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Capturing intra-operative safety information using surgical wikis.

Michael Edwards¹, Riaz Agha, Jane Coughlan

¹Department of Surgery, Friarage Hospital, Northallerton, North Yorkshire, UK. michael@wikisurgery.com

Informatics for Health & Social Care

|January 18, 2013

Summary

Surgical wikis can capture extensive intra-operative details for complex procedures like abdominal aortic aneurysm grafting. This knowledge sharing platform enhances trainee learning and optimizes operating time for safer surgical outcomes.

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Area of Science:

Medical Informatics
Surgical Education
Digital Health

Background:

Expert surgeons rely on comprehensive intra-operative data for safe procedures.
Reduced operating room time for trainees limits traditional knowledge acquisition.
Wikis present an underexplored method for capturing and sharing surgical expertise.

Purpose of the Study:

To analyze the potential of surgical wikis in knowledge dissemination.
To assess the feasibility of capturing detailed intra-operative information for trainee education.
To explore wiki utility in enhancing surgical safety.

Main Methods:

A surgical wiki was developed to document abdominal aortic aneurysm grafting procedures.
Operative details were structured as a script and analyzed for safety information.

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Content analysis classified types of safety information within the wiki script.

Main Results:

The wiki script contained 2,743 essential intra-operative surgical information items.
155 (5.7%) items were identified as specific intra-operative safety checks.
Analysis covered best-case, worse-case, and rare scenarios, detailing numerous safety checks.

Conclusions:

Surgical wikis are highly relevant for knowledge sharing in surgical practice.
Wikis can optimize trainee operating time by providing detailed procedural information.
A significant volume of critical information for safe major operations can be effectively captured via wikis.