Evidence map›Paper›PMID 34272111›Full record

ReviewThe British journal of oral & maxillofacial surgery2021

Dual surgeon operating to improve patient safety.

R Ellis, J A Hardie, D J Summerton, P A Brennan

Open access · bronzeAbstract readReview
In one paragraph

Review in The British journal of oral & maxillofacial surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Human factors in orthopaedic surgery: making the right decisions in complexity.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

R EllisIntercollegiate Committee for Basic Surgical Examinations, United Kingdom; Urology Department, Nottingham University Hospitals, Nottingham, United Kingdom. Electronic address: Rickyellis@nhs.net.
J A HardieTrauma & Orthopaedic Department, Frimley Park Hospital, Camberley GU16 7UJ, United Kingdom.
D J SummertonDepartment of Urology, University Hospitals of Leicester NHS Trust, Leicester LE5 4PW, United Kingdom.
P A BrennanIntercollegiate Committee for Basic Surgical Examinations, United Kingdom; Maxillofacial Unit, Queen Alexandra Hospital, Portsmouth PO6 3LY, United Kingdom.
Frimley Park Hospital · GBQueen Alexandra Hospital · GBScottish Intercollegiate Guidelines Network · GBUniversity Hospitals of Leicester NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic resulted in an unprecedented reduction in the delivery of surgical services worldwide, especially in non-urgent, non-cancer procedures. A prolonged period without operating (or 'layoff period') can result in surgeons experiencing skill fade (both technical and non-technical) and a loss of confidence. While senior surgeons in the UK may be General Medical Council (GMC) validated and capable of performing a procedure, a loss of 'currency' may increase the risk of error and intraoperative patient harm, particularly if unexpected or adverse events are encountered. Dual surgeon operating may mitigate risks to patient safety as surgeons regain currency while returning to non-urgent operating and may also be beneficial after the greatly reduced activity observed during the COVID-19 pandemic for low-volume complex operations. In addition, it could be a useful tool for annual appraisal, sharing updated surgical techniques and helping team cohesion. This paper explores lessons from aviation, a leading industry in human factors principles, for regaining surgical skills currency. We discuss real and perceived barriers to dual surgeon operating including finance, training, substantial patient waiting lists, and intraoperative power dynamics.

Indexed as

COVID-19SurgeonsClinical CompetenceHumansPandemicsPatient SafetySARS-CoV-2COVID19Human factorsPatient safetySurgerySurgical training

Identifiers

PMID34272111
PMCPMC8276090
OpenAlexW3133087593

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.