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Capturing intraoperative process deviations using a direct observational approach: the glitch method
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  • Published on:
    Structured team self-report of intraoperative error can identify patient safety improvement targets.
    • Rachael A Lear, Senior clinical academic staff nurse
    • Other Contributors:
      • Dean Godfrey, Celia Riga, Nick Cheshire, Colin Bicknell

    Morgan and colleagues elegantly propose the glitch methodology as an effective means to identify process deviations that could impact on the quality or speed of surgical procedures (1). We support the authors' suggestion that the analysis of glitch patterns may facilitate the development of interventions to improve patient safety in the operating theatre across a range of domains.

    The development of a common...

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    Conflict of Interest:
    None declared.