Capturing intraoperative process deviations using a direct observational approach: the glitch method.

ABSTRACT:

Objectives

To develop a sensitive, reliable tool for enumerating and evaluating technical process imperfections during surgical operations.

Design

Prospective cohort study with direct observation.

Setting

Operating theatres on five sites in three National Health Service Trusts.

Participants

Staff taking part in elective and emergency surgical procedures in orthopaedics, trauma, vascular and plastic surgery; including anaesthetists, surgeons, nurses and operating department practitioners.

Outcome measures

Reliability and validity of the glitch count method; frequency, type, temporal pattern and rate of glitches in relation to site and surgical specialty.

Results

The glitch count has construct and face validity, and category agreement between observ

SUBMITTER: Morgan L 

PROVIDER: S-EPMC3845041 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature