Technology
very quickly,” said Pallandt. He added that the platform can replace
reliance on printed preference cards or scribbled notes (which can lead to human error and misinterpretation); it can be updated easily to accommodate changes; and it avoids tensions arising within the team – caused by surgeon preferences not being adhered to. All of this information can all be easily accessed and managed via the App. The technology can also help with the implementation of unfamiliar technology and surgical approaches in the operating theatre. For example, the 3D animation can provide step- by-step instructions on how to set up a theatre for robotic surgery, including showing where trocars need to be placed. With an increasing number of Trusts adopting surgical robots, there is a significant learning curve that needs to be addressed across the whole of the operating theatre team. Surgical teams can also learn from best performing centres that have been shown to have more efficient or have better outcomes. The platform allows users to learn from – and benchmark against –these best-in-class examples, using video content, enabling standards to be continuously improved. “Digital support makes it easy to compare
ways of working and to start a discussion about why you do things differently – to learn from each other. We see teams working together in a more synchronised way, which is a step towards increased efficiency,” commented Pallandt. He suggested that theatre teams may even be able to increase their capacity “from 5-6 surgeries to 7-8 surgeries”. In fact, a recent study conducted at IJsselland Hospital in the Netherlands, found that the majority of users (95%) felt better prepared for their work, operating theatre staff were able to complete their training on average three months earlier compared with non-app users, while changeover times between surgical cases also reduced.7 Ultimately, feeling “better prepared” leads to increased confidence in the operating theatre,
as Pallandt points out: “The more informed teams are, the more confident they are. If the team feel more empowered, this can have an impact on retention.”
Adoption by UK Trusts Pallandt reports that the digital technology is increasingly being rolled across the surgical sector. Incision is no longer a startup – the company is serving over 250 hospitals and its goal is to support 10,000 clinics by the end of 2030. In the UK, there is increasing interest from Health Education England, as it seeks to modernise education and tackle capacity challenges. As part of this strategy, it is being rolled out at more than 10 Trusts in England. The technology has been accredited by the Royal College of Surgeons for over five years and, more recently, endorsed by the Association of Surgeons of Great Britain and Ireland. “Ultimately, the digitisation of education and
training has the potential to make it much more efficient and effective,” Pallandt concluded. “Digital training tools can help develop more productive teams, lower costs and ensure safer care.”
References 1 COVID-STAR Collaborative Study Group. COVID-19 impact on Surgical Training and Recovery Planning (COVID-STAR) - A cross- sectional observational study. Int J Surg. 2021 Apr;88:105903. doi: 10.1016/j.ijsu.2021.105903. Epub 2021 Feb 27. PMID: 33652133; PMCID: PMC7912362.
2
https://futureofsurgery.rcseng.ac.uk/ training/
3 Tørring, B., Gittell, J.H., Laursen, M. et al. Communication and relationship dynamics in surgical teams in the operating room: an ethnographic study. BMC Health Serv Res 19, 528 (2019). Accessed at: https://
bmchealthservres.biomedcentral.com/ articles/10.1186/s12913-019-4362-0
4
https://www.theguardian.com/society/2022/ dec/12/nhs-operations-cancelled-england- staff-shortages-doubles-three-years
CSJ
5 Selten JW, Nazari T, Andriessen EH, Konings S, Wiggers T, de Jonge J. Standardized videos in addition to the surgical curriculum in Medical Education for surgical clerkships: a cohort study. BMC Med Educ. 2022 May 19;22(1):384. doi: 10.1186/s12909-022-03314-w. PMID: 35590406; PMCID: PMC9121575.
6 Lange JF, van Merriënboer JJG, Wiggers T. One Step at a Time: Step by Step Versus Continuous Video-Based Learning to Prepare Medical Students for Performing Surgical Procedures. J Surg Educ. 2020 Jul-Aug;77(4):779-787. doi: 10.1016/j.jsurg.2020.02.020. Epub 2020 Mar 11. PMID: 32171749.
7 Data reported for feasibility study, by Thomas Needs (Incision BV), Marian Scheer (Incision BV) and Reinier Feitz (Department of Plastic and Reconstructive and Hand Surgery, Rotterdam Erasmus MC, Netherlands.)
26
www.clinicalservicesjournal.com I April 2023
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68
