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Capturing intra-operative safety information using surgical wikis
Abstract Background Expert surgeons use a mass of iBackground Expert surgeons use a mass of intra-operative information, as well as pre-and post-operative information to complete operations safely. Trainees acquired this intra-operative knowledge at the operating table, now largely diminished by the working time directive. Wikis offer unexplored approaches to capturing and disseminating expert knowledge to further promote safer surgery for the trainee.Methods Grafting an abdominal aortic aneurysm represents a potentially high-risk operation demanding extreme safety measures. Operative details, presented on a surgical wiki in the form of a script and content analysed to classify types of safety information.Results The intra-operative part of the script contained 2,743 items of essential surgical information, comprising 21 sections, 405 steps and 2,317 items of back-up information; 155 (5.7%) of them were also specific intra-operative safety checks. Best case scenarios consisted of 1,077 items of intra-operative information, 69 of which were safety checks. Worse case and rare scenarios required a further 1,666 items of information, including 86 safety checks.Conclusions Wikis are relevant to surgical practice specifically as a platform for knowledge sharing and optimising the available operating time of trainees, as a very large amount of minutely detailed information essential for a safe major operation can be captured.or a safe major operation can be captured.
Abstractsub Background Expert surgeons use a mass of iBackground Expert surgeons use a mass of intra-operative information, as well as pre-and post-operative information to complete operations safely. Trainees acquired this intra-operative knowledge at the operating table, now largely diminished by the working time directive. Wikis offer unexplored approaches to capturing and disseminating expert knowledge to further promote safer surgery for the trainee.Methods Grafting an abdominal aortic aneurysm represents a potentially high-risk operation demanding extreme safety measures. Operative details, presented on a surgical wiki in the form of a script and content analysed to classify types of safety information.Results The intra-operative part of the script contained 2,743 items of essential surgical information, comprising 21 sections, 405 steps and 2,317 items of back-up information; 155 (5.7%) of them were also specific intra-operative safety checks. Best case scenarios consisted of 1,077 items of intra-operative information, 69 of which were safety checks. Worse case and rare scenarios required a further 1,666 items of information, including 86 safety checks.Conclusions Wikis are relevant to surgical practice specifically as a platform for knowledge sharing and optimising the available operating time of trainees, as a very large amount of minutely detailed information essential for a safe major operation can be captured.or a safe major operation can be captured.
Bibtextype article  +
Doi 10.3109/17538157.2012.705203  +
Has author Edwards M. + , Agha R. + , Coughlan J. +
Has extra keyword Abdominal aorta aneurysm + , Article + , Education + , Factual database + , Human + , Information dissemination + , Information retrieval + , Methodology + , Microcomputer + , Peroperative care + , Safety + , Social media + , Surgery + , Teaching + , United Kingdom + , Aortic Aneurysm + , Abdominal + , Computer-Assisted Instruction + , Computers + , Handheld + , Databases + , Factual + , Great Britain + , Humans + , Information Dissemination + , Information Storage and Retrieval + , Intraoperative Care + , Social Media + , Surgical Procedures + , Operative +
Has keyword Education + , Intra-operative care + , Safety + , Surgical procedures + , Wiki +
Issn 17538157  +
Issue 2  +
Language English +
Number of citations by publication 0  +
Number of references by publication 0  +
Pages 120–131  +
Published in Informatics for Health and Social Care +
Pubmed 23323520  +
Title Capturing intra-operative safety information using surgical wikis +
Type journal article  +
Volume 38  +
Year 2013 +
Creation dateThis property is a special property in this wiki. 7 November 2014 11:38:28  +
Categories Publications without license parameter  + , Publications without remote mirror parameter  + , Publications without archive mirror parameter  + , Publications without paywall mirror parameter  + , Journal articles  + , Publications without references parameter  + , Publications  +
Modification dateThis property is a special property in this wiki. 7 November 2014 11:38:28  +
DateThis property is a special property in this wiki. 2013  +
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