Analysis of errors in laparoscopic surgical procedures: A new methodology

N. E. Seymour, A. G. Gallagher, S. A. Roman, M. K. O'Brien, Dana Andersen, R. M. Satava

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Background: The determination of laparoscopic surgeon ability is essential to training error avoidance. The present study describes a practical method of surgical error analysis. Methods: After review of practice videotapes of the excisional phase of laparoscopic cholecystectomy, consensus on the identification of eight errors was achieved. Interrater agreement at the end of this phase was 84-96%. Fourteen study videotapes of gallbladder excision were then observed independently by expert reviewers blinded to surgical team identity. Procedures were assessed using a scoring matrix of 1-min segments with each error reported each minute. Results: Interrater agreement was 84-100% for all error catagories. Conclusions: The present study demonstrates that excellent interrater agreement of procedural errors can be achieved by carefully defining and training recognition of targeted events. Extension of this simple and reliable analysis tool to other procedures should be feasible to define behaviors leading to adverse clinical outcomes.

Original languageEnglish (US)
Pages (from-to)592-595
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume18
Issue number4
DOIs
StatePublished - Apr 2004
Externally publishedYes

Fingerprint

Laparoscopy
Videotape Recording
Medical Errors
Laparoscopic Cholecystectomy
Gallbladder

Keywords

  • Errors
  • Laparoscopic cholecystectomy
  • Objective assessment
  • Surgical skills

ASJC Scopus subject areas

  • Surgery

Cite this

Analysis of errors in laparoscopic surgical procedures : A new methodology. / Seymour, N. E.; Gallagher, A. G.; Roman, S. A.; O'Brien, M. K.; Andersen, Dana; Satava, R. M.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 18, No. 4, 04.2004, p. 592-595.

Research output: Contribution to journalArticle

Seymour, N. E. ; Gallagher, A. G. ; Roman, S. A. ; O'Brien, M. K. ; Andersen, Dana ; Satava, R. M. / Analysis of errors in laparoscopic surgical procedures : A new methodology. In: Surgical Endoscopy and Other Interventional Techniques. 2004 ; Vol. 18, No. 4. pp. 592-595.
@article{8d2955437aac472f84b77d3dcff65965,
title = "Analysis of errors in laparoscopic surgical procedures: A new methodology",
abstract = "Background: The determination of laparoscopic surgeon ability is essential to training error avoidance. The present study describes a practical method of surgical error analysis. Methods: After review of practice videotapes of the excisional phase of laparoscopic cholecystectomy, consensus on the identification of eight errors was achieved. Interrater agreement at the end of this phase was 84-96{\%}. Fourteen study videotapes of gallbladder excision were then observed independently by expert reviewers blinded to surgical team identity. Procedures were assessed using a scoring matrix of 1-min segments with each error reported each minute. Results: Interrater agreement was 84-100{\%} for all error catagories. Conclusions: The present study demonstrates that excellent interrater agreement of procedural errors can be achieved by carefully defining and training recognition of targeted events. Extension of this simple and reliable analysis tool to other procedures should be feasible to define behaviors leading to adverse clinical outcomes.",
keywords = "Errors, Laparoscopic cholecystectomy, Objective assessment, Surgical skills",
author = "Seymour, {N. E.} and Gallagher, {A. G.} and Roman, {S. A.} and O'Brien, {M. K.} and Dana Andersen and Satava, {R. M.}",
year = "2004",
month = "4",
doi = "10.1007/s00464-002-8927-2",
language = "English (US)",
volume = "18",
pages = "592--595",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Analysis of errors in laparoscopic surgical procedures

T2 - A new methodology

AU - Seymour, N. E.

AU - Gallagher, A. G.

AU - Roman, S. A.

AU - O'Brien, M. K.

AU - Andersen, Dana

AU - Satava, R. M.

PY - 2004/4

Y1 - 2004/4

N2 - Background: The determination of laparoscopic surgeon ability is essential to training error avoidance. The present study describes a practical method of surgical error analysis. Methods: After review of practice videotapes of the excisional phase of laparoscopic cholecystectomy, consensus on the identification of eight errors was achieved. Interrater agreement at the end of this phase was 84-96%. Fourteen study videotapes of gallbladder excision were then observed independently by expert reviewers blinded to surgical team identity. Procedures were assessed using a scoring matrix of 1-min segments with each error reported each minute. Results: Interrater agreement was 84-100% for all error catagories. Conclusions: The present study demonstrates that excellent interrater agreement of procedural errors can be achieved by carefully defining and training recognition of targeted events. Extension of this simple and reliable analysis tool to other procedures should be feasible to define behaviors leading to adverse clinical outcomes.

AB - Background: The determination of laparoscopic surgeon ability is essential to training error avoidance. The present study describes a practical method of surgical error analysis. Methods: After review of practice videotapes of the excisional phase of laparoscopic cholecystectomy, consensus on the identification of eight errors was achieved. Interrater agreement at the end of this phase was 84-96%. Fourteen study videotapes of gallbladder excision were then observed independently by expert reviewers blinded to surgical team identity. Procedures were assessed using a scoring matrix of 1-min segments with each error reported each minute. Results: Interrater agreement was 84-100% for all error catagories. Conclusions: The present study demonstrates that excellent interrater agreement of procedural errors can be achieved by carefully defining and training recognition of targeted events. Extension of this simple and reliable analysis tool to other procedures should be feasible to define behaviors leading to adverse clinical outcomes.

KW - Errors

KW - Laparoscopic cholecystectomy

KW - Objective assessment

KW - Surgical skills

UR - http://www.scopus.com/inward/record.url?scp=2342584912&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2342584912&partnerID=8YFLogxK

U2 - 10.1007/s00464-002-8927-2

DO - 10.1007/s00464-002-8927-2

M3 - Article

C2 - 15026914

AN - SCOPUS:2342584912

VL - 18

SP - 592

EP - 595

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 4

ER -