Clinicians’ gaze behaviour in simulated paediatric emergencies

McNaughten, Ben; Hart, Caroline; Gallagher, Stephen; Junk, C; Coulter, Patricia; Thompson, Andrew; Bourke, Thomas

doi:10.1136/archdischild-2017-314119

Cited by 15 publications

(9 citation statements)

References 5 publications

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“…Eye-tracking can be used to assess and quantify VA as a measure of human performance within clinical settings 3 4 17–22. However, there is a lack of data on VA during neonatal resuscitation.…”

Section: Discussionmentioning

confidence: 99%

Effect of monitor positioning on visual attention and situation awareness during neonatal resuscitation: a randomised simulation study

Law,

Cheung,

van Os

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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ObjectivesTo compare situation awareness (SA), visual attention (VA) and protocol adherence in simulated neonatal resuscitations using two different monitor positions.DesignRandomised controlled simulation study.SettingsSimulation lab at the Royal Alexandra Hospital, Edmonton, Canada.ParticipantsHealthcare providers (HCPs) with Neonatal Resuscitation Program (NRP) certification within the last 2 years and trained in neonatal endotracheal intubations.InterventionHCPs were randomised to either central (eye-level on the radiant warmer) or peripheral (above eye-level, wall-mounted) monitor positions. Each led a complex resuscitation with a high-fidelity mannequin and a standardised assistant. To measure SA, situation awareness global assessment tool (SAGAT) was used, where simulations were paused at three predetermined points, with five questions asked each pause. Videos were analysed for SAGAT and adherence to a NRP checklist. Eye-tracking glasses recorded participants’ VA.Main outcome measureThe main outcome was SA as measured by composite SAGAT score. Secondary outcomes included VA and adherence to NRP checklist.ResultsThirty simulations were performed; 29 were completed per protocol and analysed. Twenty-two eye-tracking recordings were of sufficient quality and analysed. Median composite SAGAT was 11.5/15 central versus 11/15 peripheral, p=0.56. Checklist scores 46/50 central versus 46/50 peripheral, p=0.75. Most VA was directed at the mannequin (30.6% central vs 34.1% peripheral, p=0.76), and the monitor (28.7% central vs 20.5% peripheral, p=0.06).ConclusionsSimulation, SAGAT and eye-tracking can be used to evaluate human factors of neonatal resuscitation. During simulated neonatal resuscitation, monitor position did not affect SA, VA or protocol adherence.

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Section: Discussionmentioning

confidence: 99%

Effect of monitor positioning on visual attention and situation awareness during neonatal resuscitation: a randomised simulation study

Law,

Cheung,

van Os

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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“…One advantage of this study is that it is one of the first to examine visual attention in a real-life situation in an ICU by using eye tracking [18]. A few studies have used eye tracking in critical situations, but these were simulated [6,7,[10][11][12][13][14][15][19][20][21][22][23]. Eye tracking can also be successfully integrated into electronic health record-based simulation and provides a surrogate measure of cognitive decision-making and electronic health record usability [21].…”

Section: Discussionmentioning

confidence: 99%

Use of eye tracking in analyzing distribution of visual attention among critical care nurses in daily professional life: an observational study

Hofmaenner

Herling

Klinzing

et al. 2020

J Clin Monit Comput

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Patient safety is a priority in healthcare, yet it is unclear how sources of errors should best be analyzed. Eye tracking is a tool used to monitor gaze patterns in medicine. The aim of this study was to analyze the distribution of visual attention among critical care nurses performing non-simulated, routine patient care on invasively ventilated patients in an ICU. ICU nurses were tracked bedside in daily practice. Eight specific areas of interest were pre-defined (respirator, drug preparation, medication, patient data management system, patient, monitor, communication and equipment/perfusors). Main independent variable and primary outcome was dwell time, secondary outcomes were hit ratio, revisits, fixation count and average fixation time on areas of interest in a targeted tracking-time of 60 min. 28 ICU nurses were analyzed and the average tracking time was 65.5 min. Dwell time was significantly higher for the respirator (12.7% of total dwell time), patient data management system (23.7% of total dwell time) and patient (33.4% of total dwell time) compared to the other areas of interest. A similar distribution was observed for fixation count (respirator 13.3%, patient data management system 25.8% and patient 31.3%). Average fixation time and revisits of the respirator were markedly elevated. Apart from the respirator, average fixation time was highest for the patient data management system, communication and equipment/perfusors. Eye tracking is helpful to analyze the distribution of visual attention of critical care nurses. It demonstrates that the respirator, the patient data management system and the patient form cornerstones in the treatment of critically ill patients. This offers insights into complex work patterns in critical care and the possibility of improving work flows, avoiding human error and maximizing patient safety.

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“…In the past, eye trackers were used in multiple ways for broadening knowledge on multiple aspects of the teaching process and discovering the way for achieving fluency in performing various professional obligations [44]. The most interesting research was conducted with regard to diagnosis and improvement of professional skills of school pedagogues [45], doctors and diagnosticians of various medical specializations [46][47][48], criminologists [49], airplane pilots [50], drivers [51], and navigators of sea vessels [52].…”

Section: Eye Tracking and Educationmentioning

confidence: 99%

“…According to the studies conducted in other fields [45][46][47][48][49][50][51][52][53][54], it can be concluded that in general, architectural items are perceived in a different way by a non-professional, a student of the faculty of architecture, and a lecturer. However, conclusions from conducting such studies may be used in architectural education of all of the abovementioned groups.…”

Section: Eye Trackers In Architectural Educationmentioning

confidence: 99%

The Potential of Using an Eye Tracker in Architectural Education: Three Perspectives for Ordinary Users, Students and Lecturers

Rusnak

Rabiega

2021

Buildings

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The aim of this paper is to discuss the potential of eye trackers as tools providing diversified support for the architectural education of future designers. The possibility to track eye movement guaranteed by this group of devices enables an extension of knowledge on the non-professional perception of architectural creations. It also allows people to monitor progress while learning and verify a project’s assumptions as well as provide lecturers with an opportunity to optimize didactic methods. The paper includes authors’ ideas for modifications of teaching methods applied at technical universities. It is a result of an analysis of research related to the perception of urban designs and architectural objects—research during which noticeable differences were observed between how experts and non-professionals perceive these structures. What also contributed to the contents of this paper was a comprehension of the wide range of eye tracking studies examining the level of acquisition of specialist professional skills. The presented ideas are also based on the analysis and adaptation of eye-tracking research conducted by scientists within other areas of life.

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Clinicians’ gaze behaviour in simulated paediatric emergencies

Abstract: This study is the first to describe differences in the gaze behaviour between experts and novices in a resuscitation. They mirror those described in aviation and surgery. Further research is needed to evaluate the potential use of eye tracking as an educational tool.

Cited by 15 publications

References 5 publications

Effect of monitor positioning on visual attention and situation awareness during neonatal resuscitation: a randomised simulation study

Effect of monitor positioning on visual attention and situation awareness during neonatal resuscitation: a randomised simulation study

Use of eye tracking in analyzing distribution of visual attention among critical care nurses in daily professional life: an observational study

The Potential of Using an Eye Tracker in Architectural Education: Three Perspectives for Ordinary Users, Students and Lecturers

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