Improving surgical excellence: first experience of a video‐based intervention in outpatients

Granchi, Nelson; Reid, Jessica; Foley, Katarina; LeCouteur, Amanda; Edwards, Suzanne; Feo, Rebecca; Trochsler, Markus; Bruening, Martin; Maddern, Guy J.

doi:10.1111/ans.18012

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…Although surgical coaching has shown promise in improving a clinicians’ non‐technical skills [16, 23, 24], the effects of coaching on individual patient outcomes are rarely investigated [18]. We aimed to investigate if coaching of non‐technical skills for surgeons impacts patient engagement in the surgical outpatient setting.…”

Section: Introductionmentioning

confidence: 99%

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Improving Surgical Excellence: Can Coaching Surgeons Improve Patient Engagement?

et al. 2022

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Introduction Non‐technical skills complement technical skills in surgeons to provide best possible care for patients. The former is essential to promote patient engagement. Coaching has been introduced to surgeons as a method to improve non‐technical skills. We aimed to investigate the impact of coaching for surgeons on patient engagement in the outpatient consultation setting. Methods This was a single‐centre cohort study conducted in South Australia. Consultant surgeons, suitable coaches, and patients were recruited. Coaches underwent further training by a human factors psychologist on being an effective coach. Outpatient consultations were recorded in an audio‐visual format and analysed by investigators. Patient talking time, mutual eye gaze between surgeon and patient, and number of questions asked by the patient were measured as outcomes for patient engagement. Results 182 patients, 12 surgeons, and 4 coaches participated in the study. Each surgeon underwent 3 coaching sessions, 5 to 6 weeks apart. There were 62 pre‐coaching patient consultations, 63 patient consultations after one coaching session, and 57 patient consultations after two coaching sessions. The mean talking time of the patient increased significantly after a single coaching session (P < 0.05) without making significant difference to the total consultation time (p = 0.76). Coaching sessions did not have a significant effect on mutual eye gaze or mean number of questions asked by the patient. Conclusion Coaching of non‐technical skills for surgeons appears to objectively improve patient engagement during the outpatient consultation. This would suggest that tailored coaching programs should be developed and delivered to surgeons to improve care delivery.

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Section: Introductionmentioning

confidence: 99%

“…This model is better aligned to the adult learning theory and allows for surgeons to take control of their own improvement [21, 22]. As a result, both clinical and communication skills are improved [18, 23].…”

Section: Introductionmentioning

confidence: 99%

Improving Surgical Excellence: Can Coaching Surgeons Improve Patient Engagement?

et al. 2022

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Improving communication and patient information recall via a question prompt list: randomized clinical trial

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Herath,

Reid

et al. 2023

British Journal of Surgery

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Background Patient–surgeon communication is an important component of the success of a consultation and is known to impact patient outcomes. The aim of this study was to investigate whether a document called a question prompt list, containing suggested questions that a patient may like to ask their doctor, improved communication. Methods A prospective RCT was conducted from October 2021 to October 2022 at The Queen Elizabeth Hospital, Adelaide, Australia. Patients 16 years or older, seeing a general surgeon for a pre-surgical consultation, not requiring a translator, were randomized to receive a question prompt list (intervention) or standard care without a question prompt list (control). The primary outcomes were number of questions asked, talk time, and mutual eye gaze. Secondary outcomes were patient recall of information, anxiety, and consultation duration. Randomization was achieved using a computer program, with allocation concealment by opaque sequentially numbered envelopes. Patients were blinded to study group; surgeons were aware of study group, but blinded to outcomes. Results Patients (59) were randomly allocated to receive the question prompt list (31) or to the control group (28). A patient from the intervention group withdrew before consultation, resulting in 58 patients being included in the analysis. In the question prompt list consultations, 24 per cent more questions were asked (incidence rate ratio = 1.25, 95 per cent c.i. 1.10 to 1.42; P = 0.001). The intervention group recalled 9 per cent more items than the control group (incidence rate ratio = 1.09, 95 per cent c.i. 1.02 to 1.17; P = 0.012). The control group were 26 per cent less likely to correctly recall information about surgical treatment (OR = 0.26, 95 per cent c.i. 0.10 to 0.68; P = 0.006). No statistically significant differences between study arms for talk time, mutual eye gaze, anxiety, or consultation duration were demonstrated. Conclusion The question prompt list was associated with increased question asking and greater patient recall of medical information. It did not increase patient anxiety or consultation duration. Registration number ACTRN12623000089639 (http://www.ANZCTR.org.au).

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Improving surgical excellence: first experience of a video‐based intervention in outpatients

Cited by 2 publications

References 16 publications

Improving Surgical Excellence: Can Coaching Surgeons Improve Patient Engagement?

Improving Surgical Excellence: Can Coaching Surgeons Improve Patient Engagement?

Improving communication and patient information recall via a question prompt list: randomized clinical trial

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