Abstract
The availability of intraoperative multimedia recording is increasing. Considering the growing call for physicians’ accountability, it is inevitable that multimedia will play an important role in aiding quality control by improving the adequacy of operative reporting. However, the perspectives of medical professionals on this matter are poorly known. In this cross-disciplinary survey, we aimed to investigate the current viewpoints concerning the use of multimedia recording in the operating room. We conducted an electronic survey among all affiliated members of the Association of Surgeons of the Netherlands, the Dutch Urological Association and the Dutch Society of Obstetrics and Gynecology containing questions regarding current use of intraoperative recording and the level of likelihood or objection for certain scenarios. The response rate was 27.8%. The survey encompasses 370 (54.5%) surgeons, 71 (10.5%) urologists, 80 (11.8%) gynecologists, and 158 (23.3%) residents in training. 52.4% of respondents feel that the currently used operative report is insufficient for future quality requirements. 58.5% think it is unlikely they would behave differently during surgery when intra-operative video recording is applied. 82.8% think it is unlikely that their surgical methods would be altered. 63.8% of respondents preferred only video registration when intraoperative recording is implemented. The majority of respondents agree that the current method of operative reporting is insufficient for future quality requirements. There is support for intraoperative video recording, however, legal transparency is needed before either intraoperative video or audio recording could be implemented to protect not only the patients, but also the healthcare providers.
Highlights
During the last decade, the use of multimedia in the context of the operating room has increased rapidly
An increasing number of studies are exploring the values of multimedia recording in the surgical setting today
Some are exploring its role in surgical quality analysis and control [4,5,6, 16, 18]
Summary
The use of multimedia in the context of the operating room has increased rapidly. The authors reported a relationship between the technical skill quantified on video and postoperative outcomes, confirming that greater technical skill does result in significantly fewer postoperative complications. Taking it a step further, Toronto-based surgeon Dr Teodor Grantcharov developed the surgical ‘black box’. This recording device, much like its equivalent in aviation, registers data regarding the surgical procedure in real time from multiple inputs, i.e. sound (speech of surgeons and operating room personnel), videos from several angles (surgical site and surrounding areas in the operating room), and patients’ vital signs from the anesthesia workstation, in order to discern the origins of adverse events.[16]
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