Neoflix
  • Welcome
    • Welcome
    • Who is this for?
    • Quick-start
      • FAQ's
    • Neoflix
      • Make every clinical encounter a learning opportunity
      • Streamlining neonatal Care: a success story
      • How it works
  • LEVEL 1: Fundamentals
    • LEVEL 1: FUNDAMENTALS
    • 1. Preproduction
      • 1.1 Beyond the procedure
      • 1.2 Use cases
      • 1.3 History of videorecording in healthcare
      • 1.4 Unburdening the process
    • 2. Planning your initiative
      • 2.1 Pioneer team
      • 2.2 Gaining team buy-in
      • 2.3 Resources
    • 3. Safe, Simple & Small
      • 3.1 Safe
      • 3.2 Simple
      • 3.3 Small
    • 4. Learning from success stories
      • NICU in Philadelphia, Pennsylvania, USA
      • NICU in Vienna, Austria
      • NICU in Melbourne, Australia
      • NICU in Leiden, the Netherlands
      • 4.1 Share your experience
  • LEVEL 2: In Action
    • LEVEL 2: In action
    • RECORD
    • 5. Preparation and Consent
      • 5.1 Obtain Consent
      • 5.2 Case selection
      • 5.3 Privacy Considerations
    • 6. Recording equipment
      • 6.1 Fixed cameras
      • 6.2 Mobile cameras
      • 6.3 Wearable cameras
      • 6.4 Patient monitoring systems
      • 6.5 Motion-detecting cameras
    • 7. Creating footage
      • 7.1 Steady Footage
      • 7.2 Clear Audio
      • 7.3 Lighting
    • 8. Recording during the Intervention
      • 8.1 Positioning
      • 8.2 Settings
      • 8.3 During recording
    • 9. After the Intervention
      • 9.1 File Transfer and Backup
      • 9.2 Simple Video Editing
      • 9.3 Metadata and Archiving
    • REFLECT
    • 10. Previewing
      • 10.1 Questions to ask during previewing
    • 11. Let's Neoflix
      • 11.1 Getting the most out of your Neoflix session
      • 11.2 A Safe Learning Environment
      • 11.3 Tasks of the chair
      • 11.4 Unlocking Insights
    • REFINE
    • 12. Improving Care Through the Neoflix approach
    • 13.1 The Neoflix approach
      • 13.1 Protocol or equipment adjustment
      • 13.2 Input for research
      • 13.3 Learning from variety or best practices
      • 13.4 Development of training programs or educational material
    • 14. Education and training
    • 15. Recordings for research
    • 16. Tool for implementing new practices
  • Level 3: Growth
    • LEVEL 3: GROWTH
    • 17. Continuous Improvement
    • 18. Expanding Your Video Program
      • 18.1 Revolutionize Reflection in Medical Care: Join the Network
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  • Resources & teamwork
  • Tips & tricks
  • Developing your own protocol

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  1. LEVEL 1: Fundamentals
  2. 2. Planning your initiative

2.3 Resources

Previous2.2 Gaining team buy-inNext3. Safe, Simple & Small

Last updated 9 months ago

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Resources & teamwork

  • Helpful Tools: Provide , presentations, and .

  • Defined Roles: Establish who manages videos, chairs reviews, etc., including a for a well-rounded team.

  • Provider Control: Voluntary participation and keeps providers in control of their participation.

  • Addressing Concerns: Listen actively and provide honest, transparent responses.

  • Collaborative Spirit: Involve all relevant staff when scheduling reviews. Management support reinforces the initiative's importance.

Tips & tricks

Developing your own protocol

The following protocol is an example that can be used to get management permission for implementing a video review pilot program:

Sample of a video review protocol for improving care

INTRODUCTION Video review offers a valuable tool for reflection and improvement in emergency or intensive care settings. This protocol outlines its implementation. GOAL Enhance quality of care through video review as an educational tool. Improve both technical and non-technical skills during emergency interventions.

PREBRIEFING

  • Pre-briefing:

    • Management informs staff (nursing & medical) about the pilot program, emphasizing a safe learning environment.

    • Gain staff buy-in through newsletters, handovers, and meetings.

  • Considerations:

    • Importance of obtaining consent at all stages.

    • Maintaining patient privacy

PROCEDURE

  1. Before Intervention:

    • Obtain consent from the entire team performing the intervention. (No recording if someone refuses)

    • Identify a recorder and camera position.

    • (Optional) Seek verbal consent from patient/family (when only used for quality assurance, not mandatory)

  2. Post-intervention:

    • Standard post-briefing.

    • Re-obtain consent for video review (unused if refused)

    • Recordings stored on a secure server, accessible only to authorized personnel.

  3. Previewing by Caregivers:

    • Obtain consent for using the video in the review session (unused if refused)

REVIEW

Video Review Session:

  • Focus: Learning from successes and variations in care.

  • Duration: Maximum 30 minutes

  • Timing: 2-3 weeks after the procedure, during nurse handover (inviting medical staff)

POST-REVIEW

  • Recordings deleted after use.

  • Lessons learned inform future quality improvement initiatives.

Medico-Legal Issues:

  • Incidents may be captured.

  • Legal proceedings may require retaining evidence.

  • Patient consent not mandatory for quality improvement (GDPR guidelines followed).

  • All team members consented before/after recording and review. (Patient consent sought when possible).

  • Legal counsel reviewed the protocol.

  • Video data deleted after study completion.

  • Standard practice includes video monitoring of patients in rooms.

  • Recordings deemed an extension of standard care with patient consent (educational/research purposes).

Informed Consent:

  • Not mandatory for quality improvement.

  • Encouraged to obtain verbal consent from patients/families.

  • Refusal to consent prevents recording.

  • Triple consent process for caregivers ensures control throughout.

Other considerations:

  • Hawthorne effect: potential for heightened performance (often positive) due to being observed.

Action research on the department of Neonatology of the LUMC has resulted in the development of the following guideline:

Streamline Recording:

Gentle Reminders for Recording:

Encourage providers to record care during handovers or other points, but avoid pressuring them.

Voluntarily

Enrich recordings:

Audio for non-technical skills:

Patient/Parent review (neonatal):

Explore the possibility of showing recordings to patients or parents in neonatology for feedback and care improvement.

supporting articles
FAQs
mix of disciplines
consent at multiple stages

in initiating video recording procedures.

Make recording and reviewing , providers choose themselves if they want to record their interventions.

Consider including alongside intubation footage for a more comprehensive review.

Leverage to evaluate communication, teamwork, and collaboration during procedures.

Minimize the number of steps involved
voluntary
respiratory data or videolaryngoscopy
audio
Quality improvement initiative: implementing and redefining video review of real-time neonatal procedures using action researchBMJ Open Quality
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