Application of objective clinical human reliability analysis (OCHRA) in assessment of technical performance in laparoscopic rectal cancer surgery
| Autor: | J. D. Foster, John Conti, Nader K. Francis, E. J. Cooper, George B. Hanna, A. S. Allison, Jonathan Ockrim, Danilo Miskovic |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality Assurance Health Care Validity Rectum Pelvis Young Adult 03 medical and health sciences 0302 clinical medicine Abdomen Humans Medicine Laparoscopy Reliability (statistics) Aged Human reliability Aged 80 and over Medical Errors medicine.diagnostic_test Rectal Neoplasms business.industry Gastroenterology Reproducibility of Results Middle Aged Colorectal surgery Surgery Dissection medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Clinical Competence business Abdominal surgery |
| Zdroj: | Techniques in Coloproctology. 20:361-367 |
| ISSN: | 1128-045X 1123-6337 |
| Popis: | Laparoscopic rectal resection is technically challenging, with outcomes dependent upon technical performance. No robust objective assessment tool exists for laparoscopic rectal resection surgery. This study aimed to investigate the application of the objective clinical human reliability analysis (OCHRA) technique for assessing technical performance of laparoscopic rectal surgery and explore the validity and reliability of this technique. Laparoscopic rectal cancer resection operations were described in the format of a hierarchical task analysis. Potential technical errors were defined. The OCHRA technique was used to identify technical errors enacted in videos of twenty consecutive laparoscopic rectal cancer resection operations from a single site. The procedural task, spatial location, and circumstances of all identified errors were logged. Clinical validity was assessed through correlation with clinical outcomes; reliability was assessed by test–retest. A total of 335 execution errors identified, with a median 15 per operation. More errors were observed during pelvic tasks compared with abdominal tasks (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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