Video transparency: a powerful tool for patient safety and quality improvement

Joo, Sarah; Xu, Tim; Makary, Martin A.

doi:10.1136/bmjqs-2015-005058

Cited by 12 publications

(14 citation statements)

References 12 publications

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“…Video recording technologies offer a powerful way to document what happens in clinical areas. 1 Cameras, and to a lesser extent, microphones, can be found in a growing number of modern operating rooms in the USA, UK and other parts of the world. While they could be used to create a detailed record of what happens in and around the operating table, this is still rarely being done; the vast majority of operations are still only documented in written operation notes.…”

Section: Video Recording In the Operating Roommentioning

confidence: 99%

Microanalysis of video from the operating room: an underused approach to patient safety research

et al. 2016

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Section: Video Recording In the Operating Roommentioning

confidence: 99%

Microanalysis of video from the operating room: an underused approach to patient safety research

et al. 2016

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“…A variety of industry personnel use remote video auditing, including public safety officials to monitor driver behavior and meat company supervisors to audit team member compliance with meat‐processing safety protocols . In health care, remote video auditing with feedback has been shown to improve hand hygiene compliance in an intensive care unit and improve safety checklist compliance in the OR . Researchers indicate that when health care facilities initiate video monitoring for patient safety processes, team members can exhibit immediate behavior changes .…”

Section: Literature Reviewmentioning

confidence: 99%

Improving Preprocedure Time Out Compliance Using Remote Audiovisual Observation

Dobbie¹,

Fitzpatrick²,

Kent³

et al. 2019

AORN Journal

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Health care organization leaders can help prevent surgical errors by ensuring compliance with standardized preprocedure time outs that require the active participation and engagement of the entire surgical team. Some surgical department leaders have used remote video observation without audio to monitor compliance with the time out. After a sentinel event occurred, leaders at our large academic medical center initiated a quality improvement project to audit compliance with the standardized preprocedure time out. We used remote audiovisual observation to ensure that all members of the procedure team were adhering strictly to the elements of the preprocedure time out in all invasive procedure areas. Since the beginning of this remote auditing process, team member compliance with the standardized preprocedure time out has improved.

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“…They are important stakeholders in the pursuit of quality improvement in healthcare and might encourage audits using video recordings in order to enhance quality improvement. By doing so, they would also respond to the public’s call for the use of video recordings to increase hospital transparency 34. However, research is needed to define whether governmental involvement as such is desirable and what additional ethical dilemmas could then arise.…”

Section: Conflicting Healthcare Domainsmentioning

confidence: 99%

Ethical dilemmas of recording and reviewing neonatal resuscitation

Boer

Houtlosser

Zanten

et al. 2018

Arch Dis Child Fetal Neonatal Ed

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Neonatal resuscitation is provided to approximately 3% of neonates. Adequate ventilation is often the key to successful resuscitation, but this can be difficult to provide. There is increasing evidence that inappropriate respiratory support can have severe consequences. Several neonatal intensive care units have recorded and reviewed neonatal resuscitation procedures for quality assessment, education and research; however, ethical dilemmas sometimes make it difficult to implement this review process. We reviewed the literature on the development of recording and reviewing neonatal resuscitation and have summarised the ethical concerns involved. Recording and reviewing vital physiological parameters and video imaging of neonatal resuscitation in the delivery room is a valuable tool for quality assurance, education and research. Furthermore, it can improve the quality of neonatal resuscitation provided. We observed that ethical dilemmas arise as the review process is operating in several domains of healthcare that all have their specific moral framework with requirements and conditions on issues such as consent, privacy and data storage. These moral requirements and conditions vary due to local circumstances. Further research on the ethical aspects of recording and reviewing is desirable before wider implementation of this technique can be recommended.

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Video transparency: a powerful tool for patient safety and quality improvement

Cited by 12 publications

References 12 publications

Microanalysis of video from the operating room: an underused approach to patient safety research

Microanalysis of video from the operating room: an underused approach to patient safety research

Improving Preprocedure Time Out Compliance Using Remote Audiovisual Observation

Ethical dilemmas of recording and reviewing neonatal resuscitation

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