Perceptions of Operating Room Recording Among Surgical Staff

Abstract

Study Objective Recording in the operating room (OR) is an important tool to improve team performance. It is becoming feasible in gynecology with use of the Operating Room Black Box (ORBB), a comprehensive recording platform. Recording of OR staff, however, can be challenging as individual concerns can overshadow the educational and organizational benefits. Our objective was to assess OR staff s perceptions of recording and how they relate to factors such as patient safety, impostor syndrome, and privacy concerns. Design Prospective observational survey. Setting Academic tertiary care centre, prior to implementing a recording system in the gynecology OR. Patients or Participants Gynecologists, OR nurses, and anesthesiologists. Interventions A questionnaire assessing perceptions of OR recording was developed including sections on demographic information, previous experience with OR recording and three previously validated tools (5 points scales): Safety Attitudes Questionnaire (SAQ), Clance Imposter Syndrome Index (CI), and Dispositional Privacy Concern (DPC). Further measurements included staffs’ opinions of the ORBB and its potential effect on safety, team collaboration, and litigation. Measurements and Main Results Descriptive statistics were performed for variables and SAQ, CI, and DPC scales and correlations between demographic factors, SAQ, CI and DPC scales, and attitude towards the ORBB. Response rate: 45% (n=43/96, 20/22 Nurses, 9/11 Gynaecologists, 14/63 Anaesthesiologist). Opinions of recording were generally positive (mean=3.8, SD=0.91). Nurses tended to have more favourable opinions of the ORBB compared to gynaecologists and anaesthesiologists (4.2 vs. 3. 7 vs 3.4, p=.06). Individuals most affected by imposter syndrome were more likely to be concerned about litigation (r=-.32, p=.04). Conclusion Opinions of ORBB were most favourable among nurses and least among anesthesiologists. Those with high measures of impostor syndrome were more concerned about litigation. Addressing concerns around ORBB data should be accommodated to facilitate successful implementation of the ORBB, improve team communication and patient safety in gynecology.