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Wagenaar, Britt (author)The Netherlands is experiencing a significant increase in its aging population. Multi morbidity and a rapidly growing shortage of healthcare personnel are putting pressure on the healthcare system, leading to capacity issues. The capacity problems of care have medical, safety, social, and economic consequences. Policy measures are needed to...master thesis 2023
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de Rouw, Lieke (author)INTRODUCTION Surgical counting of instruments forms a crucial part of safety procedures in the operating room (OR). This process has remained primitive without technological support. The manual count process is time-consuming and places heavy cognitive demands on nurses. Current technological approaches fail to detect the exact and detailed...master thesis 2023
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Doornkamp, S.M. (author), Jabeen, F. (author), Treur, J. (author), Rob Taal, H. (author), Roelofsma, Peter (author)Previous reports show that a substantial proportion of (near) medical errors in the operating theatre is attributable to ineffective communication between healthcare professionals. Speaking up about observed medical errors is a safety behaviour which promotes effective communication between health care professionals, consequently optimising...journal article 2023
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Hardon, S.F. (author), Willuth, E. (author), Rahimi, A. Masie (author), Lang, F. (author), Haney, Caelan M. (author), Felinska, Eleni A. (author), Kowalewski, Karl Friedrich (author), Müller-Stich, Beat P. (author), van der Peet, Donald L. (author), Daams, Freek (author), Nickel, F. (author), Horeman, T. (author)Introduction: Robot-assisted surgery is often performed by experienced laparoscopic surgeons. However, this technique requires a different set of technical skills and surgeons are expected to alternate between these approaches. The aim of this study is to investigate the crossover effects when switching between laparoscopic and robot-assisted...journal article 2023
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- Overgaard, Søren (author), Grupp, Thomas M. (author), Nelissen, R.G.H.H. (author), Cristofolini, Luca (author), Lübbeke, Anne (author), Jäger, Marcus (author), Fink, Matthias (author), Achakri, Hassan (author), Benazzo, Francesco (author), Günther, Klaus-Peter (author) review 2023
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- Marang-van de Mheen, P.J. (author), Thomas, Eric J. (author), Graber, Mark L. (author) contribution to periodical 2023
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Boddy, Nicholas (author), Barclay, Stephen (author), Bashford, Tom (author), Clarkson, P.J. (author)Background: Poor communication to GPs at hospital discharge threatens patient safety and continuity of care, with reliance on discharge summaries that are commonly written by the most junior doctors. Previous quality improvement efforts have largely focused on adherence to standardised templates, with limited success. A lack of understanding...journal article 2022
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Hardon, S.F. (author), Rahimi, A. (author), Postema, R.R. (author), Willuth, E. (author), Mintz, Y. (author), Arezzo, A. (author), Dankelman, J. (author), Nickel, F. (author), Horeman, T. (author), Sanchez Margallo, J.A. (author)The complexity of handheld steerable laparoscopic instruments (SLI) may impair the learning curve compared to conventional instruments when first utilized. This study aimed to provide the current state of interest in the use of SLI, the current use of these in daily practice and the type of training which is conducted before using SLI in the...journal article 2022
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Bos, Kelly (author), Dongelmans, Dave A. (author), Groeneweg, J. (author), Legemate, Dink A. (author), Leistikow, Ian P. (author), Van Der Laan, Maarten J. (author)Background The recurrence of sentinel events (SEs) is a persistent problem worldwide, despite repeated analyses and recommendations formulated to prevent recurrence. Research suggests this is partly attributable to the quality of the recommendations, and determining if a recommendation will be effective is not yet covered by an adequate...journal article 2021
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van Grevenstein, W. M.U. (author), van der Linde, E. M. (author), Heetman, J. G. (author), Lange, J. F. (author), ten Cate, Th J. (author), Wauben, L.S.G.L. (author), Dekker-van Doorn, C. M. (author)Objective: Medical Crew Resource Management (CRM) training courses are designed to increase patient safety by reducing the effects of human errors. These training courses are most popular in surgery and a wide range of medical CRM training courses for surgical teams is now available. However, the effects of these CRM training courses on...journal article 2021
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Hardon, S.F. (author), Kooijmans, A.M. (author), Horeman, Roel (author), van der Elst, M. (author), Bloemendaal, Alexander L.A. (author), Horeman, T. (author)Background: As global use of surgical robotic systems is steadily increasing, surgical simulation can be an excellent way for robotic surgeons to acquire and retain their skills in a safe environment. To address the need for training in less wealthy parts of the world, an affordable surgical robot simulator (PoLaRS) was designed. Methods: The...journal article 2021
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van Trier, Teun (author)The operating room and central sterile supply department (CSSD) are two<br/>resource-intensive healthcare departments. Reducing the environmental and financial impact of these departments is of great importance in the global debate on sustainability. Removing unnecessary items from instrument trays may provide a partial solution. However,...master thesis 2019
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Hardon, S.F. (author), van Kasteren, R. J. (author), Dankelman, J. (author), Bonjer, H. J. (author), Tuynman, J. B. (author), Horeman, T. (author)Background: Transanal total mesorectal excision (TaTME) is associated with a relatively long learning curve. Force, motion, and time parameters are increasingly used for objective assessment of skills to enhance laparoscopic training efficacy. The aim of this study was to identify relevant metrics for accurate skill assessment in more complex...journal article 2019
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Parekh, Nikesh (author), Stevenson, Jennifer M. (author), Schiff, Rebekah (author), Davies, Graham (author), Bremner, Stephen (author), van der Cammen, T.J.M. (author), Harchowal, Jatinder (author), Rajkumar, Chakravarthi (author), Ali, Khalid (author)Aims: Medication-related harm (MRH) is common in older adults following hospital discharge. In resource-limited health systems, interventions to reduce this risk can be targeted at high-risk patients. This study aims to determine whether (1) doctors can predict which older patients will experience MRH requiring healthcare following hospital...journal article 2018
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Meeuwsen, F.C. (author), van Luyn, F. (author), Blikkendaal, M. D. (author), Jansen, F.W. (author), van den Dobbelsteen, J.J. (author)Background: Surgical Process Modelling (SPM) offers the possibility to automatically gain insight in the surgical workflow, with the potential to improve OR logistics and surgical care. Most studies have focussed on phase recognition modelling of the laparoscopic cholecystectomy, because of its standard and frequent execution. To demonstrate...journal article 2018
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Meeuwsen, F.C. (author), Guédon, A.C.P. (author), Klein, J. (author), van der Elst, Maarten (author), Dankelman, J. (author), van den Dobbelsteen, J.J. (author)Introduction: Electrosurgery is used in 80% of surgical procedures. The technique allows surgeons to skilfully dissect tissues and achieve haemostasis. Since improper use of electrosurgery can lead to serious adverse events, training is required to potentially reduce the number and severity of these events. In this study we evaluate education...journal article 2018
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Loeve, A.J. (author)In 2015, a multi-resistant Klebsiella pneumonia bacteria (“MR Klebsiella”) was found in two Olympus video duodenoscopes of the type TJF-Q180V in the Utrecht University Medical Center (“UMC Utrecht”) after the culturing of flush samples (sterile physiological saline), which were sent through the suction and biopsy channels. This report describes...report 2017
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Meeuwsen, F.C. (author), Guédon, A.C.P. (author), Arkenbout, E.A. (author), van der Elst, Maarten (author), Dankelman, J. (author), van den Dobbelsteen, J.J. (author)The benefits of electrosurgery have been acknowledged since the early 1920s, and nowadays more than 80% of surgical procedures involve devices that apply energy to tissues. Despite its widespread use, it is currently unknown how the operator's choices with regard to instrument selection and application technique are related to complications....journal article 2017
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Blikkendaal, Mathijs D. (author), Driessen, Sara R C (author), Rodrigues, Sharon P. (author), Rhemrev, Johann P T (author), Smeets, Maddy J G H (author), Dankelman, J. (author), van den Dobbelsteen, J.J. (author), Jansen, F.W. (author)Background: Minimally invasive surgery (MIS) is frequently compromised by surgical flow disturbances due to technology- and equipment-related failures. Compared with MIS in a conventional cart-based OR, performing MIS in a dedicated integrated operating room (OR) is supposed to be beneficial to patient safety. The aim of this study was to...journal article 2017
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Driessen, Sara R C (author), Sandberg, Evelien M. (author), Rodrigues, Sharon P. (author), van Zwet, Erik W. (author), Jansen, F.W. (author)Background: Since the introduction of minimally invasive surgery (MIS), concerns for patient safety are more often brought to the attention. Knowledge about and awareness of patient safety risk factors are crucial in order to improve and enhance the surgical team, the environment, and finally surgical performance. The aim of this study was to...journal article 2017
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