Department of Gynecology and Obstetrics, 53146Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Juliane Marie Centre, Children's Hospital Copenhagen, Copenhagen University Hospital - Rigshospitalet and University of Copenhagen, Copenhagen, Denmark.
Surg Innov. 2023 Feb;30(1):64-72. doi: 10.1177/15533506221106258. Epub 2022 Sep 16.
. The operating room (OR) Black Box is an innovative technology that captures and compiles extensive real-time data from the OR, allowing identification and analysis of factors that influence intraoperative procedures and performances - ultimately improving patient safety. Implementation of this kind of technology is still an emerging research area and prone to face challenges. . Observational study running from May 2017 to May 2021 conducted at Copenhagen University Hospital - Rigshospitalet, Denmark, involving 152 OR staff and 306 patients. Feasibility of the OR Black Box was assessed in accordance with Bowen's framework with 8 focus areas. . The OR Black Box had a high level of acceptability among stakeholders with 100% participation from management, 93% from OR staff, and 98% from patients. The implementation process improved over time, and an average of 80% of the surgeries conducted were captured. The practical aspects such as numerous formal and informal meetings, ethical and legal approval, recruitment of patients were acceptable, albeit time-consuming. The OR Black Box was adopted without any changes in scheduled surgery program, but capturing hours were adjusted to match the surgery program and relocation of OR staff declining to provide consent was possible. . Implementation of the OR Black Box was feasible yet challenging. Management, nearly all staff, and patients embraced the initiative; however, ongoing evaluation, information meetings, and commitment from stakeholders are required and crucial to sustain momentum, continue implementation and expansion. Ideas from this study can be useful in the implementation of similar initiatives.
手术室（OR）黑盒是一项创新技术，它从手术室中捕获和编译广泛的实时数据，从而可以识别和分析影响手术过程和绩效的因素，最终提高患者安全性。这种技术的实施仍然是一个新兴的研究领域，容易面临挑战。
本研究为 2017 年 5 月至 2021 年 5 月在丹麦哥本哈根大学医院 - 里格医院进行的观察性研究，涉及 152 名手术室工作人员和 306 名患者。根据 Bowen 框架的 8 个重点领域，评估了手术室黑盒的可行性。
手术室黑盒在利益相关者中具有很高的可接受性，管理层参与率为 100%，手术室工作人员参与率为 93%，患者参与率为 98%。实施过程随着时间的推移而改善，平均有 80%的手术被捕获。虽然耗时，但手术室黑盒的实际方面，如众多正式和非正式会议、伦理和法律批准、患者招募等，都是可以接受的。手术室黑盒在不改变预定手术计划的情况下被采用，但捕获时间被调整以匹配手术计划，并且可以对拒绝提供同意的手术室工作人员进行重新安置。
手术室黑盒的实施是可行的，但具有挑战性。管理层、几乎所有的工作人员和患者都接受了这一举措；然而，需要持续评估、信息会议以及利益相关者的承诺，这对于维持动力、继续实施和扩大规模至关重要。本研究中的想法可用于类似举措的实施。
