Introduction of an Operating Room Black Box to Identify, Analyse and Prevent Errors in the Vascular Hybrid Room

Technical skills - PVI

Assess technical skills of the surgeon on Global rating scale (range: 8-40) (the higher the score, the better)

Time frame: Through study completion, an average of 1.5 years

Technical skills - EVAR - GRS

Assess technical skills of the surgeon on Global rating scale (GRS) (range: 8-40) (the higher the score, the better)

Time frame: Through study completion, an average of 1.5 years

Technical skills - EVAR - PRS

Assess technical skills of the surgeon on Procedure Specific rating scale (PRS) (range: 7-35) (the higher the score, the better)

Time frame: Through study completion, an average of 1.5 years

Technical skills - EVAR - EVARATE

Assess technical skills of the surgeon on EVARATE (EndoVascular Aortic Repair Assessment of Technical Expertise) (range: 7-35) (the higher the score, the better)

Time frame: Through study completion, an average of 1.5 years

Non-technical skills - surgical team

Assess non-technical skills of the surgeon via NOTSS (Non-Technical Skills for Surgeons)

Time frame: Through study completion, an average of 1.5 years

Non-technical skills - nursing team

Assess non-technical skills of the surgeon via SPLINTS (Non-technical skills of the scrub practitioner)

Time frame: Through study completion, an average of 1.5 years

Distractions - auditory

Assess distractions in the hybrid room: DiSI (Distractions in surgery index). Number and type of Auditory distractions

Time frame: Through study completion, an average of 1.5 years

Distractions - people

Assess distractions in the hybrid room: DiSI (Distractions in surgery index). Maximal number of people in the room

Time frame: Through study completion, an average of 1.5 years

Distractions - doors

Assess distractions in the hybrid room: DiSI (Distractions in surgery index). Number of times doors open

Time frame: Through study completion, an average of 1.5 years

Radiation Safety - dose DAP

Assess radiation safety dose: Dose Area Product (DAP)

Time frame: Through study completion, an average of 1.5 years

Radiation Safety - dose AK

Assess radiation safety dose: Air Kerma (AK)

Time frame: Through study completion, an average of 1.5 years

Radiation Safety - fluoroscopy time

Assess radiation safety dose: Fluoroscopy time (FT)

Time frame: Through study completion, an average of 1.5 years

Radiation Safety - behavior

Assess radiation safety behavior: Radiation safety scale (Range: 11-55) (the higher the score, the better)

Time frame: Through study completion, an average of 1.5 years

Error work culture

Assess error work culture in the hybrid room via a baseline survey: 10 items, each scored on a 5-Point Likert scale

Time frame: Through study completion, an average of 1.5 years

Psycho-social well-being

Assess psycho-social well-being of teammembers in the hybrid room via a pre and post procedure survey for each case

Time frame: Through study completion, an average of 1.5 years

Incident reports

Assess number of incident reports (obligatory existing platform in the hospital to report incidents) during Operation Black Black Box (ORBB) cases - incident rate

Time frame: Through study completion, an average of 1.5 years

Technical Readiness and Acceptance

Team's technical readiness and acceptance towards a new technology (Lumiguide) in the hybrid operating room

Time frame: january 2023 until december 2025

Cognitive load

Measured using the NASA-TLX

Time frame: From January 1st 2023 until January 1st 2025