Teodor Grantcharov
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View article: Understanding safety threats and resilience supports in the operating room: a mixed-methods protocol study using surgical video analysis and clinician interviews
Understanding safety threats and resilience supports in the operating room: a mixed-methods protocol study using surgical video analysis and clinician interviews Open
Introduction Preventable intraoperative adverse events (iAEs) are common despite widespread implementation of surgical quality improvement initiatives. These events often result from the interaction of multiple system-based factors (safety…
View article: A comparative analysis of the STAT taxonomy and T-NOTECHS for assessing trauma team non-technical skills: A secondary analysis using trauma video review
A comparative analysis of the STAT taxonomy and T-NOTECHS for assessing trauma team non-technical skills: A secondary analysis using trauma video review Open
Higher non-technical performance, measured by T-NOTECHS, is strongly associated with fewer AEs in trauma resuscitations. These findings underscore the importance of structured training and assessment of NTS to enhance patient safety and te…
View article: Study protocol for a Prospective Observational study of Safety Threats and Adverse events in Trauma (PrO-STAT): a pilot study at a level-1 trauma centre in Canada
Study protocol for a Prospective Observational study of Safety Threats and Adverse events in Trauma (PrO-STAT): a pilot study at a level-1 trauma centre in Canada Open
Introduction Traumatic injuries are a significant public health concern globally, resulting in substantial mortality, hospitalisation and healthcare burden. Despite the establishment of specialised trauma centres, there remains considerabl…
View article: Healthcare professionals’ perception of the World Health Organization Surgical Safety Checklist and psychological safety: a cross-sectional survey
Healthcare professionals’ perception of the World Health Organization Surgical Safety Checklist and psychological safety: a cross-sectional survey Open
Background The Surgical Safety Checklist (SSC) is a cornerstone of ensuring the safety and accuracy of communication among interdisciplinary teams in the operating room. Central to the successful implementation of such a checklist is the c…
View article: Enhancing patient safety in trauma: Understanding adverse events, assessment tools, and the role of trauma video review
Enhancing patient safety in trauma: Understanding adverse events, assessment tools, and the role of trauma video review Open
Integrated with standardized tools, TVR shows promise for identifying AEs. Challenges include ensuring reporting consistency and integrating approaches into existing protocols. Future research should prioritize linking trauma team performa…
View article: Adopting Multicriteria Decision Analysis in Local Health Settings: A Literature Review for Hospital Value Analysis Decision Makers
Adopting Multicriteria Decision Analysis in Local Health Settings: A Literature Review for Hospital Value Analysis Decision Makers Open
Introduction: Hospital value analysis teams aim to scope, appraise, and procure the most cost and clinically effective alternatives, but many rely on deliberative processes and lack the use of evaluation frameworks. Multi-criteria decision…
View article: Using the Operating Room Black Box to Assess Surgical Team Member Adaptation Under Uncertainty
Using the Operating Room Black Box to Assess Surgical Team Member Adaptation Under Uncertainty Open
Objective: Identify how surgical team members uniquely contribute to teamwork and adapt their teamwork skills during instances of uncertainty. Background The importance of surgical teamwork in preventing patient harm is well documented. Ye…
View article: Automated Capture of Intraoperative Adverse Events Using Artificial Intelligence: A Systematic Review and Meta-Analysis
Automated Capture of Intraoperative Adverse Events Using Artificial Intelligence: A Systematic Review and Meta-Analysis Open
Intraoperative adverse events (iAEs) impact the outcomes of surgery, and yet are not routinely collected, graded, and reported. Advancements in artificial intelligence (AI) have the potential to power real-time, automatic detection of thes…
View article: Cognitive biases in surgery: systematic review
Cognitive biases in surgery: systematic review Open
Background Although numerous studies have established cognitive biases as contributors to surgical adverse events, their prevalence and impact in surgery are unknown. This review aimed to describe types of cognitive bias in surgery, their …
View article: Analyzing interprofessional teamwork in the operating room: An exploratory observational study using conventional and alternative approaches
Analyzing interprofessional teamwork in the operating room: An exploratory observational study using conventional and alternative approaches Open
Intraoperative teamwork is vital for patient safety. Conventional tools for studying intraoperative teamwork typically rely on behaviorally anchored rating scales applied at the individual or team level, while others capture narrative info…
View article: Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey
Healthcare professionals’ perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey Open
Introduction Comprehensive data capture systems such as the Operating Room Black Box (OR Black Box) are becoming more widely implemented to access quality data in the complex environment of the OR. Prior to installing an OR Black Box, we a…
View article: Implementation of an Innovative Technology Called the OR Black Box: A Feasibility Study
Implementation of an Innovative Technology Called the OR Black Box: A Feasibility Study Open
Introduction . The operating room (OR) Black Box is an innovative technology that captures and compiles extensive real-time data from the OR, allowing identification and analysis of factors that influence intraoperative procedures and perf…
View article: OR Vision: Objective, explainable assessment of surgical skill with deep learning
OR Vision: Objective, explainable assessment of surgical skill with deep learning Open
Background Currently, evaluating surgical technical performance is inefficient and subjective [1,2,3,4] and the established rubrics for assessing surgical ability are open to interpretation. To power programs for surgical training and Main…
View article: Mitigating operating room distractions: A systematic review assessing intervention effectiveness
Mitigating operating room distractions: A systematic review assessing intervention effectiveness Open
Background: Distractions in the operating room (OR) are common and can threaten patient safety. A variety of strategies have been proposed to mitigate OR distractions. The objective of this review was to identify the strategies that have b…
View article: Surgical data science – from concepts toward clinical translation
Surgical data science – from concepts toward clinical translation Open
Recent developments in data science in general and machine learning in particular have transformed the way experts envision the future of surgery. Surgical Data Science (SDS) is a new research field that aims to improve the quality of inte…
View article: Tissue stress from laparoscopic grasper use and bowel injury in humans: establishing intraoperative force boundaries
Tissue stress from laparoscopic grasper use and bowel injury in humans: establishing intraoperative force boundaries Open
Objectives We aim to determine what threshold of compressive stress small bowel and colon tissues display evidence of significant tissue trauma during laparoscopic surgery. Design This study included 10 small bowel and 10 colon samples fro…
View article: Tissue Stress from Laparoscopic Grasper Use and Bowel Injury in Humans: Establishing Intraoperative Force Boundaries
Tissue Stress from Laparoscopic Grasper Use and Bowel Injury in Humans: Establishing Intraoperative Force Boundaries Open
Background Inappropriate force in laparoscopic surgery can lead to inadvertent tissue injury. It is currently unknown however at what magnitude of compressive stress trauma occurs in gastrointestinal tissues. Methods This study included 10…
View article: Surgical data recording in the operating room: a systematic review of modalities and metrics
Surgical data recording in the operating room: a systematic review of modalities and metrics Open
Introduction Operating room recording, via video, audio and sensor-based recordings, is increasingly common. Yet, surgical data science is a new field without clear guidelines. The purpose of this study is to examine existing published stu…