Video observation of anesthesia practice: a useful and reliable tool for quality improvement initiatives

Rampersad, Sally E.; Martin, Lizabeth D.; Geiduschek, Jeremy M.; Weiss, Gillian K.; Bates, Shelly W.; Martin, Lynn D.

doi:10.1111/pan.12198

Cited by 10 publications

(11 citation statements)

References 18 publications

(18 reference statements)

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“…69 Video recordings allow evaluation during all shifts and in many areas without overextending observing staff. 67 Healthcare worker volunteers 52 and nonprovider volunteers 70 have assessed HH practices on inpatient units.…”

Section: Which Techniques Should Be Used To Improve Infection Preventmentioning

confidence: 99%

Infection prevention in the operating room anesthesia work area

Munoz-Price

Bowdle

Johnston

et al. 2018

Infect. Control Hosp. Epidemiol.

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Section: Which Techniques Should Be Used To Improve Infection Preventmentioning

confidence: 99%

Infection prevention in the operating room anesthesia work area

Munoz-Price

Bowdle

Johnston

et al. 2018

Infect. Control Hosp. Epidemiol.

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“…All operations were audited by a single external observer present in the operating room. Manual auditing is known to affect the behavior of those who are being observed [ 28 ] and it is possible that this affected the time spent in irrelevant conversation. This effect, however, should have been the same in both groups.…”

Section: Discussionmentioning

confidence: 99%

Audio-video recording during laparoscopic surgery reduces irrelevant conversation between surgeons: a cohort study

2018

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BackgroundThe prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the purposes of education and event analyses, and may have an impact on the focus of the surgeons operating. The aim of the present study was to investigate how audio-video recording in the operating room during laparoscopic surgery affects the focus of the surgeon and his/her assistant.MethodsA group of laparoscopic procedures where video recording only was performed was compared to a group where both audio and video recordings were made. All laparoscopic procedures were performed at Lindesberg Hospital, Sweden, during the period August to September 2017. The primary outcome was conversation not relevant to the ongoing procedure. Secondary outcomes were intra- and postoperative adverse events or complications, operation time and number of times the assistant was corrected by the surgeon.ResultsThe study included 41 procedures, 20 in the video only group and 21 in the audio-video group. The material comprised laparoscopic cholecystectomies, totally extraperitoneal inguinal hernia repairs and bariatric surgical procedures. Irrelevant conversation time fell from 4.2% of surgical time to 1.4% when both audio and video recordings were made (p = 0.002). No differences in perioperative adverse event or complication rates were seen.ConclusionAudio-video recording during laparoscopic abdominal surgery reduces irrelevant conversation time and may improve intraoperative safety and surgical outcome.Trial registrationAvailable at FOU Sweden (ID: 232771) and retrospectively at Clinical trials.gov (ID: NCT03425175; date of registration 7/2 2018).

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“…The rationale behind withholding the aim until the end of the study period was to avoid behaviour changes in the presence of an audio recorder (Hawthorne effect) [30, 31]. A one-month time gap was created between the consent form distribution and the audio recording to decrease the trial dietitians’ awareness of the recording process [32]. This ensured that the trial participants and trial dietitians were not aware of which diet history interviews were being recorded.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the dietary intake data coding process in a clinical setting: Implications for research practice

et al. 2019

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Background High quality dietary intake data is required to support evidence of diet-disease relationships exposed in clinical research. Source data verification may be a useful quality assurance method in this setting. The present pilot study aimed to apply source data verification to evaluate the quality of the data coding process for dietary intake in a clinical trial and to explore potential barriers to data quality in this setting. Methods Using a sample of 20 cases from a clinical trial, source data verification was conducted between three sets of data derived documents: transcripts of audio-recorded diet history interviews, matched paper-based diet history forms and outputs from nutrition analysis software. The number of cases and rates of discrepancies between documents were calculated. A total of five in-depth interviews with dietitians collecting and coding dietary data were thematically analysed. Results Some 2024 discrepancies were identified. The highest discrepancy rate was 57.49%, and occurred between diet history interviews and nutrition analysis software outputs. Sources of the discrepancies included both quantities and frequencies of food intake. The highest discrepancy rate was for the food group “vegetable products and dishes”. In-depth interviews implicated recall bias of trial participants as a cause of discrepancies, but dietitians also acknowledged a possible subconscious influence of having to code reported foods into nutrition analysis software programs. Conclusion The accuracy of dietary intake data appeared to depend on the level of detailed food data required. More support for participants on reporting consumption, and incorporating supportive tools to guide estimates of food quantities may facilitate a more consistent coding process and improve data quality. This pilot study offers a novel method and an overview of dietary intake data coding measurement errors. These findings may warrant further investigation in a larger sample.

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Video observation of anesthesia practice: a useful and reliable tool for quality improvement initiatives

Cited by 10 publications

References 18 publications

Infection prevention in the operating room anesthesia work area

Infection prevention in the operating room anesthesia work area

Audio-video recording during laparoscopic surgery reduces irrelevant conversation between surgeons: a cohort study

Evaluation of the dietary intake data coding process in a clinical setting: Implications for research practice

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