Communication, Communication, Multidisciplinary, Laparoscopy, Perioperative/Postoperative Complications
Conditions
Keywords
Non-relevant conversation, Surgical safety, Audio recording
Brief summary
In september 2017 audio recording during laparoscopic general surgery was implemented as routine a Lindesbergs hospital. The study was designed to observe operations before and after the introduction of audio recording. The main outcome of the study was time spent on non-relevant conversation.
Detailed description
In september 2017 audio recording during laparoscopic general surgery was implemented as routine a Lindesbergs hospital. One single observer not working at the department observed consecutive operations before and after the introduction of audio recordings. All elective laparoscopic procedures were included. There was no available data to support a Power-calculation why we intended to include 20 patients in each arm of the study. Exclusion criteria were refusal of operating team or patient to participate in the study, or planned open surgery. Potential disturbances were recorded by the observer. The main outcome was time with non-relevant conversation (for the operation or as part of education).
Interventions
OTHERAudio-recoring
Recording of audio through microphone carried bu surgeon and assistant surgeon
Sponsors
Örebro University, Sweden
Region Örebro County
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Masking description
Open label
Intervention model description
Non-randomised intervenion
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Elective laparoscopic general surgery -
Exclusion criteria
R, planned open surgery, refusal to participate (patient or operating team) \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Non-relevant conversation | Operation. Measured from from the start of the operation (WHO surgical safety checklist) until end of operation (last stitch in place) | Time spent on non-relevant conversation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complication | 30 days after surgery | complication occuring within the first 30 Days after surgery |
| Intraoperative unplanned event | Operation. Measured from from the start of the operation (WHO surgical safety checklist) until end of operation (last stitch in place) | Any deviation from expected events during the surgical procedure |
| Corrections of assistant surgeon | Operation. Measured from from the start of the operation (WHO surgical safety checklist) until end of operation (last stitch in place) | number of corrections of assistant surgeon made by the operating surgeon |
| Operation time | Operation. Measured from from the start of the operation (WHO surgical safety checklist) until end of operation (last stitch in place) | Length of operation |
Countries
Sweden
Outcome results
None listed