Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04854278
Other study ID # BC-02220
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date February 19, 2019
Est. completion date December 31, 2027

Study information

Verified date December 2023
Source University Ghent
Contact Isabelle Van Herzeele, MD, PhD
Phone 093325108
Email isabelle.vanherzeele@ugent.be
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The "OR Black box", an inclusive multiport data capturing system has been developed and successfully used for detailed analysis of laparoscopic surgical procedures. A pilot study has shown that this system can be successfully installed in the hybrid room at Ghent University Hospital and used for detailed analysis of intra-operative errors and radiation safety issues in endovascular procedures. Secondary analysis of pilot study data via direct video coding assessed the relationship between leadership style of the surgeon and team behavior and possible fluctuations during surgery. This novel approach allows a prospective objective assessment of human and environmental factors as well as measurement of errors, events and outcomes. In this study, the aim is to use the acquired knowledge to characterize a chain of events, identify high-risk interventions and identify areas for improvement, both on an organizational, team or individual level. Hypothesis: non-technical skills, environmental factors and teamwork in the hybrid room correlate with surgical technical performance and error rates. Furthermore, we hypothesize that incidents and adverse events can be tracked to a chain of errors that is influenced by technical and non-technical skills as well as environmental factors.


Recruitment information / eligibility

Status Recruiting
Enrollment 222
Est. completion date December 31, 2027
Est. primary completion date December 31, 2027
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Patients undergoing elective (planned more than 48 hours) endovascular procedures. - Symptomatic aortic-iliac-femoral-popliteal-below the knee atherosclerotic stenotic or occlusive disease (PVI) - Endovascular exclusion of thoracic aortic, infrarenal abdominal aortic and/or iliac aneurysm repair (EVAR) Exclusion Criteria: - No consent of patient - No consent of all endovascular team members - Emergency procedure (planned < 48h before) - Endovascular procedure not treating atherosclerotic aortic-iliac-femoral-popliteal-below the knee disease or aortic-iliac aneurysm

Study Design


Intervention

Other:
Massive Open Online Course (MOOC)
Combination of knowledge training with video scenarios and game-based learning provided to endovascular team members: surgeons, nurses and anesthetists

Locations

Country Name City State
Belgium UZ Gent Ghent Oost-Vlaanderen

Sponsors (2)

Lead Sponsor Collaborator
University Ghent University of Toronto

Country where clinical trial is conducted

Belgium, 

References & Publications (3)

Doyen B, Gordon L, Soenens G, Bacher K, Vlerick P, Vermassen F, Grantcharov T, Van Herzeele I. Introduction of a surgical Black Box system in a hybrid angiosuite: Challenges and opportunities. Phys Med. 2020 Aug;76:77-84. doi: 10.1016/j.ejmp.2020.06.013. Epub 2020 Jun 29. — View Citation

Doyen B, Soenens G, Maurel B, Hertault A, Gordon L, Vlerick P, Vermassen F, Grantcharov T, van Herzeele I. Assessing endovascular team performances in a hybrid room using the Black Box system: a prospective cohort study. J Cardiovasc Surg (Torino). 2023 F — View Citation

Soenens G, Doyen B, Vlerick P, Vermassen F, Grantcharov T, Van Herzeele I. Assessment of Endovascular Team Performances Using a Comprehensive Data Capture Platform in the Hybrid Room: A Pilot Study. Eur J Vasc Endovasc Surg. 2021 Jun;61(6):1028-1029. doi: — View Citation

Outcome

Type Measure Description Time frame Safety issue
Other Team behavior Assessment of team behavior indicators (speaking up, knowledge sharing, collaboration) via direct video coding Through study completion, an average of 1.5 years
Other Leadership style Assessment of leadership style according to the 'full range of leadership' theory via direct video coding Through study completion, an average of 1.5 years
Primary Error Evaluate errors during elective endovascular procedures in a hybrid room (error rate) Intraoperative errors will be measured per case through study completion, an average of 1.5 years.
Secondary Technical skills - PVI Assess technical skills of the surgeon on Global rating scale (range: 8-40) (the higher the score, the better) Through study completion, an average of 1.5 years
Secondary Technical skills - EVAR - GRS Assess technical skills of the surgeon on Global rating scale (GRS) (range: 8-40) (the higher the score, the better) Through study completion, an average of 1.5 years
Secondary Technical skills - EVAR - PRS Assess technical skills of the surgeon on Procedure Specific rating scale (PRS) (range: 7-35) (the higher the score, the better) Through study completion, an average of 1.5 years
Secondary Technical skills - EVAR - EVARATE Assess technical skills of the surgeon on EVARATE (EndoVascular Aortic Repair Assessment of Technical Expertise) (range: 7-35) (the higher the score, the better) Through study completion, an average of 1.5 years
Secondary Non-technical skills - surgical team Assess non-technical skills of the surgeon via NOTSS (Non-Technical Skills for Surgeons) Through study completion, an average of 1.5 years
Secondary Non-technical skills - nursing team Assess non-technical skills of the surgeon via SPLINTS (Non-technical skills of the scrub practitioner) Through study completion, an average of 1.5 years
Secondary Distractions - auditory Assess distractions in the hybrid room: DiSI (Distractions in surgery index). Number and type of Auditory distractions Through study completion, an average of 1.5 years
Secondary Distractions - people Assess distractions in the hybrid room: DiSI (Distractions in surgery index). Maximal number of people in the room Through study completion, an average of 1.5 years
Secondary Distractions - doors Assess distractions in the hybrid room: DiSI (Distractions in surgery index). Number of times doors open Through study completion, an average of 1.5 years
Secondary Radiation Safety - dose DAP Assess radiation safety dose: Dose Area Product (DAP) Through study completion, an average of 1.5 years
Secondary Radiation Safety - dose AK Assess radiation safety dose: Air Kerma (AK) Through study completion, an average of 1.5 years
Secondary Radiation Safety - fluoroscopy time Assess radiation safety dose: Fluoroscopy time (FT) Through study completion, an average of 1.5 years
Secondary Radiation Safety - behavior Assess radiation safety behavior: Radiation safety scale (Range: 11-55) (the higher the score, the better) Through study completion, an average of 1.5 years
Secondary Error work culture Assess error work culture in the hybrid room via a baseline survey: 10 items, each scored on a 5-Point Likert scale Through study completion, an average of 1.5 years
Secondary Psycho-social well-being Assess psycho-social well-being of teammembers in the hybrid room via a pre and post procedure survey for each case Through study completion, an average of 1.5 years
Secondary Incident reports Assess number of incident reports (obligatory existing platform in the hospital to report incidents) during Operation Black Black Box (ORBB) cases - incident rate Through study completion, an average of 1.5 years
See also
  Status Clinical Trial Phase
Not yet recruiting NCT06043895 - EpiFaith CV for Central Venous Catheterization N/A
Not yet recruiting NCT05958108 - Effectivenness and Implementation of an Intervention to Improve Primary Care Patient Safety Phase 3
Recruiting NCT02574104 - Generalizing TESTPILOT to New Single Family Room NICUs N/A
Completed NCT00599209 - Health Information Technology in the Nursing Home N/A
Completed NCT04576299 - Health Care Workers' Perception of Patient Safety During COVID-19 Pandemic
Completed NCT03663491 - Necessity of Transnasal Gastroscopy in Routine Diagnostics - a Patient Centered Requirement Analysis N/A
Completed NCT00212927 - Continuity of Care and Outcomes After Discharge From Hospital N/A
Not yet recruiting NCT05062434 - An Intervention to Impact Cardiovascular Implantable Electronic Device Lead Models Implanted in Veterans N/A
Recruiting NCT06089239 - De-Implementing Fall Prevention Alarms in Hospitals N/A
Recruiting NCT04861025 - Siderails as a Measure of Physical Restraint. GERBAR Trial
Completed NCT04990986 - Co-Development and Evaluation of a Complex Intervention to Increase Medication Safety in Nursing Homes N/A
Recruiting NCT02955836 - Effectiveness of Monitoring Information System of Nursing Related Patient Safety and Quality Indicators N/A
Completed NCT01246544 - Helsinki Declaration on Patient Safety N/A
Recruiting NCT05530187 - ePRO-based Model of Care to Manage and Monitoring Symptoms of Cancer Patients Treated With Immune Checkpoint Inhibitors N/A
Recruiting NCT04176094 - Intensive Care Unit Resident Scheduling Trial N/A
Completed NCT05794490 - Learning From Excellence in a Hospital Unit
Recruiting NCT06269250 - Acceptance and Perceived Benefits of Digitalization by Medical Assistants
Recruiting NCT03105713 - Development and Implementation of Patient Safety Checklists Before, During and After In-hospital Surgery N/A
Completed NCT04184570 - Audit of International Intraoperative Hemotherapy and Blood Loss Documentation
Recruiting NCT04897087 - Openness and Learning Joint Commission: Using Patient Experience for Improvement Following a Patient Safety Event