2019
DOI: 10.1053/j.semtcvs.2018.12.003
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First Reported Use of Team Cognitive Workload for Root Cause Analysis in Cardiac Surgery

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Cited by 26 publications
(17 citation statements)
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“…New technological developments allow to measure strain in terms of physiological changes over time, in particular in relation to the stress experienced by the OR teams (e.g. heart rate variability) [1,9]. Although, these new technologies are not likely to replace data collected based on subjective experiences of OR team members, they may measure complementary facets of strain [27].…”
Section: Guided Reports To Measure Strainmentioning
confidence: 99%
See 1 more Smart Citation
“…New technological developments allow to measure strain in terms of physiological changes over time, in particular in relation to the stress experienced by the OR teams (e.g. heart rate variability) [1,9]. Although, these new technologies are not likely to replace data collected based on subjective experiences of OR team members, they may measure complementary facets of strain [27].…”
Section: Guided Reports To Measure Strainmentioning
confidence: 99%
“…For OR team members, strain can emerge from multiple sources, including task, collaboration, technology, ambiguity and patient care related time pressure [7,8]. It is crucial to identify phases of high strain in the OR because strain through high workload or stress was found to decrease surgical technical performance, non technical skills and to impair anesthesiologists' perceptions of relevant information [9][10][11][12] Because strain is influenced by tasks and interactions in OR teams, strain is not constant during surgery. Phases of high strain may be followed by routine, low strain phases.…”
mentioning
confidence: 99%
“…MWL is important in the context of surgery due to growing evidence of the influence of cognition and cognitive errors on surgical performance [ 12 , 13 ], and can be accurately and reliably measured via objective means. Heart rate variability (HRV) is the most extensively utilized measure of workload during surgery [ 14 ], and evidence supports its accuracy in reflecting mental workload and procedure workload levels in complex systems [ 15 , 16 ], including surgery [ 17 ].…”
Section: Introductionmentioning
confidence: 99%
“…The aim of this study is to investigate the relationship between providers’ MWL and surgical phases within aortic valve replacement (AVR) and coronary artery bypass graft (CABG) surgeries at a tertiary academic hospital, with special interest in the pre-incision time-out phase. Given recent evidence suggesting that mirrored changes in team workload reflect the presence of shared team-wide mental models [ 17 , 18 ], we hypothesized that providers’ MWL would reveal mirrored team workload states across individuals during a formal, well-executed pre-incision time-out.…”
Section: Introductionmentioning
confidence: 99%
“…Our Medical Robotics and Computer Assisted Surgery (MRCAS) Lab team has previously described the use of HRV to monitor cognitive workload of surgical team members in a real-world setting [ 15 , 16 , 17 ], while other groups have used functional NIRS (fNIRS) in conjunction with HR during experimental surgical tasks [ 18 , 19 ]. The pilot study reported here is novel in the use for the first time of both HRV and NIRS to simultaneously monitor providers’ cognitive workload during real-world complex surgery.…”
Section: Introductionmentioning
confidence: 99%