Journal article
Developing an objective assessment of surgical performance from operating room video and surgical imagery
IISE transactions on healthcare systems engineering, Vol.8(2), pp.110-116
04/03/2018
DOI: 10.1080/24725579.2017.1418767
PMCID: PMC6020852
PMID: 29963653
Abstract
An unbiased, repeatable process for assessing operating room performance is an important step toward quantifying the relationship between surgical training and performance. Hip fracture surgeries offer a promising first target in orthopedic trauma because they are common and they offer quantitative performance metrics that can be assessed from video recordings and intraoperative fluoroscopic images. Hip fracture repair surgeries were recorded using a head-mounted point-of-view camera. Intraoperative fluoroscopic images were also saved. The following performance metrics were analyzed: duration of wire navigation, number of fluoroscopic images collected, degree of intervention by the surgeon's supervisor, and the tip-apex distance (TAD). Two orthopedic traumatologists graded surgical performance in each video independently using an Objective Structured Assessment of Technical Skill (OSATS). Wire navigation duration correlated with weeks into residency and prior cases logged. TAD correlated with cases logged. There was no significant correlation between the OSATS total score and experience metrics. Total OSATS score correlated with duration and number of fluoroscopic images. Our results indicate that two metrics of hip fracture wire navigation performance, duration and TAD, significantly differentiate surgical experience. The methods presented have the potential to provide truly objective assessment of resident technical performance in the OR.
Details
- Title: Subtitle
- Developing an objective assessment of surgical performance from operating room video and surgical imagery
- Creators
- Leah K Taylor - Department of Orthopedics and Rehabilitation, Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USAGeb W Thomas - Department of Mechanical and Industrial Engineering, Department of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USAMatthew D Karam - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USAClarence D Kreiter - Department of Family Medicine, University of Iowa, Iowa City, IA, USADonald D Anderson - Department of Orthopedics and Rehabilitation, Department of Biomedical Engineering, Department of Mechanical and Industrial Engineering, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- IISE transactions on healthcare systems engineering, Vol.8(2), pp.110-116
- DOI
- 10.1080/24725579.2017.1418767
- PMID
- 29963653
- PMCID
- PMC6020852
- NLM abbreviation
- IISE Trans Healthc Syst Eng
- ISSN
- 2472-5579
- eISSN
- 2472-5587
- Grant note
- name: The American Board of Orthopaedic Surgery and the Agency for Healthcare Research and Quality, award: R18HS022077
- Language
- English
- Date published
- 04/03/2018
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Industrial and Systems Engineering; Family and Community Medicine
- Record Identifier
- 9984040255702771
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