Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture.
Leveraging lessons learned in aviation, patient safety researchers have begun exploring the use of medical data recorders (i.e., “black boxes”) to identify errors and threats to patient safety. This cross-sectional study found that a medical data recorder identified an average of 53 safety threats or resilience support events among 35 standard laparoscopic procedures. These events primarily involved communication failures, poor teamwork, and situational awareness failures.
van Dalen A, Jung JJ, Nieveen van Dijkum EJM, et al. J Patient Saf. 2022;18(6):617-623.