Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Department of Anaesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Surg Endosc. 2021 Mar;35(3):1406-1419. doi: 10.1007/s00464-020-07526-3. Epub 2020 Apr 6.
Surgical safety may be improved using a medical data recorder (MDR) for the purpose of postoperative team debriefing. It provides the team in the operating room (OR) with the opportunity to look back upon their joint performance objectively to discuss and learn from suboptimal situations or possible adverse events. The aim of this study was to investigate the satisfaction of the OR team using an MDR, the OR Black Box®, in the OR as a tool providing output for structured team debriefing.
In this longitudinal survey study, 35 gastro-intestinal laparoscopic operations were recorded using the OR Black Box® and the output was subsequently debriefed with the operating team. Prior to study, a privacy impact assessment was conducted to ensure alignment with applicable legal and regulatory requirements. A structured debrief model and an OR Back Box® performance report was developed. A standardized survey was used to measure participant's satisfaction with the team debriefing, the debrief model used and the performance report. Factor analysis was performed to assess the questionnaire's quality and identified contributing satisfaction factors. Multivariable analysis was performed to identify variables associated with participants' opinions.
In total, 81 team members of various disciplines in the OR participated, comprising 35 laparoscopic procedures. Mean satisfaction with the OR Black Box® performance report and team debriefing was high for all 3 identified independent satisfaction factors. Of all participants, 98% recommend using the OR Black Box® and the outcome report in team debriefing.
The use of an MDR in the OR for the purpose of team debriefing is considered to be both beneficial and important. Team debriefing using the OR Black Box® outcome report is highly recommended by 98% of team members participating.
使用医疗数据记录器（MDR）进行术后团队汇报，可能会提高手术安全性。它为手术室（OR）团队提供了回顾其共同表现的机会，使他们能够客观地讨论和从不理想的情况或可能发生的不良事件中学习。本研究的目的是调查 OR 团队对 OR 黑盒®作为提供结构化团队汇报输出工具的满意度。
在这项纵向调查研究中，使用 OR 黑盒®记录了 35 例胃肠腹腔镜手术，随后与手术团队一起对结果进行汇报。在研究之前，进行了隐私影响评估，以确保符合适用的法律和法规要求。开发了结构化汇报模型和 OR 黑盒®性能报告。使用标准化问卷衡量参与者对团队汇报、使用的汇报模型和性能报告的满意度。进行了因子分析以评估问卷的质量，并确定了有贡献的满意度因素。进行了多变量分析，以确定与参与者意见相关的变量。
共有来自 OR 各科室的 81 名团队成员参加，共进行了 35 例腹腔镜手术。所有 3 个独立满意度因素的 OR 黑盒®性能报告和团队汇报满意度均较高。所有参与者中有 98%推荐在团队汇报中使用 OR 黑盒®和结果报告。
OR 中使用 MDR 进行团队汇报被认为是有益且重要的。使用 OR 黑盒®结果报告进行团队汇报得到了 98%的团队成员的高度推荐。
