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The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement

BACKGROUND: The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbiditi...

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Autores principales: Seamans, David P., Louka, Boshra F., Fortuin, F. David, Patel, Bhavesh M., Sweeney, John P., Lanza, Louis A., DeValeria, Patrick A., Ezrre, Kim M., Ramakrishna, Harish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100244/
https://www.ncbi.nlm.nih.gov/pubmed/27762242
http://dx.doi.org/10.4103/0971-9784.192576
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author Seamans, David P.
Louka, Boshra F.
Fortuin, F. David
Patel, Bhavesh M.
Sweeney, John P.
Lanza, Louis A.
DeValeria, Patrick A.
Ezrre, Kim M.
Ramakrishna, Harish
author_facet Seamans, David P.
Louka, Boshra F.
Fortuin, F. David
Patel, Bhavesh M.
Sweeney, John P.
Lanza, Louis A.
DeValeria, Patrick A.
Ezrre, Kim M.
Ramakrishna, Harish
author_sort Seamans, David P.
collection PubMed
description BACKGROUND: The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbidities adding to the complexity of these cases. Recording of this environment has become more feasible recently with advancement in video and audio capture systems often used in the simulation realm. AIMS: We began using live capture to record a new procedure shortly after starting these cases in our institution. This has provided continued assessment and evaluation of live procedures. The goal of this was to improve human factors and situational challenges by review and debriefing. SETTING AND DESIGN: B-Line Medical's LiveCapture video system was used to record successive transcatheter aortic valve replacement (TAVR) procedures in our cardiac catheterization/laboratory. An illustrative case is used to discuss analysis and debriefing of the case using this system. RESULTS AND CONCLUSIONS: An illustrative case is presented that resulted in long-term changes to our approach of these cases. The video capture documented rare events during one of our TAVR procedures. Analysis and debriefing led to definitive changes in our practice. While there are hurdles to the use of this technology in every institution, the role for the ongoing use of video capture, analysis, and debriefing may play an important role in the future of patient safety and human factors analysis in the operating environment.
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spelling pubmed-51002442017-01-06 The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement Seamans, David P. Louka, Boshra F. Fortuin, F. David Patel, Bhavesh M. Sweeney, John P. Lanza, Louis A. DeValeria, Patrick A. Ezrre, Kim M. Ramakrishna, Harish Ann Card Anaesth Original Article BACKGROUND: The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbidities adding to the complexity of these cases. Recording of this environment has become more feasible recently with advancement in video and audio capture systems often used in the simulation realm. AIMS: We began using live capture to record a new procedure shortly after starting these cases in our institution. This has provided continued assessment and evaluation of live procedures. The goal of this was to improve human factors and situational challenges by review and debriefing. SETTING AND DESIGN: B-Line Medical's LiveCapture video system was used to record successive transcatheter aortic valve replacement (TAVR) procedures in our cardiac catheterization/laboratory. An illustrative case is used to discuss analysis and debriefing of the case using this system. RESULTS AND CONCLUSIONS: An illustrative case is presented that resulted in long-term changes to our approach of these cases. The video capture documented rare events during one of our TAVR procedures. Analysis and debriefing led to definitive changes in our practice. While there are hurdles to the use of this technology in every institution, the role for the ongoing use of video capture, analysis, and debriefing may play an important role in the future of patient safety and human factors analysis in the operating environment. Medknow Publications & Media Pvt Ltd 2016-10 /pmc/articles/PMC5100244/ /pubmed/27762242 http://dx.doi.org/10.4103/0971-9784.192576 Text en Copyright: © 2016 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Seamans, David P.
Louka, Boshra F.
Fortuin, F. David
Patel, Bhavesh M.
Sweeney, John P.
Lanza, Louis A.
DeValeria, Patrick A.
Ezrre, Kim M.
Ramakrishna, Harish
The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement
title The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement
title_full The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement
title_fullStr The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement
title_full_unstemmed The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement
title_short The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement
title_sort utility of live video capture to enhance debriefing following transcatheter aortic valve replacement
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100244/
https://www.ncbi.nlm.nih.gov/pubmed/27762242
http://dx.doi.org/10.4103/0971-9784.192576
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