Steven Yule
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View article: Impact of environmental factors on operative team performance: systematic review and guidance for optimising clinical practice
Impact of environmental factors on operative team performance: systematic review and guidance for optimising clinical practice Open
Objective To evaluate the range and impact of environmental factors on the operative performance of surgical teams. Background Optimising surgical performance is critical for patient safety and clinical efficiency. Recent efforts have focu…
View article: Delivery of care, anti-seizure medication adherence and factors affecting seizure outcomes in women with epilepsy during pregnancy: a retrospective cohort study
Delivery of care, anti-seizure medication adherence and factors affecting seizure outcomes in women with epilepsy during pregnancy: a retrospective cohort study Open
An epilepsy related admission or reported seizure was commonly experienced in WWE during pregnancy and in a small proportion of women this came after a period of seizure freedom. There is much work to be done to improve outcomes in women w…
View article: Preoperative educational briefings: systematic review and novel evidence-based framework
Preoperative educational briefings: systematic review and novel evidence-based framework Open
Background The preoperative educational briefing is a focused discussion encompassing trainee goal setting and operative strategy. How to effectively deliver the educational briefing and the associated benefits to surgical learning and per…
View article: Utilizing a surgical sabermetrics framework during major haemorrhage simulation to assess trainee cognitive load and performance
Utilizing a surgical sabermetrics framework during major haemorrhage simulation to assess trainee cognitive load and performance Open
Vascular surgery training programs lack high-fidelity simulation for management of major haemorrhage, despite it being a fundamental and demanding skill. Cognitive load (CogL) is the finite working memory resource required to meet the dema…
View article: Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery
Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery Open
BACKGROUND: Safety in cardiac surgical procedures is predicated on effective team dynamics. This study associated operative team familiarity (ie, the extent of clinical collaboration among surgical team members) with procedural efficiency …
View article: Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff
Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff Open
Background: Surgery has seen limited adoption of 360-degree feedback tools, and no current tools evaluate intraoperative performance from a technical, nontechnical, or teaching skill perspective. We sought to evaluate the overall findings …
View article: Debiasing Judgements Using a Distributed Cognition Approach: A Scoping Review of Technological Strategies
Debiasing Judgements Using a Distributed Cognition Approach: A Scoping Review of Technological Strategies Open
Objective To review and synthesise research on technological debiasing strategies across domains, present a novel distributed cognition-based classification system, and discuss theoretical implications for the field. Background Distributed…
View article: Utilizing a surgical sabermetrics framework to assess the impact of trainer behavior on trainee cognitive load during vascular surgery simulation
Utilizing a surgical sabermetrics framework to assess the impact of trainer behavior on trainee cognitive load during vascular surgery simulation Open
Surgical training programs lack data-driven, objective feedback of resident surgeon technical performance, non-technical skill and intraoperative cognitive load (CogL). Cognitive load is the working memory resource required to perform a ta…
View article: Utilizing a surgical sabermetrics framework to evaluate the impact of simulated operative crises on trainee cognitive load and non-technical skills
Utilizing a surgical sabermetrics framework to evaluate the impact of simulated operative crises on trainee cognitive load and non-technical skills Open
Intraoperative crisis events, such as haemorrhage or iatrogenic perforation, can cause considerable stress in the operating surgeon. Little standardized training exists for managing such events, especially for surgical trainees. Cognitive …
View article: Automated analysis of operative video in surgical training: scoping review
Automated analysis of operative video in surgical training: scoping review Open
Background There is increasing availability of operative video for use in surgical training. Emerging technologies can now assess video footage and automatically generate metrics that could be harnessed to improve the assessment of operati…
View article: WP6.14 - Automated analysis of operative video in surgical training: Scoping review
WP6.14 - Automated analysis of operative video in surgical training: Scoping review Open
Aims There is an increasing availability of operative video for use in surgical training. Emerging technologies can now assess video footage and automatically generate metrics that could be harnessed to improve the assessment of operative …
View article: Not all MDTs are created equal: international survey of HPB MDT practices
Not all MDTs are created equal: international survey of HPB MDT practices Open
MDT care is understood and applied differently across the world. There is a lack of standardisation of practice, and an apparent need for better case preparation, effective specialist contribution, improved audit frequency and metrics to i…
View article: Mapping cognitive biases in multidisciplinary team (MDT) decision-making for cancer care in Scotland: a cognitive ethnography study protocol
Mapping cognitive biases in multidisciplinary team (MDT) decision-making for cancer care in Scotland: a cognitive ethnography study protocol Open
Introduction The efficiency of multidisciplinary teams (MDTs) in cancer care hinges on facilitating clinicians’ cognitive processes as they navigate complex and uncertain judgements during treatment planning. When systems and workflows are…
View article: Deep Learning Analysis of Surgical Video Recordings to Assess Nontechnical Skills
Deep Learning Analysis of Surgical Video Recordings to Assess Nontechnical Skills Open
Importance Assessing nontechnical skills in operating rooms (ORs) is crucial for enhancing surgical performance and patient safety. However, automated and real-time evaluation of these skills remains challenging. Objective To explore the f…
View article: Identifying novel metrics of operative performance in surgical training: protocol for a Delphi consensus study
Identifying novel metrics of operative performance in surgical training: protocol for a Delphi consensus study Open
Introduction: Acquiring the technical and non-technical skills necessary to perform operations safely requires time and dedication. The learning curve is steep and regular feedback on operative performance is needed to help trainees identi…
View article: Comment on: Surgical experience and identification of errors in laparoscopic cholecystectomy
Comment on: Surgical experience and identification of errors in laparoscopic cholecystectomy Open
Extended lymph node dissection for rectal cancer, is it still under debate
View article: Surgical Sabermetrics
Surgical Sabermetrics Open
Objective: To evaluate the current evidence for surgical sabermetrics: digital methods of assessing surgical nontechnical skills and investigate the implications for enhancing surgical performance. Background: Surgeons need high-quality, o…
View article: We asked the experts: The evolving role of non‐technical skills for surgery in low‐ and middle‐income countries
We asked the experts: The evolving role of non‐technical skills for surgery in low‐ and middle‐income countries Open
As the global burden of surgically treatable conditions continues to grow, a disparity in the quality and quantity of surgical care available across the world persists. Data suggest that the poorest third of the world's population receive …
View article: Exploring Intraoperative Cognitive Biases in Cardiac Surgery Teams
Exploring Intraoperative Cognitive Biases in Cardiac Surgery Teams Open
This study focuses on understanding the influence of cognitive biases in the intraoperative decision-making process within cardiac surgery teams, recognizing the complexity and high-stakes nature of such environments. We aimed to investiga…
View article: Evaluating the Impact of Operative Team Familiarity on Cardiac Surgery Outcomes
Evaluating the Impact of Operative Team Familiarity on Cardiac Surgery Outcomes Open
Objective: To associate surgeon–anesthesiologist team familiarity (TF) with cardiac surgery outcomes. Background: TF, a measure of repeated team member collaborations, has been associated with improved operative efficiency; however, examin…
View article: Artificial Intelligence Nomenclature Identified From Delphi Study on Key Issues Related to Trust and Barriers to Adoption for Autonomous Systems
Artificial Intelligence Nomenclature Identified From Delphi Study on Key Issues Related to Trust and Barriers to Adoption for Autonomous Systems Open
The rapid integration of artificial intelligence across traditional research domains has generated an amalgamation of nomenclature. As cross-discipline teams work together on complex machine learning challenges, finding a consensus of basi…
View article: Artificial Intelligence Nomenclature Identified From Delphi Study on Key Issues Related to Trust and Barriers to Adoption for Autonomous Systems
Artificial Intelligence Nomenclature Identified From Delphi Study on Key Issues Related to Trust and Barriers to Adoption for Autonomous Systems Open
The rapid integration of artificial intelligence across traditional research domains has generated an amalgamation of nomenclature. As cross-discipline teams work together on complex machine learning challenges, finding a consensus of basi…