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.
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DOI：
10.1136/bmjqs-2016-005816
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发表时间：
2017-07
影响因子：
5.4
通讯作者：
Kneebone R
中科院分区：
文献类型：
--
作者：
Bezemer J;Cope A;Korkiakangas T;Kress G;Murtagh G;Weldon SM;Kneebone R
视频记录技术提供了一种记录临床领域发生情况的强大方法。 1 在美国、英国和世界其他地区，越来越多的现代手术室中都配备了摄像头和少量的麦克风。虽然它们可以用来创建手术台内和周围发生的情况的详细记录，但这仍然很少被这样做；绝大多数操作仍然只记录在书面操作笔记中。录制手术时，主要是为了教育目的：例如，向远程观众直播手术演示；为实时观察提供“辅助”； 2 收集真实的镜头，用于编辑手术技术或程序的教学视频；促进视频增强汇报和指导；或正式评估手术技能。最近，Makary 等人 1 3 提出可以使用手术室的视频设备作为审核工具。他们还认为，使视频录制成为一种常态可以提高手术表现并使手术护理更加透明。他们提出，手术视频档案对于准备对之前接受过手术的患者进行手术的外科医生来说可能很有用，例如检查粘连的解剖结构和密度。还有人建议，在常规使用时，视频可用于调查不良事件。 4-6
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. When operations are being recorded, it is primarily for educational purposes: for instance, to broadcast a live feed of a surgical demonstration to a remote audience; to provide an ‘adjunct’to live observation; 2 to collect authentic footage for edited, instructional videos on a surgical technique or procedure; to facilitate video enhanced debriefing and coaching; or to formally assess surgical skills. Recently, Makary et al 1 3 have proposed that video equipment in the operating room could be used as an auditing tool. They also argue that making video recording a routine occurrence would improve performance and make surgical care more transparent. They propose that a video archive of operations could prove useful for surgeons preparing to operate on a patient who had been operated on before—to check the anatomy and density of adhesions for example. It has also been suggested that when used routinely, video could be used to investigate adverse events. 4–6
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影响因子：
9
作者：
Aggarwal, Rajesh;Grantcharov, Teodor;Darzi, Ara
通讯作者：
Darzi, Ara
影响因子：
2.5
作者：
Broyles, Lauren M.;Tate, Judith A.;Happ, Mary Beth
通讯作者：
Happ, Mary Beth
影响因子：
3
作者：
Fingeret, Abbey L.;Martinez, Rebecca H.;Nowygrod, Roman
通讯作者：
Nowygrod, Roman
影响因子：
8.1
作者：
Korkiakangas, Terhi;Weldon, Sharon-Marie;Kneebone, Roger
通讯作者：
Kneebone, Roger
影响因子：
5.4
作者：
Overdyk, Frank J.;Dowling, Oonagh;DiCapua, John F.
通讯作者：
DiCapua, John F.