Registering the critical view of safety: photo or video?

Emous, Marloes; Westerterp, Marinke; Wind, Jan; Eerenberg, J. P.; Geloven, A. A. W. van

doi:10.1007/s00464-010-0997-y

Cited by 26 publications

(23 citation statements)

References 11 publications

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“…Several studies have previously evaluated photographs of the CVS [7, 8, 11]. The rate of conclusive photographs in the current study was lower than in the other studies.…”

Section: Discussioncontrasting

confidence: 55%

“…It should be documented in the operation notes and preferably supported by intraoperative images. Two Dutch studies that assessed whether photographs or video images performed better at documenting the CVS yielded contradictory results [7, 8]. In both studies, the CVS (and thus, cystic duct identification) could be registered conclusively for only 34–70% of the patients.…”

mentioning

confidence: 99%

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Documenting correct assessment of biliary anatomy during laparoscopic cholecystectomy

et al. 2011

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BackgroundCorrect assessment of biliary anatomy can be documented by photographs showing the “critical view of safety” (CVS) but also by intraoperative cholangiography (IOC).MethodsPhotographs of the CVS and IOC images for 63 patients were presented to three expert observers in a random and blinded fashion. The observers answered questions pertaining to whether the biliary anatomy had been conclusively documented.ResultsThe CVS photographs were judged to be “conclusive” in 27%, “probable” in 35%, and “inconclusive” in 38% of the cases. The IOC images performed better and were judged to be “conclusive” in 57%, “probable” in 25%, and “inconclusive” in 18% of the cases (P < 0.001 compared with the photographs). The observers indicated that they would feel comfortable transecting the cystic duct based on the CVS photographs in 52% of the cases and based on the IOC images in 73% of the cases (P = 0.004). The interobserver agreement was moderate for both methods (kappa values, 0.4–0.5). For patients with a history of cholecystitis, both the CVS photographs and the IOC images were less frequently judged to be sufficient for transection of the cystic duct (P = 0.006 and 0.017, respectively).ConclusionIn this series, IOC was superior to photographs of the CVS for documentation of the biliary anatomy during laparoscopic cholecystectomy. However, both methods were judged to be conclusive only for a limited proportion of patients, especially in the case of cholecystitis. This study highlights that documenting assessment of the biliary anatomy is not as straightforward as it seems and that protocols are necessary, especially if the images may be used for medicolegal purposes. Documentation of the biliary anatomy should be addressed during training courses for laparoscopic surgery.

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“…Several studies have previously evaluated photographs of the CVS [7, 8, 11]. The rate of conclusive photographs in the current study was lower than in the other studies.…”

Section: Discussioncontrasting

confidence: 55%

mentioning

confidence: 99%

Documenting correct assessment of biliary anatomy during laparoscopic cholecystectomy

et al. 2011

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“…Therefore, the current legislation needs a practical translation for use in a clinical setting. It is advisable to [30] showed that agreement among health care professionals with regard to defining proper care can be poor, but Emous et al [31] showed that interobserver reliability is improved when video data are used instead of photos. Finally, video data do not necessarily contain information that is supplementary to other available data, in which case it has no added value.…”

Section: Discussionmentioning

confidence: 99%

Implications of the law on video recording in clinical practice

et al. 2012

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Background Technological developments allow for a variety of applications of video recording in health care, including endoscopic procedures. Although the value of video registration is recognized, medicolegal concerns regarding the privacy of patients and professionals are growing. A clear understanding of the legal framework is lacking. Therefore, this research aims to provide insight into the juridical position of patients and professionals regarding video recording in health care practice. Methods Jurisprudence was searched to exemplify legislation on video recording in health care. In addition, legislation was translated for different applications of video in health care found in the literature. Results Three principles in Western law are relevant for video recording in health care practice: (1) regulations on privacy regarding personal data, which apply to the gathering and processing of video data in health care settings; (2) the patient record, in which video data can be stored; and (3) professional secrecy, which protects the privacy of patients including video data. Practical implementation of these principles in video recording in health care does not exist. Conclusion Practical regulations on video recording in health care for different specifically defined purposes are needed. Innovations in video capture technology that enable video data to be made anonymous automatically can contribute to protection for the privacy of all the people involved.Keywords Health care Á Law Á Patient safety Á Privacy Á Surgery Á Video Video imaging is becoming increasingly important in health care, especially in endoscopic surgery. Although the advantages of video recording are recognized, concerns regarding the privacy of patients and professionals related to video recording are growing. Yet the legal framework of video recording in clinical practice has never been described clearly before.The advantages of recording images in a medical setting are numerous [1][2][3], and consequently a wide variety of applications in health care has been suggested. In endoscopic surgery, videos are obviously indispensible. Endoscopic videos are primarily used in real time during minimally invasive surgery (MIS), but the video images also may be stored for later use in education or evaluation.Regular video cameras are present throughout health care as well. Video recording allows reviewing of results at any time from any location. Video data are most commonly used as a research tool to assess the skills of professionals and students or to monitor processes for the purpose of improving quality, efficiency and safety of care.

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“…9,11,14 Ideally, a shortened video exhibiting such key steps (eg, the critical view of safety in cholecystectomy) would be kept in addition to the full, unaltered version, so that providers can readily view select footage in a reasonable period of time. It is our strong opinion that using video cameras, which are already present in our operating rooms, is a necessary endeavor that will lead to increased patient safety and improved operative outcomes.…”

Section: Forward Thinkingmentioning

confidence: 99%