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Surgical Innovation
November 13, 2019

Measuring and Teaching Intraoperative Decision-Making Using the Visual Concordance Test: Deliberate Practice of Advanced Cognitive Skills

Author Affiliations
  • 1Division of General Surgery, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada
  • 2Department of Surgery, Columbia University Medical Center, New York, New York
  • 3Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan
JAMA Surg. Published online November 13, 2019. doi:https://doi.org/10.1001/jamasurg.2019.4415

Many operative complications have root causes that can be traced back to a lapse in judgment or errors in decision-making during surgery.1,2 The process of decision-making is very situation dependent, often without an obvious answer, making it extremely complex to define and measure. This issue has become more pronounced in an era of increased emphasis on patient safety and intraoperative performance.

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