ReviewThe British journal of surgery2019
Legal perspectives on black box recording devices in the operating environment.
Review in The British journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses 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
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Enhancing Surgical Safety and Efficiency: Systematic Review and Single-Arm Meta-Analysis of Surgical Data Recorders.Journal of medical Internet research · 2025Pooled it
- Ethical perspectives on surgical video recording for patients, surgeons and society: systematic review.BJS open · 2023Pooled it
- The OR black box in urology: A survey on patient acceptance and confidence in AI-assisted surgery.BJUI compass · 2026Article
- Point-of-View Video Recording Devices in Plastic Surgery: Educational Utility and Medicolegal Documentation Potential.ANZ journal of surgery · 2026Article
- Tackling Administrative Burden in Graduate Medical Education: Consider AI-Powered Tools.Journal of graduate medical education · 2026Article
- Reply to Coelho-Prabhu et al.Endoscopy international open · 2026Article
- Patient rights and consent form language about intraoperative audiovisual recording.Surgical endoscopy · 2025Article
- Video recording in GI endoscopy.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025Article
- Advancing healthcare practice and education via data sharing: demonstrating the utility of open data by training an artificial intelligence model to assess cardiopulmonary resuscitation skills.Advances in health sciences education : theory and practice · 2025Article
- Article
- Smart Operating Room in Digestive Surgery: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Characterizing nursing time with patients using computer vision.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2024Article
- Current trends and barriers to video management and analytics as a tool for surgeon skilling.Surgical endoscopy · 2024Article
- Charting Tomorrow's Healthcare: A Traditional Literature Review for an Artificial Intelligence-Driven Future.Cureus · 2024Review
- Enhancing surgical performance in cardiothoracic surgery with innovations from computer vision and artificial intelligence: a narrative review.Journal of cardiothoracic surgery · 2024Review
- Video-based Coaching: Current Status and Role in Surgical Practice, Part II- Practical Implementation and Risk Mitigation from the Society for Surgery of the Alimentary Tract, Health Care Quality and Outcomes Committee.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Review
- Implementation of an Innovative Technology Called the OR Black Box: A Feasibility Study.Surgical innovation · 2023Observational
- Intraoperative video recording in otolaryngology for surgical education: evolution and considerations.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023Review
- Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.BMJ open quality · 2022Article
- Computer vision in surgery: from potential to clinical value.NPJ digital medicine · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA video and medical data recorder in the operating theatre is possible, but concerns over privacy, data use and litigation have limited widespread implementation. The literature on legal considerations and challenges to overcome, and guidelines related to use of data recording in the surgical environment, are presented in this narrative review.
methodsA review of PubMed and Embase databases and Cochrane Library was undertaken. International jurisprudence on the topic was searched. Practice recommendations and legal perspectives were acquired based on experience with implementation and use of a video and medical data recorder in the operating theatre.
resultsAfter removing duplicates, 116 citations were retrieved and abstracts screened; 31 articles were assessed for eligibility and 20 papers were finally included. According to the European General Data Protection Regulation and US Health Insurance Portability and Accountability Act, researchers are required to make sure that personal data collected from patients and healthcare professionals are used fairly and lawfully, for limited and specifically stated purposes, in an adequate and relevant manner, kept safe and secure, and stored for no longer than is absolutely necessary. Data collected for the sole purpose of healthcare quality improvement are not required to be added to the patient's medical record.
conclusionTransparency on the use and purpose of recorded data should be ensured to both staff and patients. The recorded video data do not need to be used as evidence in court if patient medical records are well maintained. Clear legislation on data responsibility is needed to use the medical recorder optimally for quality improvement initiatives.
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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.