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A systematic examination of preoperative surgery warm-up routines
- Source :
- Pike, T W, Pathak, S, Mushtaq, F, Wilkie, R M, Mon-Williams, M & Lodge, J P A 2017, ' A systematic examination of preoperative surgery warm-up routines ', Surgical Endoscopy, vol. 31, no. 5, pp. 2202-2214 . https://doi.org/10.1007/s00464-016-5218-x
- Publication Year :
- 2017
-
Abstract
- BackgroundRecent evidence indicates that a preoperative warm-up is a potentially useful tool in facilitating performance. But what factors drive such improvements and how should a warm-up be implemented?MethodsIn order to address these issues, we adopted a two-pronged approach: (1) we conducted a systematic review of the literature to identify existing studies utilising preoperative simulation techniques; (2) we performed task analysis to identify the constituent parts of effective warm-ups. We identified five randomised control trials, four randomised cross-over trials and four case series. The majority of these studies reviewed surgical performance following preoperative simulation relative to performance without simulation.ResultsFour studies reported outcome measures in real patients and the remainder reported simulated outcome measures. All but one of the studies found that preoperative simulation improves operative outcomes—but this improvement was not found across all measured parameters. While the reviewed studies had a number of methodological issues, the global data indicate that preoperative simulation has substantial potential to improve surgical performance. Analysis of the task characteristics of successful interventions indicated that the majority of these studies employed warm-ups that focused on the visual motor elements of surgery. However, there was no theoretical or empirical basis to inform the design of the intervention in any of these studies.ConclusionsThere is an urgent need for a more rigorous approach to the development of “warm-up” routines if the potential value of preoperative simulation is to be understood and realised. We propose that such interventions need to be grounded in theory and empirical evidence on human motor performance.
- Subjects :
- medicine.medical_specialty
Medical Errors
Quality Assurance, Health Care
business.industry
Performance
Psychological intervention
Outcome measures
Endoscopy
030230 surgery
Visual motor
Surgery
Task (project management)
03 medical and health sciences
0302 clinical medicine
030220 oncology & carcinogenesis
Warm-up
Preoperative Care
Task analysis
Humans
Medicine
Clinical Competence
Preoperative simulation
business
Subjects
Details
- Language :
- English
- ISSN :
- 09302794
- Database :
- OpenAIRE
- Journal :
- Pike, T W, Pathak, S, Mushtaq, F, Wilkie, R M, Mon-Williams, M & Lodge, J P A 2017, ' A systematic examination of preoperative surgery warm-up routines ', Surgical Endoscopy, vol. 31, no. 5, pp. 2202-2214 . https://doi.org/10.1007/s00464-016-5218-x
- Accession number :
- edsair.doi.dedup.....9788f0f05f05dacf34bc68f267f8fbc0