Analysis of the quality and efficiency in learning laparoscopic skills

Autor: K. T. den Boer, P. H. P. Davids, Jenny Dankelman, D. J. Gouma, L. Th. de Wit
Přispěvatelé: Other departments
Jazyk: angličtina
Rok vydání: 2001
Předmět:
Zdroj: Surgical endoscopy, 15(5), 497-503. Springer New York
ISSN: 0930-2794
Popis: OBJECTIVES: This study demonstrates the application of time-action analysis to the evaluation of task performance of diagnostic laparoscopy with laparoscopic ultrasonography. METHODS: The first 25 diagnostic laparoscopies with laparoscopic ultrasonography performed by a surgical resident were analyzed and compared with the outcomes of these procedures performed by an experienced surgeon. The time, actions, and correctness of task performance were evaluated. Furthermore, outcome correctness and postoperative complications were assessed. RESULTS: No postoperative complications occurred. The resident made one wrong diagnosis, for which the cause was detected by peroperative analysis. Additionally, 1% of the subtasks were performed only partially, 4% not at all, and 2% using the wrong technique. The efficiency for most diagnostic tasks remained significantly lower than that of the experienced surgeon (p
Databáze: OpenAIRE