Design and Validation of an Error Capture Tool for Quality Evaluation in the Vascular and Endovascular Surgical Theatre

Abstract

The ICECAP tool may be useful for capturing and categorising errors that occur during vascular/endovascular procedures. ICECAP may also have a role as an error recall prompt for self-reporting purposes by vascular surgical teams.

Simulation-Based Education of Endovascular Scrub Nurses Reduces Stress and Improves Team Performance

“…In addition, interobserver agreement for grading severeness of errors has been concluded acceptable. 6,27 Other tools for teamwork evaluation exist but focus unilateral on nontechnical skills such as communication, situation awareness, leadership, and decision-making. Due to ICECAPs bilateral measures of technical and nontechnical skills, it was chosen to assess overall team performance.…”

“…ICECAP was developed to provide a clinical tool to evaluate surgical procedures and identify common errors. 6 Acute mental stress has been shown to influence surgical performance [7][8][9] and impair the learning potential of trainees. 10 Consequently, finding new ways to minimize mental stress levels and improve surgical performance could improve patient safety.…”

The Endovascular Preprocedural Run Through and Brief: A Simple Intervention to Reduce Radiation Dose and Contrast Load in Endovascular Aneurysm Repair

“…Implementation of new technological developments and strategies relevant in EVAR planning and preparation, such as 3D aortic printing, 24 hybrid suites, 25 error capture tools for team debriefing, 26 and patient-specific anatomy simulator training may provide further improvements in CRM-based practices. Given the declining incidence of ruptured aortic aneurysms, Van Herzeele and colleagues 27 have proposed that simulator training should become the rigor in order to improve team performance through iteration and allow maintenance of team competencies.…”

Evidence Based Training Strategies to Improve Clinical Practice in Endovascular Aneurysm Repair

“…The Imperial College Error CAPture record (ICECAP) 59 is an error capturing tool that enables structured reporting of surgical errors, by classifying them according to their significance (impact on the procedure progression and ease of resolution) and type. There are seven categories: equipment, communication, procedure independent pressures, technical, safety, patient related, and other errors (Fig.…”

“…When implemented as a debriefing tool, the ICECAP tool has been shown to greatly improve the team's recall of errors. 59 Additionally, assessments of team performance, using valid (procedure specific) rating scales, 30,60 may also be used to structure debriefing sessions.…”