Quality Assurance During Brain Aneurysm Microsurgery-Operative Error Teaching.

摘要: Introduction Quality assurance (QA) is a way to prevent mistakes in advance. Although it has been previously reported for surgical setup, there no effective approach minimizing microsurgical technical errors before an operation done. Neurosurgery resident operative during brain aneurysm surgery could be foreseen by practicing ex vivo hybrid simulator with microscopic fluorescein vessel flow image. Methods Five vascular neurosurgeons and 8 junior/senior neurosurgical residents voluntarily joined this research initiative. The following methodology was adopted: 1) Identification of the 7 most-common performance surgery; 2) Design exercises common microsurgery using placenta simulator; 3) Blinded staff neurosurgeon evaluation real microsurgery. Results All key steps perform such intervention were accomplished that uses 2 placentas, synthetic cranium, trained model had better fewer perioperative (P Conclusions There left-shift on quality line who practiced model. A multicentric prospective study necessary confirm hypothesis error reduced after training realistic simulator.