ReviewBMJ quality & safety2016
Observation for assessment of clinician performance: a narrative review.
Review in BMJ quality & safety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between video-based assessment of intraoperative technical performance and patient outcomes: a systematic review.Surgical endoscopy · 2022Pooled it
- Development and evaluation of a technology-enhanced simulation to measure physician decision making in trauma triage.PloS one · 2026Article
- Does the Surgical Safety Checklist need a co-pilot? Comparing adherence in gynecological surgery through electronic medical records and OR Black Box video observations.Surgical endoscopy · 2025Observational
- How clinicians discuss patients' donor registrations of consent and presumed consent in donor conversations in an opt-out system: a qualitative embedded multiple-case study.Critical care (London, England) · 2023Article
- Implementation of an Innovative Technology Called the OR Black Box: A Feasibility Study.Surgical innovation · 2023Observational
- Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping.Birth (Berkeley, Calif.) · 2022Review
- An Analysis of Gender Bias in Plastic Surgery Resident Assessment.Journal of graduate medical education · 2021Article
- Use of a Clinical Audit System in Implementing Surviving Sepsis Campaign Guidelines in Patients With Peritonitis.Cureus · 2021Article
- Antimicrobial Time-Out for Vancomycin by Infectious Disease Physicians Versus Clinical Pharmacists: A Before-After Crossover Trial.Open forum infectious diseases · 2021Article
- Nursing Students' Knowledge of Patient Safety and Development of Competences Over their Academic Years: Findings from a Longitudinal Study.Zdravstveno varstvo · 2021Article
- Enhancing sleep quality for nursing home residents with dementia: a pragmatic randomized controlled trial of an evidence-based frontline huddling program.BMC geriatrics · 2021Article
- Article
- Impact of an Electronic Health Service on Child Participation in Pediatric Oncology Care: Quasiexperimental Study.Journal of medical Internet research · 2020Article
- What can surgery learn from other high-performance disciplines?Annals of medicine and surgery (2012) · 2020Article
- Resilience in the Surgical Scheduling to Support Adaptive Scheduling System.International journal of environmental research and public health · 2020Article
- Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways - an observational study in primary care.BMC health services research · 2020Observational
- Development of a Program to Support VA Community Living Centers' Quality Improvement.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019Article
- A qualitative study of cardiovascular disease risk communication in NHS Health Check using different risk calculators: protocol for the RIsk COmmunication in NHS Health Check (RICO) study.BMC family practice · 2019Article
- Article
- Applying a Theory-Driven Framework to Guide Quality Improvement Efforts in Nursing Homes: The LOCK Model.The Gerontologist · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundVideo recorded and in-person observations are methods of quality assessment and monitoring that have been employed in high risk industries. In the medical field, observations have been used to evaluate the quality and safety of various clinical processes. This review summarises studies utilising video recorded or in-person observations for assessing clinician performance in medicine and surgery.
methodsA search of MEDLINE (PubMed) was conducted using a combination of medical subject headings (MeSH) terms. Articles were included if they described the use of in-person or video recorded observations to assess clinician practices in three categories: (1) teamwork and communication between clinicians; (2) errors and weaknesses in practice; and (3) compliance and adherence to interventions or guidelines.
resultsThe initial search criteria returned 3215 studies, 223 of which were identified for full text review. A total of 69 studies were included in the final set of literature. Observations were most commonly used in data dense and high risk environments, such as the emergency department or operating room. The most common use was for assessing teamwork and communication factors.
conclusionsObservations are useful for the improvement of healthcare delivery through the identification of clinician lapses and weaknesses that affect quality and safety. Limitations of observations include the Hawthorne effect and the necessity of trained observers to capture and analyse the notes or videos. The comprehensive, subtle and sensitive information observations provided can supplement traditional quality assessment methods and inform targeted interventions to improve patient safety and the quality of care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.