The American Journal of Surgery
Volume 195, Issue 2 , Pages 183-188 , February 2008

Judgment analysis: a method for quantitative evaluation of trainee surgeons’ judgments of surgical risk

  • Ros Jacklin, M.B.B.S., M.A., M.R.C.S.

      Affiliations

    • Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, Imperial College London, 10th Floor, QEQM, St. Mary’s Hospital, South Wharf Rd., London, W2 1NY, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44-020-7886-6311; fax: +44-020-7886-1810.
    • ,
  • Nick Sevdalis, B.Sc., M.Sc., Ph.D.

      Affiliations

    • Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, Imperial College London, 10th Floor, QEQM, St. Mary’s Hospital, South Wharf Rd., London, W2 1NY, UK
    • National Patient Safety Agency, London, UK
    • ,
  • Clare Harries, B.Sc., Ph.D.

      Affiliations

    • University College London, London, UK
    • ,
  • Ara Darzi, M.B.B.S., M.D.

      Affiliations

    • Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, Imperial College London, 10th Floor, QEQM, St. Mary’s Hospital, South Wharf Rd., London, W2 1NY, UK
    • ,
  • Charles Vincent, B.A., M.Phil., Ph.D.

      Affiliations

    • Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, Imperial College London, 10th Floor, QEQM, St. Mary’s Hospital, South Wharf Rd., London, W2 1NY, UK

Received 23 April 2007 ,Revised 25 September 2007

References 

  1. The New Intercollegiate Curriculum for Surgical Education. London: Intercollegiate Surgical Curriculum Project; 2005;
  2. Nisbett RE, Wilson TD. Telling more than we can know: Verbal reports on mental processes. Psychol Rev. 1977;84:231–259
  3. Cooksey R. Judgment analysis. London: Academic Press Limited; 1996;
  4. Nakeeb A, Comuzzie AG, Martin L, et al. Gallstones: genetics versus environment. Ann Surg. 2002;235:842–849
  5. NHS Institute for Innovation and Improvement. Focus on cholecystectomy. Coventry, UK: Department of Health; 2006;
  6. Tang B, Cuschieri A. Conversions during laparoscopic cholecystectomy: risk factors and effects on patient outcome. J Gastrointest Surg. 2006;10:1081–1091
  7. Schrenk P, Woisetschlager R, Rieger R, et al. A diagnostic score to predict the difficulty of a laparoscopic cholecystectomy from preoperative variables. Surg Endosc. 1998;12:148–150
  8. Giger UF, Michel JM, Opitz I, et al. Risk factors for perioperative complications in patients undergoing laparoscopic cholecystectomy: analysis of 22,953 consecutive cases from the Swiss Association of Laparoscopic and Thoracoscopic Surgery database. J Am Coll Surg. 2003;5:723–728
  9. Kama NA, Kologlu M, Doganay M, et al. A risk score for conversion from laparoscopic to open cholecystectomy. Am J Surg. 2001;181:520–525
  10. MacCormick A, Parry B. Judgment analysis of surgeons’ prioritisation of patients for elective general surgery. Med Decis Making. 2006;26:255
  11. Kee , et al. Urgency and priority for cardiac surgery: a clinical judgment analysis. BMJ. 1998;316:925–929
  12. Bruins HH, Cooksey RW. JANNET, a neural network approach to judgment analysis. 2000;Available from: www.library.uu.nl/digiarchief/dip/diss/1966871/c4.pdf.

PII: S0002-9610(07)00881-1

doi: 10.1016/j.amjsurg.2007.09.031

The American Journal of Surgery
Volume 195, Issue 2 , Pages 183-188 , February 2008

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