Encouraging Interdisciplinary Preoperative Communication With a Virtual Huddle

Butterworth, Katrina; Anderson, Kirsten; Hedgeland, Taylor; Colyar, Theresa

doi:10.1002/aorn.13476

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Perhaps one of the most studied means of rapid team communication before surgery is the preoperative team huddle. 5,[42][43][44] While these checklists can promote better communication among surgical teams, 3 VR technology allows the next step beyond this process and better facilitates effective communication with involvement of 3D visualization of complex anatomic structures. With VR, these huddles could potentially take place asynchronously in a virtual metaverse at convenience and be performed before the day of the operation.…”

Section: Discussionmentioning

confidence: 99%

“…Failure to work cohesively as a team damages operational efficiency and can result in surgical complications, longer anesthetic time, and failure to achieve surgical goals, which can have devastating clinical consequences for patients. 1-5 One of the key mechanisms to promote teamwork, efficiency, and safety in the operative room (OR) is by effective and strategic preoperative communication. 3,6,7 Although not legally mandated, preoperative communication in most modern health care facilities is performed in a traditional in-person team huddle before the procedure.…”

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confidence: 99%

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Optimizing Surgical Efficiency in Complex Spine Surgery Using Virtual Reality as a Communication Technology to Promote a Shared Mental Model: A Case Series and Review

Laskay,

Parr,

Mooney

et al. 2023

Operative Neurosurgery

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BACKGROUND AND OBJECTIVES: Virtual reality (VR) is an emerging technology that can be used to promote a shared mental model among a surgical team. We present a case series demonstrating the use of 3-dimensional (3D) VR models to visually communicate procedural steps to a surgical team to promote a common operating objective. We also review the literature on existing uses of VR for preoperative communication and planning in spine surgery. METHODS: Narrations of 3 to 4-minute walkthroughs were created in a VR visualization platform, converted, and distributed to team members through text and email the night before surgical intervention. A VR huddle was held immediately before the intervention to refine surgical goals. After the intervention, the participating team members’ perceptions on the value of the tool were assessed using a survey that used a 5-point Likert scale. MEDLINE, Google Scholar, and Dimensions AI databases were queried from July 2010 to October 2022 to examine existing literature on preoperative VR use to plan spine surgery. RESULTS: Three illustrative cases are presented with accompanying video. Postoperative survey results demonstrate a positive experience among surgical team members after reviewing preoperative plans created with patient-specific 3D VR models. Respondents felt that preoperative VR video review was “moderately useful” or more useful in improving their understanding of the operational sequence (71%, 5/7), in enhancing their ability to understand their role (86%, 6/7), and in improving the safety or efficiency of the case (86%, 6/7). CONCLUSION: We present a proof of concept of a novel preoperative communication tool used to create a shared mental model of a common operating objective for surgical team members using narrated 3D VR models. Initial survey results demonstrate positive feedback among respondents. There is a paucity of literature investigating VR technology as a means for preoperative surgical communication in spine surgery. ETHICS: Institutional review board approval (IRB-300009785) was obtained before this study.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Optimizing Surgical Efficiency in Complex Spine Surgery Using Virtual Reality as a Communication Technology to Promote a Shared Mental Model: A Case Series and Review

Laskay,

Parr,

Mooney

et al. 2023

Operative Neurosurgery

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“…This opens the door for VR to also be used as a communication technology. In complex surgical procedures, failure to work cohesively as a team has been shown to damage operational efficiency and can result in surgical complications, longer anesthetic time, and failure to achieve surgical goals, which can have devastating clinical consequences for patients [14][15][16][17][18]. Harnessing this technology could significantly improve quality and efficiency of interactive operative planning and interdisciplinary communication.…”

Section: Introductionmentioning

confidence: 99%

Optimizing Surgical Performance Using Preoperative Virtual Reality Planning: A Systematic Review

et al. 2023

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Background Surgery is often a complex process that requires detailed 3-dimensional anatomical knowledge and rigorous interplay between team members to attain ideal operational efficiency or ''flow.'' Virtual Reality (VR) represents a technology by which to rehearse complex plans and communicate precise steps to a surgical team prior to entering the operating room. The objective of this study was to evaluate the use of VR for preoperative surgical team planning and interdisciplinary communication across all surgical specialties. Methods A systematic review of the literature was performed examining existing research on VR use for preoperative surgical team planning and interdisciplinary communication across all surgical fields in order to optimize surgical efficiency. MEDLINE, SCOPUS, CINAHL databases were searched from inception to July 31, 2022 using standardized search clauses. A qualitative data synthesis was performed with particular attention to preoperative planning, surgical efficiency optimization, and interdisciplinary collaboration/communication techniques determined a priori. Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were followed. All included studies were appraised for their quality using the Medical Education Research Study Quality Instrument (MERSQI) tool.Results One thousand and ninety-three non-duplicated articles with abstract and full text availability were identified. Thirteen articles that examined preoperative VR-based planning techniques for optimization of surgical efficiency and/or interdisciplinary communication fulfilled inclusion and exclusion criteria. These studies had a low-to-medium methodological quality with a MERSQI mean score of 10.04 out of 18 (standard deviation 3.61). Conclusions This review demonstrates that time spent rehearsing and visualizing patient-specific anatomical relationships in VR may improve operative efficiency and communication across multiple surgical specialties.

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Encouraging Interdisciplinary Preoperative Communication With a Virtual Huddle

Cited by 2 publications

References 8 publications

Optimizing Surgical Efficiency in Complex Spine Surgery Using Virtual Reality as a Communication Technology to Promote a Shared Mental Model: A Case Series and Review

Optimizing Surgical Efficiency in Complex Spine Surgery Using Virtual Reality as a Communication Technology to Promote a Shared Mental Model: A Case Series and Review

Optimizing Surgical Performance Using Preoperative Virtual Reality Planning: A Systematic Review

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