Anne van Dalen

3 Implementing structured team debriefing using a Black Box in the operating room I 87 patient’s privacy. 19, 21, 22 Patient parameters were recorded and retrieved in real time via the anaesthesia monitor. All captured data were collected upon generation by the OR Black Box® encoder, stripped from personal identifiers and subsequently synchronized. Immediately following, the dataset was securely encrypted by the OR Black Box® system before it was transmitted to the Canadian contractor. This was done with secure Virtual Private Network technology (VPN) using a system push command upon action of the study investigator, immediately after procedural sign-out. Construction of the Black Box performance report TheORBlack Box®dataset was decrypted and analysed partly using software algorithms by the contractor, the Surgical Safety Centre (Canada, Toronto). Subsequently, deep- Figure 1. Overview of the operating theatre including position of the ceiling-mounted cameras and OR Black Box® microphones, attached to the operating theatre monitors.

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