Surgical process modelling strategies: which method to choose for determining workflow?

Gholinejad, Maryam; Loeve, Arjo J.; Dankelman, Jenny

doi:10.1080/13645706.2019.1591457

Cited by 14 publications

(17 citation statements)

References 53 publications

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“…Surgical procedures can be decomposed into a number of sequential tasks (e.g., dissection, suturing, and anastomosis) typically called procedural phases or steps [6][7][8]. Recognizing and temporally localizing these tasks allows for process surgical modelling and workflow analysis [9]. This further facilitates the current trend in MIS practice towards establishing standardized protocols for surgical workflow and guidelines for task execution, describing optimal tool positioning with respect to the anatomy, setting performance benchmarks, and ensuring operational safety and complication-free, cost-effective procedures [10,11].…”

Section: Surgical Process Understandingmentioning

confidence: 99%

Computer Vision in the Surgical Operating Room

et al. 2020

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Background: Multiple types of surgical cameras are used in modern surgical practice and provide a rich visual signal that is used by surgeons to visualize the clinical site and make clinical decisions. This signal can also be used by artificial intelligence (AI) methods to provide support in identifying instruments, structures, or activities both in real-time during procedures and postoperatively for analytics and understanding of surgical processes. Summary: In this paper, we provide a succinct perspective on the use of AI and especially computer vision to power solutions for the surgical operating room (OR). The synergy between data availability and technical advances in computational power and AI methodology has led to rapid developments in the field and promising advances. Key Messages: With the increasing availability of surgical video sources and the convergence of technologiesaround video storage, processing, and understanding, we believe clinical solutions and products leveraging vision are going to become an important component of modern surgical capabilities. However, both technical and clinical challenges remain to be overcome to efficiently make use of vision-based approaches into the clinic.

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Section: Surgical Process Understandingmentioning

confidence: 99%

Computer Vision in the Surgical Operating Room

et al. 2020

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“…Los resultados de esta investigación hicieron posible conocer y entender que la percepción de una cultura de seguridad del paciente difiere entre los equipos de enfermería y medicina, inicialmente justificado por la ejecución de actividades interdependientes con habilidades, conocimientos, preparación y utilización de equipos y herramientas/procesos de trabajo diferentes entre categorías (1) y, en segundo lugar, por la formación básica y la educación continua ofrecida a los diversos actores involucrados en la atención quirúrgica, de manera diferente, sobre la seguridad del paciente y los conceptos correlacionados (11,12) . Cabe señalar que las características de trabajo del equipo de salud, como el tiempo de experiencia y la posición/función (13,14) asociadas a las particularidades de cada unidad, con respecto a la estructura y las prácticas organizativas, influyen en el comportamiento humano e impactan en la construcción de subculturas (15) .…”

Section: Discussionunclassified

“…La eficacia de los métodos de prevención de errores, el conocimiento de su ocurrencia y sus consecuencias corroboran la adopción de acciones y decisiones más seguras, especialmente en servicios complejos como el contexto quirúrgico, que requieren progresivamente planificación operativa y logística, tecnologías avanzadas y equipos interdisciplinarios (1) . Estos son inherentes al proceso de trabajo ante posibles repercusiones en la prestación de una atención segura y de calidad.…”

Section: Introductionunclassified

Diferenças entre profissionais de enfermagem e medicina acerca da cultura de segurança do paciente cirúrgico

Batista¹,

Cruz²,

Alpendre³

et al. 2021

Enf Global

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Objetivo: Investigar si la percepción de la cultura de la seguridad de los pacientes quirúrgicos difiere entre los profesionales de enfermería y medicina que trabajan en una institución educativa pública brasileña. Método: Survey, estudio transversal realizado en un hospital en el sur de Brasil. El cuestionario Hospital Survey on Patient Safety Culture fue aplicado a 158 profesionales entre mayo y septiembre de 2017. Las 12 dimensiones se analizaron mediante estadísticas descriptivas e inferenciales y pruebas de coherencia interna. Las dimensiones con índices del 75% se consideraron reforzadas. Resultados: Hubo fragilidad en la cultura de seguridad, con un índice más bajo en la dimensión “Respuesta no punitiva al error”, con 23,9% y 13,9%, respectivamente, entre la enfermería y la medicina. Las puntuaciones más positivas fueron consideradas por la enfermería en ocho dimensiones, con diferencia (p<0.05) en relación con los profesionales médicos. Conclusión: La cultura de seguridad difiere entre las dos categorías profesionales, con respuestas más positivas por la enfermería; sin embargo, son necesarias acciones para fortalecer la seguridad de los pacientes quirúrgicos en ambos grupos profesionales. Objective: To investigate whether the perception of the surgical patient safety culture differs between nursing and medical professionals working in a Brazilian public educational institution. Method: Survey and cross-sectional study conducted in a hospital in southern Brazil. The Hospital Survey on Patient Safety Culture questionnaire was applied to 158 professionals between May and September 2017. The 12 dimensions were analyzed by descriptive, inferential statistics and internal consistency test. Dimensions with indexes ≥75% were considered strengthened. Results: There was fragility in the safety culture, with a lower index in the dimension “Nonpunitive response to error”, with 23.9% and 13.9%, respectively, between nursing and medicine. More positive scores were considered by nursing in eight dimensions, with difference (p<0.05) in relation to medical professionals. Conclusion: The safety culture differs between the two professional categories, with more positive responses by nursing; however, actions are necessary to strengthen the surgical patient safety in both professional groups Objetivo: Investigar se a percepção da cultura de segurança do paciente cirúrgico difere entre profissionais de enfermagem e medicina atuantes em instituição pública de ensino brasileira. Método: Survey e transversal conduzido em hospital da região sul do Brasil. Foi aplicado o questionário Hospital Survey on Patient Safety Culture a 158 profissionais entre maio e setembro de 2017. As 12 dimensões foram analisadas por estatística descritiva, inferencial e teste da consistência interna. Dimensões com índices ≥75% foram consideradas fortalecidas.Resultados: Evidenciou-se fragilidade na cultura de segurança, com menor índice na dimensão “Resposta não punitiva ao erro”, com 23,9% e 13,9%, respectivamente, entre enfermagem e medicina. Escores mais positivos foram considerados pela enfermagem em oito dimensões, com diferença (p<0,05) em relação aos profissionais médicos. Conclusão: A cultura de segurança difere entre as duas categorias profissionais, com respostas mais positivas pela enfermagem; porém demanda ações promotoras para fortalecer a segurança do paciente cirúrgico em ambos os grupos profissionais.

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“…'Team-building' is at the crux of these processes. The cycle of surgical process modelling and analysis paves the way for further optimisation and improvement of processes [4].…”

Section: Discussionmentioning

confidence: 99%

The Hernia ‘CAMP’ model: a collaborative action to maximise productivity within the NHS

Koshy

Ali

Fernando

et al. 2020

Hernia

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Background An ever-growing and long surgical waiting list is a challenge within the NHS. Long waiting times can result in complications of the condition with more challenging operations and additional procedures. All of which implies reduced quality of life for patients and increased strain on NHS finances. On an average there are about 160 patients on the waiting list for groin hernia surgeries, with over a half of them waiting more than 30 weeks. Three patients every year breach the 52 weeks timeline, flagging a never event, with negative implications for the trust. Methods The Hernia CAMP model was proposed to improve productivity and enhance patient experience. It helped create a pathway with experienced non-consultant surgeons, stepping up to free up consultants to attend to the pressing cancer and complex cases. This dedicated pathway, improved the patient experience and staff team-spirit too. Results The Hernia CAMP resulted in a 40% improvement in efficiency. With better ratio per list/session, it makes care more cost-effective. It also improved the work environment amongst staff and rapport with patients. The patient-peer support and greater involvement meant better overall experience too. This supportive environment also has the potential for theme-based learning and training. Conclusions The Hernia 'CAMP' is a transferable and adaptable model. It impacts not just long waiting lists, but also improves productivity with definite cost benefits, teambuilding, patient experience and creates a great opportunity to train too.

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Surgical process modelling strategies: which method to choose for determining workflow?

Cited by 14 publications

References 53 publications

Computer Vision in the Surgical Operating Room

Computer Vision in the Surgical Operating Room

Diferenças entre profissionais de enfermagem e medicina acerca da cultura de segurança do paciente cirúrgico

The Hernia ‘CAMP’ model: a collaborative action to maximise productivity within the NHS

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