Postoperative video debriefing reduces technical errors in laparoscopic surgery - 22/08/11
, Matthew T. Brown, Ph.D. b, Julio A. Clavijo-Alvarez, M.D., Ph.D. a
Corresponding author. 300 Halket St. #5518, Pittsburgh, PA 15213. Tel.: +1-412-641-2080; fax: +1-412-641-7878.Abstract |
Background |
Because of the learning curve required to master laparoscopic procedures, there is a growing concern that patient safety may be compromised due to technical errors by a novice surgeon. We evaluated the effect of videotape debriefing on the performance of a complex laparoscopic procedure.
Methods |
Twenty-four surgical residents performed a laparoscopic jejunojejunal anastomosis under the supervision of a single laparoscopic surgeon. All procedures were videotaped. Half of the residents underwent video debriefing. Videotapes were analyzed for knot-tying time, anastomotic time, and frequency of minor technical errors and adverse events. The performance of the debriefed group was compared with a non-debriefed group.
Results |
Knot-tying time, minor errors, and anastomotic time were similar between the debriefed and non-debriefed groups. However, adverse events from technical errors were more frequent in the non-debriefed group (χ2 = 7.647, P = .006).
Conclusions |
Postoperative video debriefing is an effective educational tool for reducing adverse events during a complex laparoscopic procedure.
Le texte complet de cet article est disponible en PDF.Keywords : Adverse events, Debriefing, Laparoscopic surgery, Patient safety, Skills assessment, Surgical education
Plan
Vol 194 - N° 1
P. 110-114 - juillet 2007 Retour au numéro
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