International consensus on safe techniques and error definitions in laparoscopic surgery

Surgical Endoscopy

Volumn 28, Issue 5, 2014, Pages 1535-1544

  Bonrath, Esther M ^a,b   Dedy, Nicolas J ^a,b   Zevin, Boris ^a   Grantcharov, Teodor P ^a,b  

^a UNIVERSITY OF TORONTO   (Canada)

^b ST MICHAEL'S HOSPITAL   (Canada)

Author keywords

Adverse event; Education; Laparoscopic surgery; Technical error

Indexed keywords

ARTICLE; CLINICAL PRACTICE; CONSENSUS DEVELOPMENT; DELPHI STUDY; HUMAN; LAPAROSCOPIC SURGERY; MEDICAL SOCIETY; PRIORITY JOURNAL; SURGEON; SURGICAL ERROR; SURGICAL TRAINING; ADULT; ATTENTION; CLINICAL COMPETENCE; COGNITION; COMPUTER SIMULATION; CONSENSUS; EDUCATION; FEMALE; LAPAROSCOPY; MALE; MEDICAL EDUCATION; PHYSIOLOGY; PROCEDURES; PSYCHOLOGY; STANDARD; STANDARDS; TASK PERFORMANCE; WORKLOAD; YOUNG ADULT;

ADULT; ATTENTION; CLINICAL COMPETENCE; COGNITION; COMPUTER SIMULATION; CONSENSUS; DELPHI TECHNIQUE; EDUCATION, MEDICAL, CONTINUING; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; LAPAROSCOPY; MALE; REFERENCE STANDARDS; TASK PERFORMANCE AND ANALYSIS; WORKLOAD; YOUNG ADULT;

EID: 84900033635     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-013-3348-y     Document Type: Article

References (49)

1. Dent TL (1991) Training, credentialling, and granting of clinical privileges for laparoscopic general surgery. Am J Surg 161:399-403
2. Tompkins RK (1990) Laparoscopic cholecystectomy. Threat or opportunity? Arch Surg 125:1245
3. Royston CM, Lansdown MR, Brough WA (1994) Teaching laparoscopic surgery: the need for guidelines. BMJ 308:1023-1025 (Pubitemid 24115039)
4. Society of American Gastrointestinal and Endoscopic Surgeons SAGES (1991) Granting of privileges for laparoscopic general surgery. Am J Surg 161:324-325
5. European Association for Endoscopic Surgery (1994) Training and assessment of competence. Surg Endosc 8:721-722
6. Kron IL (2011) Surgical mentorship. J Thorac Cardiovasc Surg 142:489-492
7. Abboudi M, Ahmed K, Kirby R, Khan MS, Dasgupta P, Challacombe B (2011) Mentorship programmes for laparoscopic and robotic urology. BJU Int 107:1869-1871
8. Entezami P, Franzblau LE, Chung KC (2012) Mentorship in surgical training: a systematic review. Hand (N Y) 7:30-36
9. Cuschieri A (2003) Medical errors, incidents, accidents and violations. Minim Invasive Ther Allied Technol 12:111-120
10. Bonrath EM, Dedy NJ, Zevin B, Grantcharov TP (2013) Defining technical errors in laparoscopic surgery: a systematic review. Surg Endosc 27(8):2678-2691
11. Duffield C (1993) The Delphi technique: a comparison of results obtained using two expert panels. Int J Nurs Stud 30:227-237
12. Hsu CC, Sandford BA (2007) The Delphi technique: making sense of consensus. PARE 12(10):1-8
13. Palter VN, MacRae HM, Grantcharov TP (2011) Development of an objective evaluation tool to assess technical skill in laparoscopic colorectal surgery: a Delphi methodology. Am J Surg 201:251-259
14. Graham B, Regehr G, Wright JG (2003) Delphi as a method to establish consensus for diagnostic criteria. J Clin Epidemiol 56:1150-1156 (Pubitemid 37532800)
15. Williams CK, Carnahan H (2013) Development and validation of tools for assessing use of personal protective equipment in health care. Am J Infect Control 41:28-32
16. Pastor AC, Osman F, Teitelbaum DH, Caty MG, Langer JC (2009) Development of a standardized definition for Hirschsprung's-associated enterocolitis: a Delphi analysis. J Pediatr Surg 44:251-256
17. Morgenstern L (2005) A continuing challenge: the training of laparoscopic surgeons. Surg Innov 12:289-290
18. Aggarwal R, Moorthy K, Darzi A (2004) Laparoscopic skills training and assessment. Br J Surg 91:1549-1558 (Pubitemid 39619916)
19. Zendejas B, Brydges R, Wang AT, Cook DA (2013) Patient outcomes in simulation-based medical education: a systematic review. J Gen Intern Med 28(8):1078-1089
20. Nunobe S, Hiki N, Tanimura S, Nohara K, Sano T, Yamaguchi T (2013) The clinical safety of performing laparoscopic gastrectomy for gastric cancer by trainees after sufficient experience in assisting. World J Surg 37:424-429
21. Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CF, Askham J, Marteau T (1998) Consensus development methods, and their use in clinical guideline development. Health Technol Assess 2:i-iv, 1-88
22. Linstone HA, Turoff M (eds) (1975) The Delphi method: techniques and applications. Addison-Wesley, Boston
23. Delbecq AL, Gustafson DH, Van de Ven AH (1975) Group techniques for program planning: a guide to nominal group and Delphi processes. Scott Foresman, Glenview
24. Powell C (2002) The Delphi technique: myths and realities. J Adv Nurs 41:376-382
25. Jones J, Hunter D (1995) Consensus methods for medical and health services research. BMJ 311:376-380
26. Witkin BR, Altschuld JW (1995) Planning and conducting needs assessments: a practical guide. Sage Publications, Thousand Oaks
27. Goodman CM (1987) The Delphi technique: a critique. J Adv Nurs 12:729-734
28. Bonrath EM, Zevin B, Dedy NJ, Grantcharov TP (2013) Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg 100(8):1080-1088
29. Joice P, Hanna GB, Cuschieri A (1998) Errors enacted during endoscopic surgery - a human reliability analysis. Appl Ergon 29:409-414 (Pubitemid 28442061)
30. Talebpour M, Alijani A, Hanna GB, Moosa Z, Tang B, Cuschieri A (2009) Proficiency-gain curve for an advanced laparoscopic procedure defined by observation clinical human reliability assessment (OCHRA). Surg Endosc 23:869-875
31. Tang B, Hanna GB, Joice P, Cuschieri A (2004) Identification and categorization of technical errors by observational clinical human reliability assessment (OCHRA) during laparoscopic cholecystectomy. Arch Surg 139:1215-1220 (Pubitemid 39463457)
32. Tang B, Hanna GB, Bax NM, Cuschieri A (2004) Analysis of technical surgical errors during initial experience of laparoscopic pyloromyotomy by a group of Dutch pediatric surgeons. Surg Endosc 18:1716-1720 (Pubitemid 40576300)
33. McKee M, Priest P, Ginzler M, Black N (1991) How representative are members of expert panels? Qual Assur Health Care 3:89-94
34. Kastein MR, Jacobs M, Van der Hell RH, Luttik K, Touw-Otten FWMM (1993) Delphi, the issue of reliability: a qualitative Delphi study in primary health care in the Netherlands. Technol Forecast Soc Change 44:315-323
35. Fink A, Kosecoff J, Chassin M, Brook RH (1984) Consensus methods: characteristics and guidelines for use. Am J Public Health 74:979-983 (Pubitemid 14059576)
36. Mead D (1991) An evaluation tool for primary nursing. Nurs Stand 6:37-39
37. de Villiers MR, de Villiers PJ, Kent AP (2005) The Delphi technique in health sciences education research. Med Teach 27:639-643 (Pubitemid 43123659)
38. Okoli C, Pawlowski SD (2004) The Delphi method as a research tool: an example, design considerations and applications. Inform Manage 42:15-29
39. The American Heritage Dictionary of the English Language. http://www.ahdictionary.com/word/search.html?q=error. Accessed 12 Dec 2013
40. Kohn LT, Corrigan J, Donaldson MS (eds) (2000) To err is human: building a safer health system, 6th edn. National Academies Press, Washington
41. Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA (2007) Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Ann Surg 246(5):705-711 (Pubitemid 350035643)
42. Barach P, Johnson JK, Ahmad A, Galvan C, Bognar A, Duncan R, Starr JP, Bacha EA (2008) A prospective observational study of human factors, adverse events, and patient outcomes in surgery for pediatric cardiac disease. J Thorac Cardiovasc Surg 136(6):1422-1428
43. Pugh C, Plachta S, Auyang E, Pryor A, Hungness E (2010) Outcome measures for surgical simulators: is the focus on technical skills the best approach? Surgery 147(5):646-654
44. Hamad GG, Brown MT, Clavijo-Alvarez JA (2007) Postoperative video debriefing reduces technical errors in laparoscopic surgery. Am J Surg 194(1):110-114 (Pubitemid 46874354)
45. Ahlberg G, Enochsson L, Gallagher AG, Hedman L, Hogman C, McClusky DA 3rd, Ramel S, Smith CD, Arvidsson D (2007) Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 193(6):797-804 (Pubitemid 46733889)
46. Reason JT (1990) Human error. Cambridge University Press, Cambridge, p xv, 302
47. Tang B, Hanna GB, Cuschieri A (2005) Analysis of errors enacted by surgical trainees during skills training courses. Surgery 138(1):14-20 (Pubitemid 40933767)
48. Sarker SK, Chang A, Vincent C, Darzi AW (2005) Technical skills errors in laparoscopic cholecystectomy by expert surgeons. Surg Endosc 19(6):832-835 (Pubitemid 41215988)
49. Seymour NE, Gallagher AG, Roman SA, O'Brien MK, Bansal VK, Andersen DK, Satava RM (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236(4):458-463 discussion 463-454 info This work was supported by an educational research Grant from Johnson & Johnson Medical Companies Canada and the Ontario Research Fund (ORF) (Drs. Bonrath, Dedy, and Grantcharov). Dr. Zevin is supported by the Royal College of Physicians and Surgeons of Canada Fellowship for Studies in Medical Education.