Video-assisted surgery : suggestions for failure prevention in laparoscopic cholecystectomy
Silvennoinen, M., Antikainen, T., & Mecklin, J.-P. (2015). Video-assisted surgery : suggestions for failure prevention in laparoscopic cholecystectomy. Cognition, Technology and Work, 17(1), 145-155. https://doi.org/10.1007/s10111-014-0317-8
Julkaistu sarjassa
Cognition, Technology and WorkPäivämäärä
2015Tekijänoikeudet
© Springer-Verlag London 2014. This is a Final Draft version of an article whose final and definitive version has been published by Springer.
Background: Surgery differs from other medical specialties in its execution. It is often complex and includes
considerable individual variations. Observing problems in operating theatres (OT) allows for the identification
of system failures which should be defined for learning purposes to increase patient safety and enhance general
safety culture within hospital organizations. This study evaluates a common video-assisted surgical procedure,
laparoscopic cholecystectomy (LC) through failure analysis. The profile of the LC procedure and failure
sources is presented.
Methods: Data consisted video-observations and interviews concerning twelve LC operations performed at a
day surgery unit. All operations were teaching sessions. Qualitative analysis was undertaken. Through task
analysis, specialist interviews and failure identification a failure profile of LC was produced.
Results: Twenty failure types were identified, failures were for example: remote attention towards ergonomics;
novice’s skill failures; inadequate supervision and unnecessary risk taking caused by tight operating
schedules. The results showed that the importance of working principles should be emphasized. The failure
profile of LC revealed three phases featuring multiple failures: dissecting the peritoneal covering; identifying,
sealing and cutting the cystic duct and cystic artery; detaching the gallbladder from the hepatic bed and inspecting
the hepatic bed.
Conclusions: This study offers information for hospital organizations about the current state of surgical work
and surgical skills learning. This information could be exploited in the development of system defences: error
prevention mechanisms through investing in the redesign of work tasks and working methods; as well as reinforcing
education and training for enhancing patient safety in OT.
...
Julkaisija
Springer UKISSN Hae Julkaisufoorumista
1435-5558Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/24416466
Metadata
Näytä kaikki kuvailutiedotKokoelmat
- Agora Center [76]
- Informaatioteknologian tiedekunta [2131]
Samankaltainen aineisto
Näytetään aineistoja, joilla on samankaltainen nimeke tai asiasanat.
-
Benefits of Lumbar Spine Fusion Surgery Reach 10 Years with Various Surgical Indications
Toivonen, Leevi; Häkkinen, Arja; Pekkanen, Liisa; Kyrölä, Kati; Kautiainen, Hannu; Neva, Marko H. (Elsevier, 2023)Background Lumbar spine fusion (LSF) surgery is a viable form of treatment for several spinal disorders. Treatment effects are preferably to be endorsed in real-life settings. Methods This prospective study evaluated ... -
Student Teachers’ Video-Assisted Collaborative Reflections of Socio-Emotional Experiences During Teaching Practicum
Näykki, Piia; Laitinen-Väänänen, Sirpa; Burns, Eila (Frontiers Media SA, 2022)This study explores video as a tool for student teachers in reflecting upon their own teaching practice. The particular interest is in exploring, what kind of socio-emotional experiences did the student teachers describe ... -
Preventing nocebo suggestions through mindfulness meditation
Tryphonos, Jonne (2017)The nocebo effect is a negative outcome resulting from the belief that a desired treatment has either not been received, or that a received treatment is harmful (Hurst, Foad & Beedie, 2015). This effect has been empirically ... -
Hätätilanteiden äänihavainnot ja toimintakyky : musiikinpsykologinen tarkastelu äänien merkityksestä osana tilannetietoisuuden ylläpitämistä ja tunteiden hallintaa
Seppänen, Jukka (Maasotakoulu, 2016)Hätätilanteiden äänihavainnot ja toimintakyky on monitieteinen tutkimuskokonaisuus, jolla vastataan kysymyksiin siitä, miten ääni-informaation tilannetietoisuutta ylläpitävää roolia tulkitaan onnettomuustutkintaselostuksissa ... -
Kyselykielten arviointi käyttäjän kannalta
Nurmi, Heikki (1987)
Ellei toisin mainittu, julkisesti saatavilla olevia JYX-metatietoja (poislukien tiivistelmät) saa vapaasti uudelleenkäyttää CC0-lisenssillä.