How serious are we about improving surgical quality? If we want to take the next step at improving the quality of our craft, we need to take advantage of the richest source of data available to us: operative video. Most efforts to improve surgical quality focus on optimizing care before surgery (eg, adhering to evidence-based processes around preventing wound infection and deep venous thrombosis) and the early recognition and treatment of complications to mitigate downstream harm (eg, failure to rescue). While these efforts will improve care, we need to push the frontier to improving what happens in the operating room—the quality of the operation itself.
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Dimick JB, Scott JW. A Video Is Worth a Thousand Operative Notes. JAMA Surg. 2019;154(5):389–390. doi:10.1001/jamasurg.2018.5247
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