Surgeon, anesthesiologist, interventional radiologist, interventional cardiologist, and nurse experience with intraoperative adverse event (iAE) reporting
You have been selected to participate to the survey according to strict inclusion criteria [ClinicalTrials.gov (NCT049943920)]. Please do not share this questionnaire or part of it.

---
You are invited to participate in a research study. Your participation is voluntary. This document explains information about this study. You should ask questions about anything that is unclear to you.

In total, the survey should take no more than 10 minutes.

PURPOSE
The purpose of this study is two-fold. First, we hope to better understand surgeons, anesthesiologists, interventional cardiologists, interventional radiologists, and nurses' perceptions and experiences surrounding intraoperative adverse event reporting. Second, we hope to globally validate the utility of a recently developed intraoperative adverse event reporting guidelines, known as the Intraoperative Complication Assessment and Reporting with Universal Standards (ICARUS) Guidelines. We also hope to determine the applicability of the ICARUS guidelines in various surgical specialties.  You are invited as a possible participant because of your surgical or procedural experience. The study is registered in ClinicalTrials.gov (NCT049943920)

This questionnaire is divided into seven parts as following

PART 1 - Demographics and expertise                  
PART 2 - Intraoperative Adverse Event (iAE) Definitions
PART 3 - Intraoperative Adverse Event (iAE) Experience
PART 4 - Intraoperative Adverse Event (iAE) Perception
PART 5 - How to improve Intraoperative Adverse Event (iAE) Reporting
PART 6 - ICARUS Reporting Guidelines Global Assessment
PART 7 - Resources and tools for Grading and Reporting the iAEs

PARTICIPANT INVOLVEMENT
Participants will be asked to answer a series of questions regarding their surgical or procedure practice and experience related to intraoperative adverse event reporting. Participants will also be asked to read and then evaluate a set of 13 intraoperative adverse event reporting criteria. There are no additional requirements for participation in this study beyond the completion of the survey.

PAYMENT/COMPENSATION FOR PARTICIPATION
Participation in this study is voluntary and there is no compensation for participation in this study.

ALTERNATIVES TO PARTICIPATION
You have the option to not participate in this study.

CONFIDENTIALITY
The members of the research team and the University of Southern California Institutional Review Board (IRB) may access the data. The IRB reviews and monitors research studies to protect the rights and welfare of research subjects.

Data collected in the survey will remain anonymous. No effort will be made to identify or contact participants.

If any personally identifiable information is found in the survey, it will immediately be removed by the study personnel and will not be stored.

Some participants may choose to provide their information for purposes of public acknowledgment of participation as part of a future study manuscript. In order to protect the anonymity of survey responses, this information will be collected separately from survey data.

INVESTIGATOR CONTACT INFORMATION
If you have any questions about this study, please contact the primary investigator Giovanni E. Cacciamani, MD by email giovanni.cacciamani@med.usc.edu 

IRB CONTACT INFORMATION
If you have any questions about your rights as a research participant, please contact the University of Southern California Institutional Review Board at (323) 442-0114 or email irb@usc.edu.  

Sign in to Google to save your progress. Learn more
Titolo predefinito
Please note that all survey responses will be anonymized. If you are interested in having your name included in the acknowledgment of a future publication related to the ICARUS Survey, space will be provided at the completion of the survey.
Clicking "next" indicates that you have read and understood the above information and agree to participate in this study:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report