Eye of the beholder: Risk calculators and barriers to adoption in surgical trainees.

Surgery
Ira L LeedsFabian M Johnston

Abstract

Accurate risk assessment before surgery is complex and hampered by behavioral factors. Underutilized risk-based decision-support tools may counteract these barriers. The purpose of this study was to identify perceptions of and barriers to the use of surgical risk-assessment tools and assess the importance of data framing as a barrier to adoption in surgical trainees. We distributed a survey and risk assessment activity to surgical trainees at four training institutions. The primary outcomes of this study were descriptive risk assessment practices currently performed by residents, identifiable influences and obstacles to adoption, and the variability of preference sets when comparing modified System Usability Scores of a current risk calculator to a purpose-built calculator revision. Risk calculator comparison responses were compared with simple and multivariable regression to identify predictors for preferentiality. We collected responses from 124 surgical residents (39% response rate). Participants endorsed familiarity with direct verbal communication (100%), sketch diagrams (87%), and brochures (59%). The most contemporary risk communication frameworks, such as best-worst case scenario framing (38%), case-specific risk calcul...Continue Reading

Citations

Dec 12, 2019·JAMA Surgery·Tyler J LoftusAzra Bihorac
Dec 11, 2020·Minerva anestesiologica·Elena G BignamiValentina Bellini
Jul 16, 2021·Annals of Surgery·Tyler J LoftusAzra Bihorac

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