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A Video Is Worth a Thousand Operative Notes.
JAMA Surgery ( IF 16.9 ) Pub Date : 2019-05-01 , DOI: 10.1001/jamasurg.2018.5247
Justin B Dimick 1, 2 , John W Scott 3
Affiliation  

How serious are we about improving surgical quality? If we want to take the next step at improving the quality of our craft, we need to take advantage of the richest source of data available to us: operative video. Most efforts to improve surgical quality focus on optimizing care before surgery (eg, adhering to evidence-based processes around preventing wound infection and deep venous thrombosis) and the early recognition and treatment of complications to mitigate downstream harm (eg, failure to rescue). While these efforts will improve care, we need to push the frontier to improving what happens in the operating room—the quality of the operation itself.



中文翻译:

视频值得一千个手术笔记。

我们对提高手术质量有多认真?如果我们想采取下一步措施来提高工艺质量,就需要利用可提供给我们的最丰富的数据资源:手术录像。提高手术质量的大多数努力都集中在优化手术前的护理(例如,坚持围绕预防伤口感染和深静脉血栓形成的循证过程)以及及早发现和治疗并发症以减轻下游危害(例如,无法挽救)。尽管这些努力将改善护理水平,但我们需要推动前沿领域来改善手术室中发生的事情-手术本身的质量。

更新日期:2019-05-16
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