关键词: digital digital health digital method digital tool eHealth education feedback innovation learning medical education operative procedures review review methodology scoping review shared learning surgeon surgery surgical training

来  源:   DOI:10.2196/37544

Abstract:
BACKGROUND: Surgical innovation can lead to important improvements in patient outcomes. Currently, information and knowledge about novel procedures and devices are disseminated informally and in an unstandardized way (eg, through social media). This can lead to ineffective and inefficient knowledge sharing among surgeons, which can result in the harmful repetition of mistakes and delay in the uptake of promising innovation. Improvements are needed in the way that learning in surgical innovation is shared through the development of novel, real-time methods, informed by a contemporary and comprehensive investigation of existing methods.
OBJECTIVE: The aim of this scoping review is to explore the application of existing digital methods for training/education and feedback to surgeons in the context of performing invasive surgical procedures. This work will (1) summarize existing methods for shared learning in surgery and how they are characterized and operationalized, (2) examine the impact of their application, and (3) explore their benefits and barriers to implementation. The findings of this scoping review will inform the development of novel, real-time methods to optimize shared learning in surgical innovation.
METHODS: This study will adhere to the recommended guidelines for conducting scoping reviews. A total of 6 different searches will be conducted within multiple sources (2 electronic databases, journals, social media, gray literature, commercial websites, and snowball searches) to comprehensively identify relevant articles and data. Searches will be limited to articles published in the English language within the last 5 years. Wherever possible, a 2-stage study selection process will be followed whereby the eligibility of articles will be assessed through the title, abstract, and full-text screening independently by 2 reviewers. Inclusion criteria will be articles providing data on (1) fully qualified theater staff involved in performing invasive procedures, (2) one or more methods for shared learning (ie, digital means for training/education and feedback), and (3) qualitative or quantitative evaluations of this method. Data will be extracted (10% double data extraction by an independent reviewer) into a piloted proforma and analyzed using descriptive statistics, narrative summaries, and principles of thematic analysis.
RESULTS: The study commenced in October 2021 and is planned to be completed in 2023. To date, systematic searches were applied to 2 electronic databases (MEDLINE and Web of Science) and returned a total of 10,093 records. The results of this scoping review will be published as open access in a peer-reviewed journal.
CONCLUSIONS: This scoping review of methods for shared learning in surgery is, to our knowledge, the most comprehensive and up-to-date investigation that maps current information on this topic. Ultimately, efficient and effective sharing of information and knowledge of novel procedures and devices has the potential to optimize the evaluation of early-phase surgical research and reduce harmful innovation.
UNASSIGNED: PRR1-10.2196/37544.
摘要:
背景:外科创新可以显著改善患者的预后。目前,关于新程序和设备的信息和知识以非正式和非标准化的方式传播(例如,通过社交媒体)。这可能导致外科医生之间无效和低效的知识共享,这可能导致错误的有害重复和延迟吸收有希望的创新。需要改进的方式,在外科创新的学习是通过开发新的共享,实时方法,通过对现有方法的当代和全面的调查。
目的:本范围审查的目的是探索现有的数字方法在进行侵入性外科手术的背景下对外科医生进行培训/教育和反馈的应用。这项工作将(1)总结现有的手术共享学习方法,以及它们是如何表征和操作的,(2)检查其应用的影响,(3)探索其实施的好处和障碍。这项范围界定审查的结果将为小说的发展提供信息,外科创新中优化共享学习的实时方法。
方法:本研究将遵循推荐的范围审查指南。将在多个来源(2个电子数据库,期刊,社交媒体,灰色文学,商业网站,和滚雪球搜索),全面识别相关文章和数据。搜索将仅限于在过去5年内以英语发表的文章。只要有可能,将遵循两个阶段的研究选择过程,通过标题评估文章的资格,abstract,并由2名审稿人独立进行全文筛选。纳入标准将是提供有关(1)参与执行侵入性程序的完全合格剧院工作人员的数据的文章,(2)一种或多种共享学习的方法(即,培训/教育和反馈的数字手段),(3)对该方法进行定性或定量评价。数据将被提取(由独立审核人员提取10%的双倍数据)为试点形式,并使用描述性统计进行分析,叙述摘要,和主题分析的原则。
结果:该研究于2021年10月开始,计划于2023年完成。迄今为止,系统检索应用于2个电子数据库(MEDLINE和WebofScience),共返回10,093条记录.这项范围界定审查的结果将作为开放访问发表在同行评审的期刊上。
结论:对手术中共享学习方法的范围审查是,根据我们的知识,最全面和最新的调查,映射有关该主题的当前信息。最终,高效和有效地分享新程序和器械的信息和知识有可能优化早期外科研究的评估并减少有害的创新。
未经批准:PRR1-10.2196/37544。
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