Development of a Model for Video-Assisted Postoperative Team Debriefing

Abstract

Background: Video-assisted debriefing may be a powerful tool to improve surgical team performance. Nevertheless, a true operating team debriefing culture is lacking to date. This study aimed to find evidence on how to debrief the surgical team and develop a model suitable for debriefing using a video and medical data recorder (MDR) in the operating room (OR). Methods: A review of the PubMed and Embase databases and Cochrane Library was performed. The identified literature was studied and combined with a conceptual framework to develop a model for postoperative video-assisted team debriefing. Thirty-five surgical cases were recorded with an MDR and debriefed with the operating team using the proposed debrief model and a standardized video-assisted performance report. A questionnaire was used to assess the participants' satisfaction with this debrief model. Results: Debrief models and methods are extensively described in the current medical literature. An overview was provided. The OR team needs a structured debrief model, minimizing resource, effort, and motivational constraints. A structured six-step team debrief model suitable for video-assisted OR team debriefing was developed. The model was tested in 35 multidisciplinary MDR-assisted debriefing sessions and the debriefing sessions were overall rated with a mean of 7.8 (standard deviation 1.4, 10-point Likert scale) by participants. Conclusions: Debriefing surgical teams using a video and MDR in the OR requires a model on how to use such recordings optimally. To date, no such model existed. The proposed debrief model was tested using a multisource MDR and may be used to facilitate OR debriefing across various settings.

Improving teamwork and communication in the operating room by introducing the theatre cap challenge

“…This study was part of a pilot study aiming to implement a video and medical data recorder (MDR) in an OT, used as a tool for structured postoperative multidisciplinary debriefings to improve surgical safety ( van Dalen et al 2020b ). Thirty-four laparoscopic (gastro-intestinal) procedures were recorded with the MDR and debriefed with the entire OT team outside the OT (in a neutral environment), using the MDR outcome report ( van Dalen et al 2020a ). The Works Council (staff representation) and Hospital Directorate approved the study.…”

From Déjà vu to Déjà vécu: Reliving Surgery in Post-Operative Debriefing

“…In the medical field, and more specifically in surgery, postoperative debriefing can take many forms. It can take place on site directly after surgery (hot debriefing) or at a later time (cold debriefing) [24], and the focus can vary widely, including on the learner's knowledge, the course of the operation, the learner's surgical strengths, difficulties, and areas for improvement. It can also take place between expert surgeons and concern rare surgical operations, those that have been particularly problematic or marked by a negative event.…”

“…Postoperative debriefing is considered a tool that improves both technical and nontechnical skills such as communication, teamwork and situational awareness [24]. It is thus considered necessary, educational and easily available by resident surgeons [7].…”

“…The use of surgical video recording as a basis for debriefing is widespread and has shown its effectiveness in terms of learning and improving the surgical skills acquisitions [5,10]. It can be combined with the recording of intraoperative medical data in systems as black boxes [9,24]. The perpetual quest to improve practices leads us to question of whether video is an optimal tool for postoperative debriefing.…”

Mastering the thousand tiny details: routine use of video to optimize performance in sport and in surgery

“…In striving to remember who made what decisions in the context of the operation-near-immediate video review and structured discussion can help to optimize learning. 28 "VIDEO REVIEW IS RELATIONSHIP BUILDING. "-Tara "Video" VanDerveer, Head Coach, Stanford University Women's Basketball-2021 US National Champions (all-time leader in wins, NCAA Division I women's college basketball) Sitting in a meeting on the new cancer center lab policy, you open the video-viewing app on your phone and watch the 10-minute clip of the last 3 hepatico-jejunostomies that your fellow has performed.…”