Lauren Gordon1,2, Cheyanne Reed3, Jette Led Sorensen4, Pansy Schulthess1,5, Jeanett Strandbygaard4, Mary Mcloone6, Teodor Grantcharov1,7, Eliane M Shore8,9,10. 1. International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 61 Queen St East, 5th Floor, Toronto, ON, M5C 2T2, Canada. 2. Department of Vascular Surgery, University of Toronto, Toronto, Canada. 3. Faculty of Medicine, University of Toronto, Toronto, Canada. 4. Department of Obstetrics and Gynaecology, Juliane Marie Centre for Children, Women and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. 5. Department of Perioperative Services, St. Michael's Hospital, Toronto, Canada. 6. Department of Anaesthesia, St. Michael's Hospital, Toronto, Canada. 7. Department of Surgery, University of Toronto, Toronto, Canada. 8. International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 61 Queen St East, 5th Floor, Toronto, ON, M5C 2T2, Canada. eliane.shore@unityhealth.to. 9. Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Canada. eliane.shore@unityhealth.to. 10. Department of Obstetrics and Gynaecology, St. Michael's Hospital, Toronto, Canada. eliane.shore@unityhealth.to.
Abstract
OBJECTIVE: Recording in the operating room is an important tool to help surgical teams improve their performance. This is becoming more feasible using the Operating Room Black Box, a comprehensive data capture platform. Operating room (OR) staff, however, may voice reasonable concerns as recording initiatives are implemented. The objective of this study was to assess pre-implementation attitudes of OR staff toward operative recording and explore the relationship of these attitudes to the themes of (1) safety culture, (2) impostor syndrome, and (3) privacy concerns. METHODS: This cross-sectional survey study measured staff members' beliefs and opinions of operative recording and used three previously validated tools (safety attitudes questionnaire, clance impostor phenomenon scale, and dispositional privacy concern) to assess personal and professional factors. Concepts were correlated using Pearson's correlation coefficient. RESULTS: Forty-three staff members participated in this study, with a response rate of 45% (n = 43/96, 20/22 nurses, 9/11 gynecologists, 14/63 anesthesiologists). Opinions of operative data capture were generally positive (5-point Likert scale, mean = 3.81, SD = 0.91). Nurses tended to have more favorable opinions of the OR Black Box as compared to gynecologists and anesthesiologists, though this did not reach statistical significance (4.15 vs. 3.67 vs 3.43, p = 0.06). Impostor syndrome characteristics correlated with concerns about litigation related to recording (r = - 0.32, p = 0.04). CONCLUSION: There are personal and professional attributes of the OR team that impact perceptions of the OR Black Box and implications around privacy and litigation. Addressing these concerns may facilitate successful implementation of the OR Black Box and improve team communication and patient safety in the OR.
OBJECTIVE: Recording in the operating room is an important tool to help surgical teams improve their performance. This is becoming more feasible using the Operating Room Black Box, a comprehensive data capture platform. Operating room (OR) staff, however, may voice reasonable concerns as recording initiatives are implemented. The objective of this study was to assess pre-implementation attitudes of OR staff toward operative recording and explore the relationship of these attitudes to the themes of (1) safety culture, (2) impostor syndrome, and (3) privacy concerns. METHODS: This cross-sectional survey study measured staff members' beliefs and opinions of operative recording and used three previously validated tools (safety attitudes questionnaire, clance impostor phenomenon scale, and dispositional privacy concern) to assess personal and professional factors. Concepts were correlated using Pearson's correlation coefficient. RESULTS: Forty-three staff members participated in this study, with a response rate of 45% (n = 43/96, 20/22 nurses, 9/11 gynecologists, 14/63 anesthesiologists). Opinions of operative data capture were generally positive (5-point Likert scale, mean = 3.81, SD = 0.91). Nurses tended to have more favorable opinions of the OR Black Box as compared to gynecologists and anesthesiologists, though this did not reach statistical significance (4.15 vs. 3.67 vs 3.43, p = 0.06). Impostor syndrome characteristics correlated with concerns about litigation related to recording (r = - 0.32, p = 0.04). CONCLUSION: There are personal and professional attributes of the OR team that impact perceptions of the OR Black Box and implications around privacy and litigation. Addressing these concerns may facilitate successful implementation of the OR Black Box and improve team communication and patient safety in the OR.
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Authors: Martin Wagner; Johanna M Brandenburg; Sebastian Bodenstedt; André Schulze; Alexander C Jenke; Antonia Stern; Marie T J Daum; Lars Mündermann; Fiona R Kolbinger; Nithya Bhasker; Gerd Schneider; Grit Krause-Jüttler; Hisham Alwanni; Fleur Fritz-Kebede; Oliver Burgert; Dirk Wilhelm; Johannes Fallert; Felix Nickel; Lena Maier-Hein; Martin Dugas; Marius Distler; Jürgen Weitz; Beat-Peter Müller-Stich; Stefanie Speidel Journal: Surg Endosc Date: 2022-09-28 Impact factor: 3.453