Table 3 Perspectives around benefits and/or concerns with ORBB
Themes | Total | APPs | MDs | RNs | Other | Example statements |
|---|---|---|---|---|---|---|
OR Black Boxes (ORBB) benefit(s) | ||||||
Quality improvement | 20 | 2 | 4 | 10 | 2 | “Learning from emergency situations and ability to see how we can improve. esp. in terms of communication.” |
Patient safety | 15 | 1 | 2 | 10 | 0 | “It (ORBB) enhances patient safety measures.” |
Objective case review | 13 | 3 | 5 | 5 | 2 | “Objective documentation of exactly what was and was not said as well as documentation of events.” |
Teamwork | 7 | 2 | 1 | 4 | 0 | |
Communication | 4 | 0 | 1 | 4 | 0 | |
Learning | 3 | 1 | 1 | 2 | 0 | |
Process improvement | 3 | 0 | 1 | 1 | 0 | |
Performance | 2 | 0 | 1 | 1 | 0 | |
Compliance | 1 | 0 | 0 | 0 | 1 | |
Data | 1 | 0 | 0 | 1 | 0 | |
Handoffs | 1 | 0 | 0 | 1 | 0 | |
Metrics | 1 | 0 | 1 | 0 | 0 | |
ORBB concern(s) | ||||||
Psychological safety | 21 | 3 | 15 | 2 | 1 | “It removes all trust and team building in an operating room. It is a punitive measure that discourages open communication and improvement in patient care.” |
Privacy | 16 | 3 | 9 | 4 | 0 | “There is a significant concern for privacy, both from the perspective of constantly being video recorded and from the perspective of the safety of recorded data in the age of constant malware attacks on healthcare” institutions and their data centers |
Loss of trust | 9 | 1 | 8 | 0 | 0 | “I’m concerned the black box data will be used for punitive purposes or to scrutinize interpersonal communication instead of being used to improve safety.” |
Data security | 5 | 0 | 4 | 1 | 0 | |
Legal | 4 | 0 | 4 | 0 | 0 | |
Confidentiality | 2 | 2 | 0 | 0 | 0 | |
Impedes teamwork | 1 | 1 | 0 | 0 | 0 | |
Stigma | 1 | 0 | 1 | 0 | 0 | |
Anxiety | 1 | 1 | 0 | 0 | 0 | |
Morale | 1 | 0 | 1 | 0 | 0 | |
Patient safety | 1 | 0 | 1 | 0 | 0 | |
Consent | 1 | 0 | 0 | 1 | 0 | |
Technology | 1 | 0 | 0 | 0 | 1 | |