Identifying and reducing errors with surgical simulation
Identifieur interne : 004071 ( Istex/Curation ); précédent : 004070; suivant : 004072Identifying and reducing errors with surgical simulation
Auteurs : M P Fried [États-Unis] ; R. Satava [États-Unis] ; S. Weghorst [États-Unis] ; A G Gallagher [États-Unis] ; C. Sasaki [États-Unis] ; D. Ross ; M. Sinanan [États-Unis] ; J I Uribe [États-Unis] ; M. Zeltsan ; H. Arora [États-Unis] ; H. CuellarSource :
- Quality and Safety in Health Care [ 1475-3898 ] ; 2004-10.
English descriptors
- KwdEn :
- AHRQ, Agency for Healthcare Research and Quality, ES3, endoscopic sinus surgery simulator, ESS, endoscopic sinus surgery, MIST-VR, minimally invasive surgical trainer virtual reality, PicSOr, pictorial surface orientation, VR, virtual reality, endoscopic sinus surgery, error reduction, patient safety, surgical simulation.
Abstract
The major determinant of a patient’s safety and outcome is the skill and judgment of the surgeon. While knowledge base and decision processing are evaluated during residency, technical skills—which are at the core of the profession—are not evaluated. Innovative state of the art simulation devices that train both surgical tasks and skills, without risk to patients, should allow for the detection and analysis of errors and “near misses”. Studies have validated the use of a sophisticated endoscopic sinus surgery simulator (ES3) for training residents on a procedural basis. Assessments are proceeding as to whether the integration of a comprehensive ES3 training programme into the residency curriculum will have long term effects on surgical performance and patient outcomes. Using various otolaryngology residencies, subjects are exposed to mentored training on the ES3 as well as to minimally invasive trainers such as the MIST-VR. Technical errors are identified and quantified on the simulator and intraoperatively. Through a web based database, individual performance can be compared against a national standard. An upgraded version of the ES3 will be developed which will support patient specific anatomical models. This advance will allow study of the effects of simulated rehearsal of patient specific procedures (mission rehearsal) on patient outcomes and surgical errors during the actual procedure. The information gained from these studies will help usher in the next generation of surgical simulators that are anticipated to have significant impact on patient safety.
Url:
DOI: 10.1136/qshc.2004.009969
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :004071
Links to Exploration step
ISTEX:2155C32CA4A1E30AFEF106802ADAE31E47EEB8DCCuration
No country items
D. Ross<affiliation><mods:affiliation>Department of Surgery, Division of Otolaryngology, Yale University School of Medicine</mods:affiliation>
<wicri:noCountry code="subField">Yale University School of Medicine</wicri:noCountry>
</affiliation>
<affiliation><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center</mods:affiliation>
<wicri:noCountry code="subField">Montefiore Medical Center</wicri:noCountry>
</affiliation>
<affiliation><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center</mods:affiliation>
<wicri:noCountry code="subField">Montefiore Medical Center</wicri:noCountry>
</affiliation>
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Identifying and reducing errors with surgical simulation</title>
<author><name sortKey="Fried, M P" sort="Fried, M P" uniqKey="Fried M" first="M P" last="Fried">M P Fried</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Otolaryngology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Otolaryngology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Satava, R" sort="Satava, R" uniqKey="Satava R" first="R" last="Satava">R. Satava</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Surgery University of Washington, Seattle, Washington, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery University of Washington, Seattle, Washington</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Weghorst, S" sort="Weghorst, S" uniqKey="Weghorst S" first="S" last="Weghorst">S. Weghorst</name>
<affiliation wicri:level="4"><mods:affiliation>Human Interface Technology Laboratory, University of Washington</mods:affiliation>
<country>États-Unis</country>
<placeName><settlement type="city">Seattle</settlement>
<region type="state">Washington (État)</region>
</placeName>
<orgName type="university">Université de Washington</orgName>
</affiliation>
</author>
<author><name sortKey="Gallagher, A G" sort="Gallagher, A G" uniqKey="Gallagher A" first="A G" last="Gallagher">A G Gallagher</name>
<affiliation wicri:level="1"><mods:affiliation>Emory Endosurgery Unit, Emory University School of Medicine, Atlanta, Georgia, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Emory Endosurgery Unit, Emory University School of Medicine, Atlanta, Georgia</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Sasaki, C" sort="Sasaki, C" uniqKey="Sasaki C" first="C" last="Sasaki">C. Sasaki</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Surgery Division of Otolaryngology, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery Division of Otolaryngology, Yale University School of Medicine, New Haven, Connecticut</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ross, D" sort="Ross, D" uniqKey="Ross D" first="D" last="Ross">D. Ross</name>
<affiliation><mods:affiliation>Department of Surgery, Division of Otolaryngology, Yale University School of Medicine</mods:affiliation>
<wicri:noCountry code="subField">Yale University School of Medicine</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Sinanan, M" sort="Sinanan, M" uniqKey="Sinanan M" first="M" last="Sinanan">M. Sinanan</name>
<affiliation wicri:level="4"><mods:affiliation>Department of Surgery, University of Washington</mods:affiliation>
<country>États-Unis</country>
<placeName><settlement type="city">Seattle</settlement>
<region type="state">Washington (État)</region>
</placeName>
<orgName type="university">Université de Washington</orgName>
</affiliation>
</author>
<author><name sortKey="Uribe, J I" sort="Uribe, J I" uniqKey="Uribe J" first="J I" last="Uribe">J I Uribe</name>
<affiliation wicri:level="2"><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center, Bronx, New York</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Otolaryngology Surgery Simulator Center, Montefiore Medical Center, Bronx</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Zeltsan, M" sort="Zeltsan, M" uniqKey="Zeltsan M" first="M" last="Zeltsan">M. Zeltsan</name>
<affiliation><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center</mods:affiliation>
<wicri:noCountry code="subField">Montefiore Medical Center</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Arora, H" sort="Arora, H" uniqKey="Arora H" first="H" last="Arora">H. Arora</name>
<affiliation wicri:level="2"><mods:affiliation>Albert Einstein College of Medicine, Bronx, New York</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Albert Einstein College of Medicine, Bronx</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Cuellar, H" sort="Cuellar, H" uniqKey="Cuellar H" first="H" last="Cuellar">H. Cuellar</name>
<affiliation><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center</mods:affiliation>
<wicri:noCountry code="subField">Montefiore Medical Center</wicri:noCountry>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:2155C32CA4A1E30AFEF106802ADAE31E47EEB8DC</idno>
<date when="2004" year="2004">2004</date>
<idno type="doi">10.1136/qshc.2004.009969</idno>
<idno type="url">https://api.istex.fr/document/2155C32CA4A1E30AFEF106802ADAE31E47EEB8DC/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">004071</idno>
<idno type="wicri:Area/Istex/Curation">004071</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Identifying and reducing errors with surgical simulation</title>
<author><name sortKey="Fried, M P" sort="Fried, M P" uniqKey="Fried M" first="M P" last="Fried">M P Fried</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Otolaryngology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Otolaryngology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Satava, R" sort="Satava, R" uniqKey="Satava R" first="R" last="Satava">R. Satava</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Surgery University of Washington, Seattle, Washington, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery University of Washington, Seattle, Washington</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Weghorst, S" sort="Weghorst, S" uniqKey="Weghorst S" first="S" last="Weghorst">S. Weghorst</name>
<affiliation wicri:level="4"><mods:affiliation>Human Interface Technology Laboratory, University of Washington</mods:affiliation>
<country>États-Unis</country>
<placeName><settlement type="city">Seattle</settlement>
<region type="state">Washington (État)</region>
</placeName>
<orgName type="university">Université de Washington</orgName>
</affiliation>
</author>
<author><name sortKey="Gallagher, A G" sort="Gallagher, A G" uniqKey="Gallagher A" first="A G" last="Gallagher">A G Gallagher</name>
<affiliation wicri:level="1"><mods:affiliation>Emory Endosurgery Unit, Emory University School of Medicine, Atlanta, Georgia, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Emory Endosurgery Unit, Emory University School of Medicine, Atlanta, Georgia</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Sasaki, C" sort="Sasaki, C" uniqKey="Sasaki C" first="C" last="Sasaki">C. Sasaki</name>
<affiliation wicri:level="1"><mods:affiliation>Department of Surgery Division of Otolaryngology, Yale University School of Medicine, New Haven, Connecticut, USA</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery Division of Otolaryngology, Yale University School of Medicine, New Haven, Connecticut</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ross, D" sort="Ross, D" uniqKey="Ross D" first="D" last="Ross">D. Ross</name>
<affiliation><mods:affiliation>Department of Surgery, Division of Otolaryngology, Yale University School of Medicine</mods:affiliation>
<wicri:noCountry code="subField">Yale University School of Medicine</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Sinanan, M" sort="Sinanan, M" uniqKey="Sinanan M" first="M" last="Sinanan">M. Sinanan</name>
<affiliation wicri:level="4"><mods:affiliation>Department of Surgery, University of Washington</mods:affiliation>
<country>États-Unis</country>
<placeName><settlement type="city">Seattle</settlement>
<region type="state">Washington (État)</region>
</placeName>
<orgName type="university">Université de Washington</orgName>
</affiliation>
</author>
<author><name sortKey="Uribe, J I" sort="Uribe, J I" uniqKey="Uribe J" first="J I" last="Uribe">J I Uribe</name>
<affiliation wicri:level="2"><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center, Bronx, New York</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Otolaryngology Surgery Simulator Center, Montefiore Medical Center, Bronx</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Zeltsan, M" sort="Zeltsan, M" uniqKey="Zeltsan M" first="M" last="Zeltsan">M. Zeltsan</name>
<affiliation><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center</mods:affiliation>
<wicri:noCountry code="subField">Montefiore Medical Center</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Arora, H" sort="Arora, H" uniqKey="Arora H" first="H" last="Arora">H. Arora</name>
<affiliation wicri:level="2"><mods:affiliation>Albert Einstein College of Medicine, Bronx, New York</mods:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Albert Einstein College of Medicine, Bronx</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Cuellar, H" sort="Cuellar, H" uniqKey="Cuellar H" first="H" last="Cuellar">H. Cuellar</name>
<affiliation><mods:affiliation>Otolaryngology Surgery Simulator Center, Montefiore Medical Center</mods:affiliation>
<wicri:noCountry code="subField">Montefiore Medical Center</wicri:noCountry>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Quality and Safety in Health Care</title>
<title level="j" type="abbrev">Qual Saf Health Care</title>
<idno type="ISSN">1475-3898</idno>
<idno type="eISSN">1475-3901</idno>
<imprint><publisher>BMJ Publishing Group Ltd</publisher>
<date type="published" when="2004-10">2004-10</date>
<biblScope unit="volume">13</biblScope>
<biblScope unit="supplement">suppl 1</biblScope>
<biblScope unit="page" from="i19">i19</biblScope>
</imprint>
<idno type="ISSN">1475-3898</idno>
</series>
<idno type="istex">2155C32CA4A1E30AFEF106802ADAE31E47EEB8DC</idno>
<idno type="DOI">10.1136/qshc.2004.009969</idno>
<idno type="href">qhc-13-i19.pdf</idno>
<idno type="PMID">15465950</idno>
<idno type="local">0130019</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">1475-3898</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AHRQ, Agency for Healthcare Research and Quality</term>
<term>ES3, endoscopic sinus surgery simulator</term>
<term>ESS, endoscopic sinus surgery</term>
<term>MIST-VR, minimally invasive surgical trainer virtual reality</term>
<term>PicSOr, pictorial surface orientation</term>
<term>VR, virtual reality</term>
<term>endoscopic sinus surgery</term>
<term>error reduction</term>
<term>patient safety</term>
<term>surgical simulation</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The major determinant of a patient’s safety and outcome is the skill and judgment of the surgeon. While knowledge base and decision processing are evaluated during residency, technical skills—which are at the core of the profession—are not evaluated. Innovative state of the art simulation devices that train both surgical tasks and skills, without risk to patients, should allow for the detection and analysis of errors and “near misses”. Studies have validated the use of a sophisticated endoscopic sinus surgery simulator (ES3) for training residents on a procedural basis. Assessments are proceeding as to whether the integration of a comprehensive ES3 training programme into the residency curriculum will have long term effects on surgical performance and patient outcomes. Using various otolaryngology residencies, subjects are exposed to mentored training on the ES3 as well as to minimally invasive trainers such as the MIST-VR. Technical errors are identified and quantified on the simulator and intraoperatively. Through a web based database, individual performance can be compared against a national standard. An upgraded version of the ES3 will be developed which will support patient specific anatomical models. This advance will allow study of the effects of simulated rehearsal of patient specific procedures (mission rehearsal) on patient outcomes and surgical errors during the actual procedure. The information gained from these studies will help usher in the next generation of surgical simulators that are anticipated to have significant impact on patient safety.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Istex/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004071 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Curation/biblio.hfd -nk 004071 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Ticri/CIDE |area= HapticV1 |flux= Istex |étape= Curation |type= RBID |clé= ISTEX:2155C32CA4A1E30AFEF106802ADAE31E47EEB8DC |texte= Identifying and reducing errors with surgical simulation }}
![]() | This area was generated with Dilib version V0.6.23. | ![]() |