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Related Experiment Video

Updated: Mar 31, 2026

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
08:34

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Inconsistent reporting of minimally invasive surgery errors.

A D White1,2, M Skelton2, F Mushtaq2

  • 1Leeds Teaching Hospitals NHS Trust , UK.

Annals of the Royal College of Surgeons of England
|October 24, 2015
PubMed
Summary
This summary is machine-generated.

Minimally invasive surgery (MIS) technical errors are frequent, with inconsistent reporting among surgeons. A confidential reporting system could improve patient safety and public trust.

Keywords:
Decision makingLaparoscopyMedical errorsMinimally invasive surgery

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Area of Science:

  • Surgical error analysis
  • Patient safety research
  • Minimally invasive surgery (MIS)

Background:

  • Minimally invasive surgery (MIS) demands high cognitive function and dexterity.
  • Routine technical errors in MIS are underresearched compared to surgical 'never events'.
  • Little is known about the frequency, patient outcomes, and reporting consistency of MIS errors.

Purpose of the Study:

  • To investigate the occurrence of technical errors in minimally invasive surgery (MIS).
  • To assess the consistency and accuracy of error reporting among surgeons.
  • To identify factors influencing error prevalence and reporting in MIS.

Main Methods:

  • An electronic survey was distributed to members of the Association of Surgeons of Great Britain and Ireland.
  • The survey collected data on surgeon demographics, experience, and MIS error reporting.
  • Respondents rated factors affecting error prevalence and their reporting practices.

Main Results:

  • 47% of surgeons reported a significant personal error; 75% observed a colleague's error.
  • Technical skill, knowledge, situational awareness, and decision-making are crucial for error avoidance.
  • Error reporting was inconsistent: 15% didn't report intraoperative errors to patients, 50% inconsistently reported institutionally.
  • 12% were unaware of reporting procedures; 59% desired guidance; 40% favored confidential reporting.

Conclusions:

  • Inconsistent reporting of operative errors in MIS necessitates further understanding of error occurrence.
  • A confidential, 'no blame' reporting system is recommended to enhance patient outcomes.
  • Improving reporting can counteract a closed culture, thereby bolstering public confidence in MIS.