Application of Failure Mode and Effect Analysis in Laparoscopic Colon Surgery Training
| Autor: | Miguel Angel Sanchez Hurtado, Virginia Gómez Cabeza de Vaca, Andrzej L. Komorowski, Francisco Miguel Sanchez Margallo, Francisco Alba Mesa |
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| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Original Scientific Report Swine education Feedback Colon surgery Colon Sigmoid medicine Animals Humans Laparoscopy Digestive System Surgical Procedures medicine.diagnostic_test business.industry Teaching fungi food and beverages Sigmoid colon Vascular surgery Cardiac surgery Surgery medicine.anatomical_structure Cardiothoracic surgery Models Animal Clinical Competence Educational Measurement business Failure mode and effects analysis Abdominal surgery |
| Zdroj: | World Journal of Surgery |
| ISSN: | 0364-2313 |
| DOI: | 10.1007/s00268-014-2827-1 |
| Popis: | Aim To evaluate if application of failure mode and effect analysis (FMEA) to laparoscopy training can help surgeons acquire laparoscopy skills. Methods After preparing a FMEA matrix of laparoscopic sigmoidectomy, we have introduced it during three laparoscopy courses. Forty-eight surgeons, divided into 24 teams of two surgeons, have participated in three courses. During each course, every team has performed three laparoscopic sigmoidectomies in three experimental animals (1 OR session every day). Risk priority number (RPN) has been calculated for every surgery, and the results have been discussed at the end of each training day with all participants. Results We have observed a decline in the median RPN from 1339 during the first OR session through 62 during second OR session to reach 0 in the third OR session. Only two teams out of 24 were not able to reach a RPN of less than 300 during third OR session. When the type of failures were analysed, we have observed a shift from procedure-type failures to technical failures that depended on each participant technical abilities. Conclusion Application of FMEA principles to laparoscopy training can help acquire non-technical skills necessary for safe laparoscopic surgery. |
| Databáze: | OpenAIRE |
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