Publications
276 results found
Long S, Neale G, Vincent C, 2009, <i>The Competent Novice</i> Practising safely in the foundation years, BMJ-BRITISH MEDICAL JOURNAL, Vol: 338, ISSN: 0959-535X
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- Citations: 3
Warren OJ, Smith AJ, Alexiou C, et al., 2009, The Inflammatory Response to Cardiopulmonary Bypass: Part 1-Mechanisms of Pathogenesis, JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, Vol: 23, Pages: 223-231, ISSN: 1053-0770
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- Citations: 204
Benn J, Koutantji M, Wallace L, et al., 2009, Feedback from incident reporting: information and action to improve patient safety, QUALITY & SAFETY IN HEALTH CARE, Vol: 18, Pages: 11-U33, ISSN: 1475-3898
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- Citations: 194
Pinto A, Davis R, Sevdalis N, et al., 2009, Evaluation of a patient education video aimed at empowering patients to be involved in their healthcare, International Society for Quality and Safety in
Jacklin R, Sevdalis N, Darzi A, et al., 2009, Efficacy of cognitive feedback in improving operative risk estimation, AMERICAN JOURNAL OF SURGERY, Vol: 197, Pages: 76-81, ISSN: 0002-9610
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- Citations: 12
Sarker SK, Rehman S, Ladwa M, et al., 2009, A decision-making learning and assessment tool in laparoscopic cholecystectomy, SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol: 23, Pages: 197-203, ISSN: 0930-2794
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- Citations: 14
Vincent C, Aylin P, Franklin BD, et al., 2008, Is health care getting safer?, BRITISH MEDICAL JOURNAL, Vol: 337, ISSN: 0959-8146
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- Citations: 116
Davis R, Sevdalis N, Vincent C, 2008, The role of the HBM and the TPB in predicting patient involvement in safety, PSYCHOLOGY & HEALTH, Vol: 23, Pages: 99-99, ISSN: 0887-0446
Davis R, Massey R, Warren O, et al., 2008, Patients' evaluation of a video aimed at encouraging patient participation in healthcare, PSYCHOLOGY & HEALTH, Vol: 23, Pages: 98-99, ISSN: 0887-0446
Smith A, Adarns S, Long S, et al., 2008, Safety skills training programme, PSYCHOLOGY & HEALTH, Vol: 23, Pages: 239-239, ISSN: 0887-0446
Smith A, Sevdalis N, Koutantji M, et al., 2008, A systematic review of patient satisfaction with care in gastrointestinal cancer patients, PSYCHOLOGY & HEALTH, Vol: 23, Pages: 239-239, ISSN: 0887-0446
Sevdalis N, Davis R, Koutantji M, et al., 2008, Reliability of a revised NOTECHS scale for use in surgical teams, AMERICAN JOURNAL OF SURGERY, Vol: 196, Pages: 184-190, ISSN: 0002-9610
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- Citations: 170
Sevdalis N, Forrest D, Undre S, et al., 2008, Annoyances, disruptions, and interruptions in surgery: The Disruptions in Surgery Index (DiSI), WORLD JOURNAL OF SURGERY, Vol: 32, Pages: 1643-1650, ISSN: 0364-2313
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- Citations: 95
Hogan H, Olsen S, Scobie S, et al., 2008, What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management?, QUALITY & SAFETY IN HEALTH CARE, Vol: 17, Pages: 209-215, ISSN: 1475-3898
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- Citations: 40
Jacklin R, Sevdalis N, Darzi A, et al., 2008, Mapping surgical practice decision making: an interview study to evaluate decisions in surgical care, AMERICAN JOURNAL OF SURGERY, Vol: 195, Pages: 689-696, ISSN: 0002-9610
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- Citations: 34
Davis RE, Koutantji M, Vincent CA, 2008, How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study., Qual Saf Health Care, Vol: 17, Pages: 90-96
BACKGROUND: One in 10 patients admitted to hospital will suffer an adverse event as a result of their medical treatment. A reduction in adverse events could happen if patients could be engaged successfully in monitoring their care. OBJECTIVES: This study explored: (1) surgical patients' willingness to question healthcare staff about their treatment; (2) differences between patients' willingness to ask factual vs. challenging questions related to the quality and safety of their healthcare; (3) patient demographic characteristics that could affect patients' willingness to ask questions; and (4) the impact of doctors' instructions on patients' willingness to ask questions. DESIGN: Cross-sectional study using the Patient Willingness to Ask Safety Questions Survey (PWASQS). The PWASQS questions were devised in accordance with current patient safety initiatives aimed at encouraging patients to ask healthcare staff specific safety-related questions about their healthcare. The PWASQS includes factual questions (eg, "when can I return to my normal activities?") and challenging questions (eg, "have you washed your hands?"), and examines the impact of doctors' instructions on patients' willingness to ask challenging questions (eg, if instructed to by a doctor would you be willing to ask: "have you washed your hands?"). Data were analysed using non-parametric tests. SETTING: An inner-city London teaching hospital. PARTICIPANTS: A convenience sample of 80 patients who had undergone surgery. FINDINGS: Surgical patients were significantly more willing to ask: doctors factual versus challenging questions (z = 7.59, p<0.001); nurses factual versus challenging questions (z = 5.39, p<0.001); doctors versus nurses factual questions (z = 4.98, p<0.001); and, nurses versus doctors challenging questions (z = 4.40, p<0.001). Doctor's instructions to the patient increased patient willingness to challenge doctors (z = 6.56, p<0.001) and nurses (z
Sarker SK, Chang A, Vincent C, 2008, Decision making in laparoscopic surgery: a prospective, independent and blinded analysis., Int J Surg, Vol: 6, Pages: 98-105
AIMS: Correct decision making is pivotal and an integral part of surgical competency. To date there has not been an attempt to assess surgeons making decisions whilst operating. In our present study we aim to assess operative decision making by trainee and expert surgeons by using hierarchical task analysis (HTA) as a method to map out decision making in surgery. METHODS: One hundred and forty live laparoscopic operations were prospectively analyzed, independently and blindly. The operations were compared to an operative HTA, and individual case reasons for deviations noted. Factors in the operating theatre which may influence the surgeons' decisions whilst operating were assessed using a checklist. RESULTS: One hundred and nineteen elective and 21 emergency laparoscopic operations performed by 12 consultants and 14 registrars were analysed. Factors from the HTA and theatre environment checklists were categorised. Inter-rater reliability was k=0.95, k=1.00 for sub-tasks and tasks, respectively, and 0.98 between the surgeon and independent observer for the operating theatre checklist. From these data sets a psychomotor surgical decision making model was constructed. Face and content validities of the model were verified by experts in surgery and decision making. CONCLUSIONS: Dynamic surgical decision making is a multi-faceted and intricate process. We have used HTA to map this process and we present a model in surgical decision making. By understanding the mechanisms and factors which influence this process we may use it for effective, focused surgical training. We aim to use and test our model also on open major complex surgery.
Jacklin R, Sevdalis N, Harries C, et al., 2008, Judgment analysis: a method for quantitative evaluation of trainee surgeons' judgments of surgical risk, AMERICAN JOURNAL OF SURGERY, Vol: 195, Pages: 183-188, ISSN: 0002-9610
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- Citations: 23
Warren OJ, Tunnicliffe CR, Massey RM, et al., 2008, Systemic leukofiltration does not attenuate pulmonary injury after cardiopulmonary bypass, ASAIO JOURNAL, Vol: 54, Pages: 78-88, ISSN: 1058-2916
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- Citations: 12
Sarker SK, Chang A, Albrani T, et al., 2008, Constructing hierarchical task analysis in surgery, SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol: 22, Pages: 107-111, ISSN: 0930-2794
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- Citations: 46
Mayer E, Faiz O, Athanasiou T, et al., 2008, Measuring and enhancing elective service performance in NHS operating theatres: an overview, Journal of the Royal Society of Medicine, Vol: 101, Pages: 273-277, ISSN: 0141-0768
Davis RE, Jacklin R, Sevdalis N, et al., 2007, Patient involvement in patient safety: what factors influence patient participation and engagement?, Health Expect, Vol: 10, Pages: 259-267, ISSN: 1369-6513
BACKGROUND: Patients can play an important role in improving patient safety by becoming actively involved in their health care. However, there is a paucity of empirical data on the extent to which patients take on such a role. In order to encourage patient participation in patient safety we first need to assess the full range of factors that may be implicated in such involvement. OBJECTIVE: To delineate factors that could affect the participation of the patient in quality and safety issues in their health care. METHOD: Literature review of patient involvement in health care, drawing from direct evidence (specifically from the safety context) and indirect evidence (extrapolated from treatment decision-making research and the wider patient involvement in health care literature); synthesis and conceptual framework developed, illustrating the known and putative factors that could affect the participation of the patient in safety issues in their health care. MAIN RESULTS: Five categories of factors emerged that could affect patient involvement in safety: patient-related (e.g. patients' demographic characteristics), illness-related (e.g. illness severity), health-care professional-related (e.g. health care professionals' knowledge and beliefs), health care setting-related (e.g. primary or secondary care), and task-related (e.g. whether the required patient safety behaviour challenges clinicians' clinical abilities). CONCLUSION: The potential for engaging patients in patient safety is considerable but further research is needed to examine the influences on patient involvement, the limits and the possible dangers. Patients can act as 'safety buffers' during their care but the responsibility for their safety must remain with the health care professionals.
Undre S, Koutantji M, Sevdalis N, et al., 2007, Multidisciplinary crisis simulations: The way forward for training surgical teams, WORLD JOURNAL OF SURGERY, Vol: 31, Pages: 1843-1853, ISSN: 0364-2313
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- Citations: 154
Healey AN, Olsen S, Davis RE, et al., 2007, A method for measuring work interference in surgical teams, Cognition, Technology and Work
To enhance surgical systems we need to manage the performance of the teams that comprise them. To do this we must measure the properties and processes of teams and account for the demands and conditions of their work. Recent research shows that observation is a potentially valuable method of measurement, but its potential application in surgery remains unclear. In this study of laparoscopic cholecystectomy, an observer applied observational measures of teamwork in the operating theatre and recorded intra-operative interference from observed distraction and interruption. Results showed that it was feasible to observe a broad scope of teamwork and to reveal the frequency and source of work interference. However, the measures were necessarily selective and so limited in their analysis of the conditions and events that might interfere with the collective work in surgery. Such measures may however prove useful when applied in conjunction with other methods of measurement and utilised as performance feedback data.
Kneebone RL, Nestel D, Vincent C, et al., 2007, Complexity, risk and simulation in learning procedural skills, MEDICAL EDUCATION, Vol: 41, Pages: 808-814, ISSN: 0308-0110
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- Citations: 111
Undre S, Sevdalis N, Healey AN, et al., 2007, Observational teamwork assessment for surgery (OTAS): Refinement and application in urological surgery, WORLD JOURNAL OF SURGERY, Vol: 31, Pages: 1373-1381, ISSN: 0364-2313
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- Citations: 138
Sevdalis N, Healey AN, Vincent CA, 2007, Distracting communications in the operating theatre, JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Vol: 13, Pages: 390-394, ISSN: 1356-1294
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- Citations: 99
Neale G, Vincent C, Darzi A, 2007, The problem of engaging hospital doctors in promoting safety and quality in clinical care, JOURNAL OF THE ROYAL SOCIETY FOR THE PROMOTION OF HEALTH, Vol: 127, Pages: 87-94, ISSN: 1466-4240
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- Citations: 18
Healey AN, Sevdalis N, Vincent CA, 2007, Measuring intra-operative interference from distraction and interruption observed in the operating theatre, ERGONOMICS, Vol: 49, Pages: 589-604, ISSN: 0014-0139
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- Citations: 222
Healey AN, Vincent CA, 2007, The systems of surgery, Theoretical Issues in Ergonomic Science, Vol: 9, Pages: 1-15, ISSN: 1464-536X
This paper raises the vital question of how the systems approach to safety should be implemented in the surgical domain. It argues that teams are the natural vehicles of change in a complex distributed system of work and so the ideal units of analysis. Generalized models of team performance frame the research needed to implement the approach. However, models of teamwork must be developed that account for the technical aspects of different procedures in order to improve team performance across systems. For that purpose, an account of the information that comprises teams and teamwork and the infrastructure and technology that supports it is essential. There could be an improvement in safety across healthcare if the design of surgical teams co-evolves systematically with technology, and if the technical relevance of teamwork is realized.
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