From: Patient safety risk factors in minimally invasive surgery: a validation study
Risk domains | Risk factors |
---|---|
Surgeon | Experience of the surgeon |
Technical skills of the surgeon | |
Leadership of the surgeon | |
Surgical team | Qualified staffing |
Experience of the scrub nurse | |
Scrub nurse’s knowledge of the procedure | |
Experience of the circulating nurse | |
Technology | All instruments are present |
All instruments work properly | |
It is known how to handle all instruments | |
All equipment is present | |
All equipment works properly | |
The OR team knows how to handle all equipment | |
The surgeons knows how to handle all equipment | |
Social interaction | Communication between OR team members |
Failure of professional communication | |
Communication of important issues at shift changes | |
Collaboration between OR team members | |
Environment | Disruptions of the surgical process |
Distractions (e.g., questions not relating to the patient) | |
Number of people in the OR | |
Patient | Patient’s BMI |
Patient’s ASA score | |
Previous surgeries | |
Fallibility | Time of day surgery takes place (e.g., daytime, nighttime) |
Workload | |
Number of procedure (e.g., first or last of that day) | |
Fatigue | |
Safety measures | Universal safety protocols |
Briefing according to WHO checklist | |
Compliance of safety measures (protocol) | |
Result | Intraoperative complications |
Amount of blood loss | |
Length of surgery |