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Annexes : bibliographie, annexes Langue : anglais Résumé :
Background Audiovisual recording technology, referred to as the Operating Room Black Box (ORBB), is increasingly adopted in operating rooms (ORs) across several countries. It is described as beneficial, with potential to improve training, performance, and patient safety. However, its implementation raises ethical and legal concerns, such as privacy, data security, and fears of misuse. These challenges require careful consideration alongside anticipated benefits. In France, ORBB use is emerging, yet no data exist on perceptions of professionals and patients. This study aims to identify obstacles and facilitators to ORBB implementation in French ORs.
Methods An observational, prospective, multicenter study was conducted, with questionnaire responses collected overall between 13 April 2023 and 16 July 2024. Three digital questionnaires were used: a 14-item questionnaire for anesthesia professionals, a 16-item questionnaire for surgical professionals, and a 16-item questionnaire for patients. These were distributed via partner organizations, including professional societies and patient associations. Data included sociodemographic information and opinions on risks, benefits, and conditions of ORBB implementation.
Results The study included responses from 831 participants: 45.5% anesthesia professionals, 38.6% surgical professionals, and 15.9% patients. While many professionals (80.7%) recognized educational benefits, concerns about privacy (77.8%) and anxiety from constant monitoring (80.1%) were prominent. Patient perspectives were generally supportive, with 84.8% in favor, and many viewed ORBB as enhancing accountability (77.3%). Nevertheless, privacy concerns remained (66.7%). [résumé auteurs]