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Understanding the influence of human and organizational factors on surgeon performance to enhance patient outcomes: experimental evaluation of a customized coaching program

Objective

Individual performance of surgeon is a core element of successful surgery that can vary greatly over career for poorly understood reasons. Solutions to optimize physical and mental condition of surgeon during operation have not been thoroughly explored so far, while this may represent basic foundation for delivering high quality surgery. This surgeon-centred outcome research pursues three successive goals: 1-Identifying the key determinants related to surgeon's human factor and operating room organization influencing his/her performance in terms of patient safety and care efficiency; 2-Developing a customized coaching program for surgeons based on the human and organizational factors previously discovered, which includes a charting system for individual parameters and surgical outcomes feedback, profiling of individual surgeon, and standardized modules of improvement; 3-Implementing and measuring the impact of this program on surgical outcomes of a randomized group of surgeons against a control group of non-exposed surgeons. Inspired from previous experiences in the aeronautic and sport arena to improve pilots and athletes performance, our approach will take place in real time at the point of care in close collaboration with front-line personnel. A particular attention will be paid to quantify the influence of several factors that may affect how the surgeon operates every day (physiological stress, sleep quality, physical activities, workload, team composition and unplanned events in operating room). Generated knowledge on these factors will be exploited for identifying deficiencies that, if corrected, could improve surgeon's functional capacity. Solutions to control these factors and achieve optimal outcomes will then be experimentally tested to establish evidence-based standards of surgical practice. Those standards will be adapted to each surgeon's needs and preferences, potentially leading to a certification model for surgeons complying with excellence criteria.

Field of science

  • /medical and health sciences/clinical medicine/surgery

Call for proposal

ERC-2018-STG
See other projects for this call

Funding Scheme

ERC-STG - Starting Grant

Host institution

UNIVERSITE LYON 1 CLAUDE BERNARD
Address
Boulevard Du 11 Novembre 1918 Num43
69622 Villeurbanne Cedex
France
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 1 499 818

Beneficiaries (1)

UNIVERSITE LYON 1 CLAUDE BERNARD
France
EU contribution
€ 1 499 818
Address
Boulevard Du 11 Novembre 1918 Num43
69622 Villeurbanne Cedex
Activity type
Higher or Secondary Education Establishments