Error tolerance: an evaluation of residents' repeated motor coordination errors.

Abstract:

BACKGROUND:The study investigates the relationship between motor coordination errors and total errors using a human factors framework. We hypothesize motor coordination errors will correlate with total errors and provide validity evidence for error tolerance as a performance metric. METHODS:Residents' laparoscopic skills were evaluated during a simulated laparoscopic ventral hernia repair for motor coordination errors when grasping for intra-abdominal mesh or suture. Tolerance was defined as repeated, failed attempts to correct an error and the time required to recover. RESULTS:Residents (N = 20) committed an average of 15.45 (standard deviation [SD] = 4.61) errors and 1.70 (SD = 2.25) motor coordination errors during mesh placement. Total errors correlated with motor coordination errors (r[18] = .572, P = .008). On average, residents required 5.09 recovery attempts for 1 motor coordination error (SD = 3.15). Recovery approaches correlated to total error load (r[13] = .592, P = .02). CONCLUSIONS:Residents' motor coordination errors and recovery approaches predict total error load. Error tolerance proved to be a valid assessment metric relating to overall performance.

journal_name

Am J Surg

authors

Law KE,Gwillim EC,Ray RD,D'Angelo AD,Cohen ER,Fiers RM,Rutherford DN,Pugh CM

doi

10.1016/j.amjsurg.2016.07.003

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

609-614

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(16)30377-4

journal_volume

212

pub_type

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