion of the OR Black Box and scores above 3 represent a positive opinion.…”

Section: Methodsmentioning

confidence: 99%

“…These 12 questions were self-constructed in collaboration with our Canadian colleague and identical to their questions. 19 Each question uses a 5-point Likert scale with anchoring text. Higher value represents a more positive attitude towards the OR Black Box and its implications.…”

Section: Methodsmentioning

confidence: 99%

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Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey

et al. 2022

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IntroductionComprehensive data capture systems such as the Operating Room Black Box (OR Black Box) are becoming more widely implemented to access quality data in the complex environment of the OR. Prior to installing an OR Black Box, we assessed perceptions on safety attitudes, impostor phenomenon and privacy concerns around digital information sharing among healthcare professionals in the OR. A parallel survey was conducted in Canada, hence, this study also discusses cultural and international differences when implementing new technology in healthcare.MethodsA cross-sectional survey using three previously validated questionnaires (Safety Attitudes Questionnaire (SAQ), Clance Impostor Phenomenon Scale, Dispositional Privacy Concern) was distributed through Research Electronic Data Capture to 145 healthcare professionals from the OR (July to December 2019). Analysis of variance and analysis of covariance were used to test for differences.Results124 responded (86%): 100 completed the survey (69%) (38 nurses, 10 anaesthesiologists, 36 obstetricians/gynaecologists, 16 residents). Significant variability in all six SAQ domains, safety climate and teamwork being the lowest ranked and job satisfaction ranked highest for all groups. The SAQ varied in all domains in Canada. Moderate to frequent impostor phenomenon was experienced by 71% predominantly among residents (p=0.003). 72% in the Canadian study. Residents were most comfortable with digital information sharing (p<0.001), only 13% of all healthcare professionals were concerned/heavy concerned compared with 45% in Canada.ConclusionsThe different healthcare professional groups had diverse perceptions about safety culture, but were mainly concerned about safety climate and teamwork in the OR. Impostor phenomenon decreased with age. All groups were unconcerned about digital information sharing. The Canadian study had similar findings in terms of impostor phenomenon, but a variety within the SAQ and were more concerned about data safety, which could be due to medical litigation per se and is not widespread in Scandinavia compared with North America.

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“…There is no doubt that performance data needs to be collected objectively [14] with the surgical team members being fully aware of the recording, the further use of the data and the possible consequences of inadequate surgical performance. Moreover, concerns regarding privacy and litigation need to be addressed as investigated in a study on perception of the OR blackbox® [64]. However, nowadays some authors consider a routine video recording of surgeries an ethical duty and a standard of care with potential benefits for e.g.…”

Section: Ethical Considerationsmentioning

confidence: 99%

Surgomics: personalized prediction of morbidity, mortality and long-term outcome in surgery using machine learning on multimodal data

et al. 2022

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Background Personalized medicine requires the integration and analysis of vast amounts of patient data to realize individualized care. With Surgomics, we aim to facilitate personalized therapy recommendations in surgery by integration of intraoperative surgical data and their analysis with machine learning methods to leverage the potential of this data in analogy to Radiomics and Genomics. Methods We defined Surgomics as the entirety of surgomic features that are process characteristics of a surgical procedure automatically derived from multimodal intraoperative data to quantify processes in the operating room. In a multidisciplinary team we discussed potential data sources like endoscopic videos, vital sign monitoring, medical devices and instruments and respective surgomic features. Subsequently, an online questionnaire was sent to experts from surgery and (computer) science at multiple centers for rating the features’ clinical relevance and technical feasibility. Results In total, 52 surgomic features were identified and assigned to eight feature categories. Based on the expert survey (n = 66 participants) the feature category with the highest clinical relevance as rated by surgeons was “surgical skill and quality of performance” for morbidity and mortality (9.0 ± 1.3 on a numerical rating scale from 1 to 10) as well as for long-term (oncological) outcome (8.2 ± 1.8). The feature category with the highest feasibility to be automatically extracted as rated by (computer) scientists was “Instrument” (8.5 ± 1.7). Among the surgomic features ranked as most relevant in their respective category were “intraoperative adverse events”, “action performed with instruments”, “vital sign monitoring”, and “difficulty of surgery”. Conclusion Surgomics is a promising concept for the analysis of intraoperative data. Surgomics may be used together with preoperative features from clinical data and Radiomics to predict postoperative morbidity, mortality and long-term outcome, as well as to provide tailored feedback for surgeons. Graphical abstract

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Perceptions of safety culture and recording in the operating room: understanding barriers to video data capture

Cited by 12 publications

References 25 publications

Simulation-Based Education of Endovascular Scrub Nurses Reduces Stress and Improves Team Performance

Simulation-Based Education of Endovascular Scrub Nurses Reduces Stress and Improves Team Performance

Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey

Surgomics: personalized prediction of morbidity, mortality and long-term outcome in surgery using machine learning on multimodal data

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