HapticV1, Main, Exploration, bibRecordById, PMC:1765795

Identifying and reducing errors with surgical simulation

Identifieur interne : 006934 ( Main/Exploration ); précédent : 006933; suivant : 006935

Identifying 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. Cuellar

Source :

Quality and Safety in Health Care [ 1475-3898 ] ; 2004-10.

RBID : ISTEX:2155C32CA4A1E30AFEF106802ADAE31E47EEB8DC

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

Affiliations:

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>
</author>
<author><name sortKey="Satava, R" sort="Satava, R" uniqKey="Satava R" first="R" last="Satava">R. Satava</name>
</author>
<author><name sortKey="Weghorst, S" sort="Weghorst, S" uniqKey="Weghorst S" first="S" last="Weghorst">S. Weghorst</name>
</author>
<author><name sortKey="Gallagher, A G" sort="Gallagher, A G" uniqKey="Gallagher A" first="A G" last="Gallagher">A G Gallagher</name>
</author>
<author><name sortKey="Sasaki, C" sort="Sasaki, C" uniqKey="Sasaki C" first="C" last="Sasaki">C. Sasaki</name>
</author>
<author><name sortKey="Ross, D" sort="Ross, D" uniqKey="Ross D" first="D" last="Ross">D. Ross</name>
</author>
<author><name sortKey="Sinanan, M" sort="Sinanan, M" uniqKey="Sinanan M" first="M" last="Sinanan">M. Sinanan</name>
</author>
<author><name sortKey="Uribe, J I" sort="Uribe, J I" uniqKey="Uribe J" first="J I" last="Uribe">J I Uribe</name>
</author>
<author><name sortKey="Zeltsan, M" sort="Zeltsan, M" uniqKey="Zeltsan M" first="M" last="Zeltsan">M. Zeltsan</name>
</author>
<author><name sortKey="Arora, H" sort="Arora, H" uniqKey="Arora H" first="H" last="Arora">H. Arora</name>
</author>
<author><name sortKey="Cuellar, H" sort="Cuellar, H" uniqKey="Cuellar H" first="H" last="Cuellar">H. Cuellar</name>
</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>
<idno type="wicri:Area/Istex/Checkpoint">002393</idno>
<idno type="wicri:doubleKey">1475-3898:2004:Fried M:identifying:and:reducing</idno>
<idno type="wicri:source">PMC</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1765795</idno>
<idno type="RBID">PMC:1765795</idno>
<idno type="wicri:Area/Pmc/Corpus">002825</idno>
<idno type="wicri:Area/Pmc/Curation">002825</idno>
<idno type="wicri:Area/Pmc/Checkpoint">002607</idno>
<idno type="wicri:Area/Ncbi/Merge">000614</idno>
<idno type="wicri:Area/Ncbi/Curation">000614</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000614</idno>
<idno type="wicri:doubleKey">1475-3898:2004:Fried M:identifying:and:reducing</idno>
<idno type="wicri:Area/Main/Merge">006D41</idno>
<idno type="wicri:Area/Main/Curation">006934</idno>
<idno type="wicri:Area/Main/Exploration">006934</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="2"><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>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Satava, R" sort="Satava, R" uniqKey="Satava R" first="R" last="Satava">R. Satava</name>
<affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery University of Washington, Seattle, Washington</wicri:regionArea>
<placeName><region type="state">Washington (État)</region>
</placeName>
<orgName type="university">Université de Washington</orgName>
</affiliation>
</author>
<author><name sortKey="Weghorst, S" sort="Weghorst, S" uniqKey="Weghorst S" first="S" last="Weghorst">S. Weghorst</name>
<affiliation wicri:level="4"><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="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Emory Endosurgery Unit, Emory University School of Medicine, Atlanta, Georgia</wicri:regionArea>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sasaki, C" sort="Sasaki, C" uniqKey="Sasaki C" first="C" last="Sasaki">C. Sasaki</name>
<affiliation wicri:level="2"><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>
<placeName><region type="state">Connecticut</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ross, D" sort="Ross, D" uniqKey="Ross D" first="D" last="Ross">D. Ross</name>
<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"><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"><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><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"><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><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>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Connecticut</li>
<li>Géorgie (États-Unis)</li>
<li>Washington (État)</li>
<li>État de New York</li>
</region>
<settlement><li>Seattle</li>
</settlement>
<orgName><li>Université de Washington</li>
</orgName>
</list>
<tree><noCountry><name sortKey="Cuellar, H" sort="Cuellar, H" uniqKey="Cuellar H" first="H" last="Cuellar">H. Cuellar</name>
<name sortKey="Ross, D" sort="Ross, D" uniqKey="Ross D" first="D" last="Ross">D. Ross</name>
<name sortKey="Zeltsan, M" sort="Zeltsan, M" uniqKey="Zeltsan M" first="M" last="Zeltsan">M. Zeltsan</name>
</noCountry>
<country name="États-Unis"><region name="État de New York"><name sortKey="Fried, M P" sort="Fried, M P" uniqKey="Fried M" first="M P" last="Fried">M P Fried</name>
</region>
<name sortKey="Arora, H" sort="Arora, H" uniqKey="Arora H" first="H" last="Arora">H. Arora</name>
<name sortKey="Gallagher, A G" sort="Gallagher, A G" uniqKey="Gallagher A" first="A G" last="Gallagher">A G Gallagher</name>
<name sortKey="Sasaki, C" sort="Sasaki, C" uniqKey="Sasaki C" first="C" last="Sasaki">C. Sasaki</name>
<name sortKey="Satava, R" sort="Satava, R" uniqKey="Satava R" first="R" last="Satava">R. Satava</name>
<name sortKey="Sinanan, M" sort="Sinanan, M" uniqKey="Sinanan M" first="M" last="Sinanan">M. Sinanan</name>
<name sortKey="Uribe, J I" sort="Uribe, J I" uniqKey="Uribe J" first="J I" last="Uribe">J I Uribe</name>
<name sortKey="Weghorst, S" sort="Weghorst, S" uniqKey="Weghorst S" first="S" last="Weghorst">S. Weghorst</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 006934 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 006934 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Ticri/CIDE
   |area=    HapticV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     ISTEX:2155C32CA4A1E30AFEF106802ADAE31E47EEB8DC
   |texte=   Identifying and reducing errors with surgical simulation
}}

This area was generated with Dilib version V0.6.23.
Data generation: Mon Jun 13 01:09:46 2016. Site generation: Wed Mar 6 09:54:07 2024

Serveur d'exploration sur les dispositifs haptiques

Identifying and reducing errors with surgical simulation

Identifying and reducing errors with surgical simulation

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Serveur d'exploration sur les dispositifs haptiques
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.