Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff
Background:. Surgery has seen limited adoption of 360-degree feedback tools, and no current tools evaluate intraoperative performance from a technical, nontechnical, or teaching skill perspective. We sought to evaluate the overall findings and perceived value of a novel 360-degree feedback tool for...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-12-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000532 |
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| author | Stefanie J. Soelling, MD, MPH Robert D. Sinyard, MD Lauren Spigel, MPH Max Riley, MD Paul Gregory, PhD Nick Perdomo, MS Yves Sonnay, MScPH Steven Yule, PhD Steven J. Fishman, MD Douglas S. Smink, MD, MPH, FACS |
| author_facet | Stefanie J. Soelling, MD, MPH Robert D. Sinyard, MD Lauren Spigel, MPH Max Riley, MD Paul Gregory, PhD Nick Perdomo, MS Yves Sonnay, MScPH Steven Yule, PhD Steven J. Fishman, MD Douglas S. Smink, MD, MPH, FACS |
| author_sort | Stefanie J. Soelling, MD, MPH |
| collection | DOAJ |
| description | Background:. Surgery has seen limited adoption of 360-degree feedback tools, and no current tools evaluate intraoperative performance from a technical, nontechnical, or teaching skill perspective. We sought to evaluate the overall findings and perceived value of a novel 360-degree feedback tool for surgeons from their operating room colleagues.
Methods:. The ‘intraoperative 360’ (i360) combined 3 previously validated scales of surgeon performance. The electronic medical record at a single academic medical center was queried for perioperative staff involvement in recent cases for a cohort of surgeons. Staff with frequent surgeon case involvement were emailed a link to an anonymous i360 survey. Aggregated survey responses were provided to surgeons and surgical leadership. We performed semi-structured interviews with 10 surgeons and 5 surgical leaders. Combined inductive and deductive coding was used to determine their perceptions regarding the utility of and barriers to the i360.
Results:. Over 2-years, a total of 960 surveys were completed for 88 surgeons. The composite rating of technical skills was 4.87/5 (SD: 0.36); nontechnical skills, 4.65/5 (SD: 0.55); and teaching skills, 2.92/3 (SD: 0.24). There was no difference in mean scores based on gender, age, or years of tenure. Six themes emerged from the interviews: initial reactions, utility, additional needs, other feedback mechanisms, reciprocal feedback, and logistical challenges.
Conclusions:. A 360-degree feedback tool is feasible, and feedback is perceived as valuable and actionable for surgeons and surgeon leaders. The intraoperative focus provided surgeons with specific feedback on how to improve within the operating room to promote efficiency, teamwork, and patient safety. |
| format | Article |
| id | doaj-art-23d1f6bc014340d595f85a797243cd42 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-23d1f6bc014340d595f85a797243cd422025-01-24T09:18:59ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-12-0154e53210.1097/AS9.0000000000000532202412000-00037Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative StaffStefanie J. Soelling, MD, MPH0Robert D. Sinyard, MD1Lauren Spigel, MPH2Max Riley, MD3Paul Gregory, PhD4Nick Perdomo, MS5Yves Sonnay, MScPH6Steven Yule, PhD7Steven J. Fishman, MD8Douglas S. Smink, MD, MPH, FACS9From the * Department of Surgery, Brigham & Women’s Hospital, Boston, MA† Ariadne Labs, Harvard School of Public Health, Brigham and Women’s Hospital, Boston, MA† Ariadne Labs, Harvard School of Public Health, Brigham and Women’s Hospital, Boston, MAFrom the * Department of Surgery, Brigham & Women’s Hospital, Boston, MA§ Pulse 360, Inc., Orlando, FL§ Pulse 360, Inc., Orlando, FL† Ariadne Labs, Harvard School of Public Health, Brigham and Women’s Hospital, Boston, MA∥ College of Medicine and Veterinary Sciences, Usher Institute, Unversity of Edinburgh, Edinburgh, UK¶ Department of Surgery, Boston Children’s Hospital, Boston, MA.From the * Department of Surgery, Brigham & Women’s Hospital, Boston, MABackground:. Surgery has seen limited adoption of 360-degree feedback tools, and no current tools evaluate intraoperative performance from a technical, nontechnical, or teaching skill perspective. We sought to evaluate the overall findings and perceived value of a novel 360-degree feedback tool for surgeons from their operating room colleagues. Methods:. The ‘intraoperative 360’ (i360) combined 3 previously validated scales of surgeon performance. The electronic medical record at a single academic medical center was queried for perioperative staff involvement in recent cases for a cohort of surgeons. Staff with frequent surgeon case involvement were emailed a link to an anonymous i360 survey. Aggregated survey responses were provided to surgeons and surgical leadership. We performed semi-structured interviews with 10 surgeons and 5 surgical leaders. Combined inductive and deductive coding was used to determine their perceptions regarding the utility of and barriers to the i360. Results:. Over 2-years, a total of 960 surveys were completed for 88 surgeons. The composite rating of technical skills was 4.87/5 (SD: 0.36); nontechnical skills, 4.65/5 (SD: 0.55); and teaching skills, 2.92/3 (SD: 0.24). There was no difference in mean scores based on gender, age, or years of tenure. Six themes emerged from the interviews: initial reactions, utility, additional needs, other feedback mechanisms, reciprocal feedback, and logistical challenges. Conclusions:. A 360-degree feedback tool is feasible, and feedback is perceived as valuable and actionable for surgeons and surgeon leaders. The intraoperative focus provided surgeons with specific feedback on how to improve within the operating room to promote efficiency, teamwork, and patient safety.http://journals.lww.com/10.1097/AS9.0000000000000532 |
| spellingShingle | Stefanie J. Soelling, MD, MPH Robert D. Sinyard, MD Lauren Spigel, MPH Max Riley, MD Paul Gregory, PhD Nick Perdomo, MS Yves Sonnay, MScPH Steven Yule, PhD Steven J. Fishman, MD Douglas S. Smink, MD, MPH, FACS Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff Annals of Surgery Open |
| title | Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff |
| title_full | Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff |
| title_fullStr | Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff |
| title_full_unstemmed | Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff |
| title_short | Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff |
| title_sort | gaining insight into operative performance analysis of an automated 360 degree feedback tool among perioperative staff |
| url | http://journals.lww.com/10.1097/AS9.0000000000000532 |
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