Factors influencing surgeons' intraoperative leadership: video analysis of unanticipated events in the operating room.

Background The achievement of surgical goals and the successful functioning of operating room (OR) teams are dependent on leadership. The attending surgeon is a team leader during an operation, with responsibility for task accomplishment by the clinical team. This study examined surgeons’ leadership behaviors during surgical procedures, with particular reference to the effect of intraoperative events on leadership.