SAFETY CULTURE

Navigating a Path Toward Routine Recording in the Operating Room

Published on

September 1, 2023

Annals of Surgery

Alexander Langerman, Catherine Hammack-Aviran, I Glenn Cohen, Aalok V Agarwala, Nathan Cortez, Neal R Feigenson, Gerald M Fried, Teodor Grantcharov, Caprice C Greenberg, Michelle M Mello, Andrew G Shuman
Alexander Langerman, Catherine Hammack-Aviran, I Glenn Cohen, Aalok V Agarwala, Nathan Cortez, Neal R Feigenson, Gerald M Fried, Teodor Grantcharov, Caprice C Greenberg, Michelle M Mello, Andrew G Shuman
Alexander Langerman, Catherine Hammack-Aviran, I Glenn Cohen, Aalok V Agarwala, Nathan Cortez, Neal R Feigenson, Gerald M Fried, Teodor Grantcharov, Caprice C Greenberg, Michelle M Mello, Andrew G Shuman

Overview

The article discusses the ethical, legal, and social implications of implementing widespread surgical video recording. The authors explore the complex issues surrounding this emerging practice, including ownership and access rights, liability concerns, and privacy considerations for both patients and medical staff.

The article highlights several key challenges, such as determining whether surgical recordings should be part of a patient's medical record, managing patient access to potentially distressing or misunderstood content, and balancing the potential benefits of recording (like improved quality assurance and education) with the risks of increased scrutiny and altered behavior in the operating room.

The authors propose several strategies to address these challenges, including developing clear guidelines for ownership and access, establishing protocols for patient education and debriefing, and creating policies to protect medical staff from punitive uses of recordings. They emphasize the need for stakeholder buy-in and careful consideration of how to implement surgical recording in a way that maximizes benefits while minimizing risks to all parties involved.

Results

Surgical recording has not only potentially transformative benefits but also unaddressed challenges and risks. Policymakers and clinicians must actively address these barriers as we are on the precipice of a paradigm shift with tremendous potential.

Copyright. All Rights Reserved 2024
Copyright. All Rights Reserved 2024
Copyright. All Rights Reserved 2024