caa a22 4500 606214852 CHVBK 20210128105229.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00701-014-2326-z doi (NATIONALLICENCE)springer-10.1007/s00701-014-2326-z Side errors in neurosurgery and human factors training [Elektronische Daten] [Patrick Mitchell, Trevor Dale] Background: We previously reported on a series of side errors in cranial neurosurgery that occurred around the UK before the year 2006. That survey was prompted by a cluster of six cranial and spinal side errors that occurred in the neurosurgery department in Newcastle upon Tyne during the year 2006. The report was part of our investigation into the problem and how to solve it. Methods: A human factors training programme was run in the department in response to a further side error. All 125 members of the neurosurgical theatre staff attended 1 of 5 training days. Fifteen days of professional observation and coaching were held within the theatre suite. Time between errors was recorded. The success or otherwise of human factors measures such as checking and briefing was observed. Results: A side checking system was adopted and became universal. Pre-list briefing meetings were adopted and quickly became widely used but took several years to become universal. Post-list debriefing meetings were introduced but were not widely adopted and quickly fell out of use. Mean time between side errors was 2months pre-intervention, 18months after introducing a standardised checking system and 82 error free months had passed since the human factors training programme. Conclusions: Side errors in neurosurgery can be reduced by a combination of systematic checking and education. We suspect that education is useful in reducing error rates from low to very low but, as is generally true of human factor interventions, the evidence for this is soft. The Author(s), 2015 Human factors nationallicence Crew resource management nationallicence Side errors nationallicence Surgery nationallicence Briefing nationallicence Safety nationallicence Mitchell Patrick Department of Neurosurgery, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut Dale Trevor Atrainability, Maraquita, 42 Horsham Road, GU6 8DU, Cranleigh, Surrey, UK aut Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 487-491 0001-6268 157:3<487 2015 157 701 https://doi.org/10.1007/s00701-014-2326-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2326-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mitchell Patrick Department of Neurosurgery, Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Dale Trevor Atrainability, Maraquita, 42 Horsham Road, GU6 8DU, Cranleigh, Surrey, UK aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 487-491 0001-6268 157:3<487 2015 157 701 SWISSBIB 606214283