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- W4306177579 abstract "Introduction: Intraoperative errors are inevitable and how surgeons respond impacts patient outcomes. No research to our knowledge has considered how surgeons respond to operative errors from a primary source - the operating room (OR) staff. This study evaluated how surgeons react to intraoperative errors and the effectiveness of employed strategies as witnessed by OR staff. Methods: A survey was distributed to OR staff at an academic hospital. Items included multiple choice and open-ended questions assessing surgeon behaviors observed after intraoperative error. Participants reported perceived effectiveness of the surgeon’s actions. Spearman correlations were used to assess what behaviors OR staff associated with effective response. Thematic analysis was used to evaluate qualitative data. Results: Of 228 respondents, 174 (80.5% female) reported being in the OR when an error occurred. Strategies positively associated with effective surgeon coping included the surgeon telling the team about the event and announcing a plan. Themes emerged regarding the importance of the surgeon remaining calm and communicating: “Calm, clear and confident communication gets through adverse events the best.” Evidence of poor coping also emerged: “Yelling, feet stomping and throwing objects onto the field. [The surgeon] cannot articulate needs well because of anger.” Conclusion: This data from OR staff corroborates previous research presenting a framework for effective coping, while also shedding light on new, often poor, behaviors that have not emerged in prior research. Surgical trainees will benefit from the now enhanced empirical foundation on which coping curriculum and intervention can be built." @default.
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- W4306177579 date "2022-10-17" @default.
- W4306177579 modified "2023-10-16" @default.
- W4306177579 title "Operative Staff Perspectives of Surgeon Coping with Intraoperative Errors: “Staying Calm Is #1”" @default.
- W4306177579 doi "https://doi.org/10.1097/01.xcs.0000896336.82931.72" @default.
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