New technologies for information retrieval to achieve situational awareness and higher patient safety in the surgical operating room: the MRI institutional approach and review of the literature

Kranzfelder, Michael; Schneider, Armin; Gillen, Sonja; Feußner, H.

doi:10.1007/s00464-010-1239-z

Cited by 31 publications

(24 citation statements)

References 38 publications

(54 reference statements)

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“…of the senior surgeon, assisting the procedure to the resident in case of a bleeding from one OR table side to the other, indicates his/her takeover of the operation. In combination with the respective anaesthesiological (decreased blood pressure, increased heartbeat) and peripheral OR device data (suction > irrigation volume, appliance of coagulation > cutting current [2]) imminent risky situations could be automatically determined, adequate security mechanisms quickly inaugurated (intensive care unit alert, call of another senior surgeon) and thereby patients' safety increased.…”

Section: Discussionmentioning

confidence: 99%

“…These systems should not only retrieve data from the procedure [1] but, by online data analysis, be able to interpret whether the course of the operation is normal or deviating from the schedule (''situation awareness'') [2]. However, the implementation of this ''intelligent system in the background'' in a surgical environment is by far more demanding than under technical or industrial conditions [3].…”

Section: Introductionmentioning

confidence: 99%

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Real-Time Monitoring for Detection of Retained Surgical Sponges and Team Motion in the Surgical Operation Room Using Radio-Frequency-Identification (RFID) Technology: A Preclinical Evaluation

Kranzfelder

Zywitza

Jell

et al. 2012

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Real-Time Monitoring for Detection of Retained Surgical Sponges and Team Motion in the Surgical Operation Room Using Radio-Frequency-Identification (RFID) Technology: A Preclinical Evaluation

Kranzfelder

Zywitza

Jell

et al. 2012

Journal of Surgical Research

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“…Object instance detection is similar to that of medication and blood tracking, which has been studied by others [14] [19]. These prior studies, however, were based on short-range technologies, such as barcode readers or lowfrequency RFID.…”

Section: Detecting Object Parameters With Rfidmentioning

confidence: 97%

“…While simple activities can be recognized using on-body sensors [4], complex activities require additional cues such as body location [5] [12] [14], speech [14], or objects in use [5] [6][10] [19] [28].…”

Section: Related Workmentioning

confidence: 99%

Passive RFID for Object and Use Detection during Trauma Resuscitation

Parlak

Marsic

Sarcevic

et al. 2016

IEEE Trans. on Mobile Comput.

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We evaluated passive radio-frequency identification (RFID) technology for detecting the use of objects and related activities during trauma resuscitation. Our system consisted of RFID tags and antennas, optimally placed for object detection, as well as algorithms for processing the RFID data to infer object use. To evaluate our approach, we tagged 81 objects in the resuscitation room and recorded RFID signal strength during 32 simulated resuscitations performed by trauma teams. We then analyzed RFID data to identify cues for recognizing resuscitation activities. Using these cues, we extracted descriptive features and applied machine-learning techniques to monitor interactions with objects. Our results show that an instance of a used object can be detected with accuracy rates greater than 90 percent in a crowded and fast-paced medical setting using off-the-shelf RFID equipment, and the time and duration of use can be identified with up to 83 percent accuracy. Our results also offer insights into the limitations of passive RFID and areas in which it needs to be complemented with other sensing technologies.

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“…• Kranzfelder and colleagues 58 described critical attributes of team situational awareness during intraoperative care and pilot work with sensors for monitoring and feedback during surgeries.…”

Section: Mediator: Emergent Statesmentioning

confidence: 99%

An integrative framework for sensor-based measurement of teamwork in healthcare

Rosen

Dietz

Yang

et al. 2014

Journal of the American Medical Informatics Association

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There is a strong link between teamwork and patient safety. Emerging evidence supports the efficacy of teamwork improvement interventions. However, the availability of reliable, valid, and practical measurement tools and strategies is commonly cited as a barrier to long-term sustainment and spread of these teamwork interventions. This article describes the potential value of sensor-based technology as a methodology to measure and evaluate teamwork in healthcare. The article summarizes the teamwork literature within healthcare, including team improvement interventions and measurement. Current applications of sensor-based measurement of teamwork are reviewed to assess the feasibility of employing this approach in healthcare. The article concludes with a discussion highlighting current application needs and gaps and relevant analytical techniques to overcome the challenges to implementation. Compelling studies exist documenting the feasibility of capturing a broad array of team input, process, and output variables with sensor-based methods. Implications of this research are summarized in a framework for development of multi-method team performance measurement systems. Sensor-based measurement within healthcare can unobtrusively capture information related to social networks, conversational patterns, physical activity, and an array of other meaningful information without having to directly observe or periodically survey clinicians. However, trust and privacy concerns present challenges that need to be overcome through engagement of end users in healthcare. Initial evidence exists to support the feasibility of sensor-based measurement to drive feedback and learning across individual, team, unit, and organizational levels. Future research is needed to refine methods, technologies, theory, and analytical strategies.

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New technologies for information retrieval to achieve situational awareness and higher patient safety in the surgical operating room: the MRI institutional approach and review of the literature

Cited by 31 publications

References 38 publications

Real-Time Monitoring for Detection of Retained Surgical Sponges and Team Motion in the Surgical Operation Room Using Radio-Frequency-Identification (RFID) Technology: A Preclinical Evaluation

Real-Time Monitoring for Detection of Retained Surgical Sponges and Team Motion in the Surgical Operation Room Using Radio-Frequency-Identification (RFID) Technology: A Preclinical Evaluation

Passive RFID for Object and Use Detection during Trauma Resuscitation

An integrative framework for sensor-based measurement of teamwork in healthcare

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