This cross-sectional study used a medical data recorder (MDR) to assess intraoperative safety threats and resilience support events during 35 standard laparoscopic procedures. The research aimed to identify frequently discussed safety and quality improvement issues through structured postoperative multidisciplinary debriefings. Using the Systems Engineering Initiative for Patient Safety model, the study analyzed MDR outcome data, focusing on categories such as person, tasks, tools and technology, physical and external environment, and organization.

The results showed an average of 52.5 relevant events per surgery, with both resilience support and safety threat events most commonly related to interactions between persons. Communication failures emerged as the primary topic during team debriefings. The study concluded that patient safety threats were most frequently associated with communication, teamwork, and situational awareness. To enhance operating room safety culture, the authors recommend that educational and quality improvement initiatives focus on training the entire operating team, fostering a shared understanding of relevant safety issues.