Assessment of Endovascular Team Performances Using a Data Capture Platform in the Hybrid Room

The hybrid room (HR) presents a challenging environment for surgical teams, necessitating mastery of diverse skills to minimize errors and enhance patient safety. A pilot study evaluated the use of the OR Black Box®, to analyze team performance during endovascular procedures. This observational study captured audiovisual data and procedural details from a range of elective surgeries, including endovascular abdominal aorto-iliac aneurysm repairs and treatments for symptomatic atherosclerotic disease. The findings revealed varying levels of technical and non-technical performance, with notable areas for improvement identified in communication and leadership.

The study demonstrated the feasibility of utilizing OR Black Box for workplace-based assessments, enabling a comprehensive evaluation of team dynamics, radiation safety practices, and environmental distractions. While all technical outcomes were successful in the evaluated procedures, non-technical skills often rated poorly, highlighting the need for targeted quality improvement initiatives. Future plans include a large-scale baseline study to catalogue near misses and errors, alongside implementing educational interventions to enhance safety practices and team performance, ultimately aiming to optimize patient safety and care outcomes.