Augmented Reality in Emergency Medicine: A Scoping Review

Munzer, Brendan W.; Khan, Mohammad Mairaj; Shipman, Barbara L.; Mahajan, Prashant

doi:10.2196/12368

Cited by 122 publications

(111 citation statements)

References 35 publications

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“…The selection process was carried out concurrently by two of the paper's authors, as recommended by Munzer et al [31]. They followed the PRISMA stages [28] of identi cation, screening, eligibility and inclusion, leading to the results in Fig.…”

Section: Study Selectionmentioning

confidence: 99%

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Santos

Fogliatto

Zani

et al. 2020

Preprint

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Background Surgical Tray Rationalization (STR) consists of a systematic reduction in the quantity of surgical instruments to perform specific procedures without compromising patient safety, while reducing losses in the sterilization and assembly of trays. STR is one example of initiatives to improve process performance that have been widely reported in industrial settings, but only recently have gained popularity in healthcare organizations. Methods We conduct a scoping review of the literature aiming at identifying and mapping available evidence on the topic of surgical tray management. Five methodological stages are implemented and reported; they are: identifying research questions, identifying relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Results We reviewed forty-eight articles on STR, which were grouped according to their main proposed approaches: expert analysis, lean practices, and mathematical programming. We identify the most frequently used techniques within each approach and point to their potential contributions to operational and economic dimensions of STR. We also consolidate our findings proposing a roadmap to STR, with four generic steps (prepare, rationalize, implement, and consolidate) and recommended associated techniques. Conclusions To the best of our knowledge, ours is the first study that reviews and systematizes the existing literature on the subject of STR. Our study closes with the proposition of directions for future research, which are presented as nine research questions associated with the four generic steps proposed in the STR roadmap.

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Section: Study Selectionmentioning

confidence: 99%

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Santos

Fogliatto

Zani

et al. 2020

Preprint

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“…It maintains the user's connections with the real world and synthesizes the virtual with the real. It typically involves a headset through which one can view a physical reality that has been expanded or supplemented by computer-generated sensory inputs such as sound, video, and graphics [ 2 ]. AR differs significantly from virtual reality (VR), as the latter is completely immersive (ie, the real [external] world is completely blocked by the headsets) [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Use of Augmented Reality in Teaching the Management of Anaphylactic Shock at the Primary Care Level: Protocol for a Randomized Controlled Trial

Klemenc–Ketiš¹,

Susič²,

Gorenjec³

et al. 2021

JMIR Res Protoc

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Background Augmented reality (AR) has benefits and feasibility in emergency medicine, especially in the clinical care of patients, in operating rooms and inpatient facilities, and in the education and training of emergency care providers, but current research on this topic is sparse. Objective The primary objective is to evaluate the short-term and long-term effectiveness of the use of AR in the treatment of patients with anaphylactic shock. The secondary objectives are to evaluate the safety in the treatment of patients with anaphylactic shock, evaluate the short-term and long-term effectiveness of stress management in this process, and determine the experiences and attitudes towards the use of AR in education. Methods The study will be conducted in 3 phases. In the first phase, we will develop and test the scenario for simulation of anaphylactic shock and the evaluation scale for assessing the effect of the intervention. In the second phase, a single-blinded, randomized controlled trial will be conducted. In the third phase, the use of AR in teaching the management of anaphylactic shock using focus groups will be evaluated qualitatively. All participants will participate in a 1-day training program consisting of a lecture on emergency care and anaphylactic shock as well as exercises in manual dexterity (aspiration, airway management, alternative airway management, artificial respiration, chest compressions, safe defibrillation, oxygen application, use of medication during emergency care). The test group will also focus on education about anaphylactic shock in AR (the intervention). The main outcome will be the evaluation of the participants' performance in coping with a simulated scenario of anaphylactic shock using a high-fidelity simulator (simulator with high levels of realism) and a standardized patient in an educational and clinical environment. The study will be conducted with primary care physicians. Results A scenario for the simulation with a high-fidelity simulator and standardized patient has already been developed. For the time being, we are developing an evaluation scale and starting to recruit participants. We plan to complete the recruitment of participants by the end of December 2020, start the randomized controlled trial in January 2021, and finish 1 year later. The first results are expected to be submitted for publication in 2021. Conclusions This will be the first study to evaluate the effectiveness of the use of AR in medical teaching. Specifically, it will be based on a clinical case of anaphylactic shock at the primary care level. With our study, we also want to evaluate the translation of these educational results into clinical practice and assess their long-term impact. Trial Registration ISRCTN Registry ISRCTN58047410; http://www.isrctn.com/ISRCTN58047410 International Registered Report Identifier (IRRID) ...

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“…AR enables its users to perform a variety of tasks, including displaying and manipulating information within one’s field of view, mapping virtual images to real objects and video conferencing. 22 23 Studies have demonstrated AR applications in multiple settings including an app-based medication management plan and medication adherence for patients, 24 25 teaching anatomy to students allowing educators to deviate from a traditional classroom setting, 22 simulating objects aids in surgery to better visualise organs 22 26 27 and improving tracking technique in rehabilitation for better physical outcomes. 28 29 Thus, the AR systems support visualising invisible or abstract concepts and promoting conceptual understanding of dynamic models and complex causality.…”

Section: Introductionmentioning

confidence: 99%

“…Many systematic and scoping reviews have been conducted in AR. However, most of these reviews focused on applications of AR in broad fields such as medicine 32 and nursing 33 or specialised fields such as surgery, 34 neurosurgery, 27 otolaryngology, 35 dentistry, 36 emergency medicine 22 and so on. Sherstyuk et al reviewed the current state of mixed reality manikins for medical education.…”

Section: Introductionmentioning

confidence: 99%

Augmented reality in patient education and health literacy: a scoping review protocol

et al. 2020

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BackgroundHealth literacy enables the patients in understanding the basic healthcare information and taking informed health decisions; thus, it is a desirable goal of any healthcare system. It increases patients’ adherence to treatment, improves the quality of care and eases the overall burden on the healthcare system. In recent years, technological solutions are being increasingly used in educating patients and achieving better health literacy. Augmented reality (AR) provides powerful, contextual and situated learning experiences and supplements the real world with virtual objects. AR could potentially be an effective learning methodology for the patients, thus, warranting a comprehensive overview of the current state of AR in patient education and health literacy.MethodsThe proposed scoping review will be based on the framework developed by Arksey and O’Malley, including the refinements suggested by Levac et al. A systematic search for references in the published literature will be conducted in nine research databases—Institute of Electrical and Electronics Engineers (IEEE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, PsycInfo, Embase, Web of Science, Scopus, Association for Computing Machinery (ACM) and Association for Information Systems eLibrary (AISeL). The unpublished studies from ProQuest Dissertations and Theses, Conference Proceedings Citation Index and grey literature references obtained from a web search will also be included. Databases will be searched from inception to 14 January 2020. Two independent reviewers will screen the studies from the search results in two successive stages of title/abstract screening followed by full-text screening. Data variables will be extracted from the selected studies to characterise study design, type of AR technology employed and the relational factors affecting patient education. Lastly, key stakeholders will be consulted to gather their insights about the study findings.Ethics and disseminationThe results will be disseminated through stakeholder meetings and conference presentations. The data used are from publicly available secondary sources, so this study does not require ethical review.

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Augmented Reality in Emergency Medicine: A Scoping Review

Cited by 122 publications

References 35 publications

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

Effectiveness of the Use of Augmented Reality in Teaching the Management of Anaphylactic Shock at the Primary Care Level: Protocol for a Randomized Controlled Trial

Augmented reality in patient education and health literacy: a scoping review protocol

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