Video capture of clinical care to enhance patient safety

Weinger, Matthew B.; Gonzales, David Chipayo; Slagle, Jason; Syeed, M

doi:10.1136/qhc.13.2.136

Cited by 39 publications

(13 citation statements)

References 27 publications

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“…describe their experience in developing a complete system and using anesthesiology as their test environment, successfully recording, and annotating 270 clinical cases (872 h). [22]…”

Section: Resultsmentioning

confidence: 99%

“…The complexities of designing the system including the cameras, recorders, time-code generation, data stream, processing, data storage, and archiving have been well outlined by Weinger et al . [22] They also discuss more challenging task of hospital acceptance and outline the obstacles of consent, privacy, confidentiality, and medicolegal concerns. [623]…”

Section: Methodsmentioning

confidence: 99%

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The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement

Seamans

Louka

Fortuin³

et al. 2016

Ann Card Anaesth

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Background:The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbidities adding to the complexity of these cases. Recording of this environment has become more feasible recently with advancement in video and audio capture systems often used in the simulation realm.Aims:We began using live capture to record a new procedure shortly after starting these cases in our institution. This has provided continued assessment and evaluation of live procedures. The goal of this was to improve human factors and situational challenges by review and debriefing.Setting and Design:B-Line Medical's LiveCapture video system was used to record successive transcatheter aortic valve replacement (TAVR) procedures in our cardiac catheterization/laboratory. An illustrative case is used to discuss analysis and debriefing of the case using this system.Results and Conclusions:An illustrative case is presented that resulted in long-term changes to our approach of these cases. The video capture documented rare events during one of our TAVR procedures. Analysis and debriefing led to definitive changes in our practice. While there are hurdles to the use of this technology in every institution, the role for the ongoing use of video capture, analysis, and debriefing may play an important role in the future of patient safety and human factors analysis in the operating environment.

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“…describe their experience in developing a complete system and using anesthesiology as their test environment, successfully recording, and annotating 270 clinical cases (872 h). [22]…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement

Seamans

Louka

Fortuin³

et al. 2016

Ann Card Anaesth

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“…On the other hand, some clinicians may feel uncomfortable and their performance could be impaired 87. With a properly performed video recording, the risk of inducing a Hawthorne effect is low, especially during clinical crises when the focus is directed elsewhere 88. The Hawthorne effect presents a larger limitation during in-person observations, due to the visibility of the observers.…”

Section: Discussionmentioning

confidence: 99%

Observation for assessment of clinician performance: a narrative review

et al. 2015

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Observations are useful for the improvement of healthcare delivery through the identification of clinician lapses and weaknesses that affect quality and safety. Limitations of observations include the Hawthorne effect and the necessity of trained observers to capture and analyse the notes or videos. The comprehensive, subtle and sensitive information observations provided can supplement traditional quality assessment methods and inform targeted interventions to improve patient safety and the quality of care.

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“…Studies in US reported that it can also be effective to have some strategies to overcome doctors’ concerns with confidentiality and liability, such as obtaining certificates of confidentiality 36 or becoming familiar with the liability coverage at the clinic where data will be collected. 37 As added protection, a previous study reported that patients were generally less worried than doctors about being videotaped. 32 However, it is still essential to get certificates of confidentiality to protect the participants’ identifiable information from forced disclosure.…”

Section: Considerations For Collecting Video Data In Primary Carementioning

confidence: 99%

Using video-based observation research methods in primary care health encounters to evaluate complex interactions

Asan¹,

Montague²

2014

Journal of Innovation in Health Informatics

109

118

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Objective The purpose of this paper is to describe the use of video-based observation research methods in primary care environment and highlight important methodological considerations and provide practical guidance for primary care and human factors researchers conducting video studies to understand patient-clinician interaction in primary care settings. Methods We reviewed studies in the literature which used video methods in health care research and, we also used our own experience based on the video studies we conducted in primary care settings. Results This paper highlighted the benefits of using video techniques such as multi-channel recording and video coding and compared “unmanned” video recording with the traditional observation method in primary care research. We proposed a list, which can be followed step by step to conduct an effective video study in a primary care setting for a given problem. This paper also described obstacles researchers should anticipate when using video recording methods in future studies. Conclusion With the new technological improvements, video-based observation research is becoming a promising method in primary care and HFE research. Video recording has been under-utilized as a data collection tool because of confidentiality and privacy issues. However, it has many benefits as opposed to traditional observations, and recent studies using video recording methods have introduced new research areas and approaches.

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Video capture of clinical care to enhance patient safety

Cited by 39 publications

References 27 publications

The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement

The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement

Observation for assessment of clinician performance: a narrative review

Using video-based observation research methods in primary care health encounters to evaluate complex interactions

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