ArticleThe British journal of surgery2021
Effects of structured intraoperative briefings on patient outcomes: multicentre before-and-after study.
Article in The British journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Intraoperative Ergonomic Microbreaks on Surgeons' Well-Being and Performance: A Systematic Review.World journal of surgery · 2026Pooled it
- Feeling better informed and more confident to speak up in the operating room: team effects of a structured intraoperative briefing intervention - a before-after study.BMJ open quality · 2026Article
- Effects of reflection-through-action on collaborative clinical reasoning skills in an emergency dental simulation.Advances in simulation (London, England) · 2026Article
- Generative AI in simulation debriefings: an exploratory study using the Team-FIRST framework and qualitative feedback from simulation experts and learners.Advances in simulation (London, England) · 2026Article
- Impact of case-specific learning goal on robotic-assisted surgery care delivery.Global surgical education : journal of the Association for Surgical Education · 2026Article
- ORchestra: a reflective model for harmonized surgical team communication.Perioperative medicine (London, England) · 2025Article
- Article
- Behavioral sciences applied to acute care teams: a research agenda for the years ahead by a European research network.BMC health services research · 2024Article
- Nontechnical Skills for Intraoperative Team Members.Anesthesiology clinics · 2023Review
- Non-technical skills and teamwork in trauma: from the emergency department to the operating room.Frontiers in medicine · 2023Review
- No signs of check-list fatigue - introducing the StOP? intra-operative briefing enhances the quality of an established pre-operative briefing in a pre-post intervention study.Frontiers in psychology · 2023Article
- Article
- Reporting of patient safety incidents in minimally invasive thoracic surgery: a national registered thoracic surgeons experience for improvement of patient safety.Interactive cardiovascular and thoracic surgery · 2022Article
- A quality improvement initiative using peer audit and feedback to improve compliance.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOperations require collaboration between surgeons, anaesthetia professionals, and nurses. The aim of this study was to determine whether intraoperative briefings influence patient outcomes.
methodsIn a before-and-after controlled trial (9 months baseline; 9 months intervention), intraoperative briefings were introduced in four general surgery centres between 2015 and 2018. During the operation, the responsible surgeon (most senior surgeon present) briefed the surgical team using the StOP? protocol about: progress of the operation (Status), next steps (Objectives), possible problems (Problems), and encouraged asking questions (?). Differences between baseline and intervention were analysed regarding surgical-site infections (primary outcome), mortality, unplanned reoperations, and duration of hospital stay (secondary outcomes), using inverse probability of treatment (IPT) weighting based on propensity scores.
resultsIn total, 8256 patients underwent surgery in the study. Endpoint data were available for 7745 patients (93.8 per cent). IPT-weighted and adjusted intention-to-treat analyses showed no differences in surgical-site infections between baseline and intervention (9.8 versus 9.6 per cent respectively; adjusted difference (AD) -0.15 (95 per cent c.i. -1.45 to 1.14) per cent; odds ratio (OR) 0.92, 95 per cent c.i. 0.83 to 1.15; P = 0.797), but there were reductions in mortality (1.6 versus 1.1 per cent; AD -0.54 (-1.04 to -0.03) per cent; OR 0.60, 0.39 to 0.92; P = 0.018), unplanned reoperations (6.4 versus 4.8 per cent; AD -1.66 (-2.69 to -0.62) per cent; OR 0.72, 0.59 to 0.89; P = 0.002), and fewer prolonged hospital stays (21.6 versus 19.8 per cent; AD -1.82 (-3.48 to -0.15) per cent; OR 0.87, 0.77 to 0.98; P = 0.024).
conclusionShort intraoperative briefings improve patient outcomes and should be performed routinely.
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