Standardization of surgical procedures for identifying best practices and training.
A taxonomy was developed a) to describe surgical procedures with sufficient detail to review differences among surgeons, b) to examine the relationship between individual technique and outcomes, c) to enable surgeons to standardize technique around best practices and d) to identify clinical-evidence...
| Publicado en: | Work Vol. 41; pp. 4673 - 4680 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2012 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104523316&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104523316 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10519815 3RC jtl: Work issn: 10519815 maglogo: N pubinfo: dt: 2012 Supplement vid: 41 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 104523316 71928951 10.3233/wor-2012-0108-4673 104523316 ppf: 4673 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Standardization of surgical procedures for identifying best practices and training. aug: au: Soares, Marcelo M. Jacobs, Karen Armstrong, T. Yu, D. Frischknecht, A. Minter, R. Andreatta, P. Kasten, S. affil: Center for Ergonomics, University of Michigan, 1205 Beal Ave., Ann Arbor, MI, USA, sug: subj: Surgery, Operative Methods Surgery, Operative Standards Task Performance and Analysis Education, Medical Human Surgery, Operative Classification Surgeons Surgery, Operative Education Videorecording Biomechanics Hand Physiology ab: A taxonomy was developed a) to describe surgical procedures with sufficient detail to review differences among surgeons, b) to examine the relationship between individual technique and outcomes, c) to enable surgeons to standardize technique around best practices and d) to identify clinical-evidence-based key points of teaching and assessment for surgical training. Sixty-seven microvascular anastomoses were recorded through video cameras mounted in the dissecting microscope. A hierarchical task analysis was used to decompose the observed procedures into successive levels of detail. The results were then presented to individual and small groups of microvascular surgeons to help define steps and step attributes necessary to describe a procedure so that other surgeons can perform the procedure exactly the same way. Coincidently, it was found that because the surgeons' attention is confined to a very small field of view in which they can see only the veins and arteries and the ends of their instruments, they often have difficulty communicating with others in the operating room. Analyses of selected cases using the proposed taxonomy shows how subtle details are revealed that may affect outcomes, and indicate specific training needs. By comparing different methods and outcomes, it should be possible to identify best practices for given conditions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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