Visual attention patterns of team leaders during delivery room resuscitation

Weinberg, Danielle; Newman, Haley; Fishman, Claire E.; Katz, Trixie A; Herrick, Heidi M.; Foglia, Elizabeth E.

doi:10.1016/j.resuscitation.2019.12.008

Cited by 12 publications

(13 citation statements)

References 11 publications

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“…6 Recordings with >30% gaze capture data loss were excluded, consistent with a prior study. 7 Data loss is determined through gaze sample percentage, which is the number of eye-tracking gaze points recorded divided by the theoretical maximum (50 sample points per second with a 50Hz sampling rate). Blinking and fixations to the periphery are common causes of data loss.…”

Section: Methodsmentioning

confidence: 99%

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Provider visual attention on a respiratory function monitor during neonatal resuscitation

Herrick,

Weinberg,

Cecarelli

et al. 2020

Arch Dis Child Fetal Neonatal Ed

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BackgroundA respiratory function monitor (RFM) provides real-time positive pressure ventilation feedback. Whether providers use RFM during neonatal resuscitation is unknown.MethodsAncillary study to the MONITOR(NCT03256578) randomised controlled trial. Neonatal resuscitation leaders at two centres wore eye-tracking glasses, and visual attention (VA) patterns were compared between RFM-visible and RFM-masked groups.Results14 resuscitations (6 RFM-visible, 8 RFM-masked) were analysed. The median total gaze duration on the RFM was significantly higher with a visible RFM (29% vs 1%, p<0.01), while median total gaze duration on other physical objects was significantly lower with a visible RFM (3% vs 8%, p=0.02). Median total gaze duration on the infant was lower with RFM visible, although not statistically significantly (29% vs 46%, p=0.05).ConclusionProviders’ VA patterns differed during neonatal resuscitation when the RFM was visible, emphasising the importance of studying the impact of additional delivery room technology on providers’ behaviour.

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Section: Methodsmentioning

confidence: 99%

“…Five minutes was chosen to capture the most active part of the resuscitations, consistent with other DR eyetracking studies. 7,8 Each gaze point was categorized as a fixation or saccade. Saccades are 20-40ms transitioning eye movements.…”

Section: Methodsmentioning

confidence: 99%

Provider visual attention on a respiratory function monitor during neonatal resuscitation

Herrick,

Weinberg,

Cecarelli

et al. 2020

Arch Dis Child Fetal Neonatal Ed

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“…Enhanced technological advances have seen the introduction of eye tracking software as a potential aid in both simulation training (87,88) and in delivery room care (89). Foglia studied 24 providers interacting with a respiratory function monitor during simulated neonatal resuscitation and found that users were willing to wear the glasses and looked at exhaled tidal volume more than any other RFM parameter (88).…”

Section: High Fidelity Vs Low Fidelity Simulationmentioning

confidence: 99%

“…In a similar study Wagner found that providers use of glasses was acceptable and their use enhanced understanding of providers' gaze and perspective during simulated neonatal airway management (87). One study has assessed visual attention of neonatal team leaders during delivery room resuscitation of preterm infants using eye tracking glasses, documenting the time spent gazing at the infant and at the monitor (89). The incorporation of eye tracking software needs further assessment.…”

Section: High Fidelity Vs Low Fidelity Simulationmentioning

confidence: 99%

Simulation in Neonatal Resuscitation

Garvey

Dempsey

2020

Front. Pediatr.

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Approximately 1 in 10 newborns will require basic resuscitation interventions at birth. Some infants progress to require more advanced measures including the provision of positive pressure ventilation, chest compressions, intubation and administration of volume/cardiac medications. Although advanced resuscitation is infrequent, it is crucial that personnel adequately trained in these techniques are available to provide such resuscitative measures. In 2000, Louis Halmalek et al. called for a "New Paradigm in Pediatric Medical Education: Teaching Neonatal Resuscitation in a Simulated Delivery Room Environment." This was one of the first articles to highlight simulation as a method of teaching newborn resuscitation. The last decades have seen an exponential growth in the area of simulation in newborn care, in particular in newborn resuscitation and stabilization. Simulation is best defined as an instructional strategy "used to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner." Simulation training has now become an important point of how we structure training and deliver improved healthcare to patients. Some of the key aspects of simulation training include feedback, deliberate practice, outcome measurement, retention of skills and curriculum integration. The term "Train to win" is often used in sporting parlance to define how great teams succeed. The major difference between sports teams is that generally their game day comes once a week, whereas in newborn resuscitation every day is potentially "game day." In this review we aim to summarize the current evidence on the use of simulation based education and training in neonatal resuscitation, with particular emphasis on the evidence supporting its effectiveness. We will also highlight recent advances in the development of simulation based medical education in the context of newborn resuscitation to ensure we "train to win."

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“…The leadtime between his gaze and request is shorter when he was prompted by the members' utterances. Although there are other methods to track eye gaze, for example, heatmaps 4 and conversation analytic AUTHOR PROOF approaches, 5 through this multimodal corpus analysis with gaze and utterances, the Leader's attention becomes observable on timeline, which can further elucidate the process of making predictions.…”

Section: Discussionmentioning

confidence: 99%

A team leader’s gaze before and after making requests in emergency care simulation: a case study with eye-tracking glasses

Nakamura

Takuma

Abe

et al. 2020

BMJ Simul Technol Enhanc Learn

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Visual attention patterns of team leaders during delivery room resuscitation

Abstract: Aim: To assess visual attention of neonatal team leaders during delivery room resuscitation of preterm infants using eye tracking glasses.

Cited by 12 publications

References 11 publications

Provider visual attention on a respiratory function monitor during neonatal resuscitation

Provider visual attention on a respiratory function monitor during neonatal resuscitation

Simulation in Neonatal Resuscitation

A team leader’s gaze before and after making requests in emergency care simulation: a case study with eye-tracking glasses

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