Training situational awareness to reduce surgical errors in the operating room

Graafland, Maurits; Schraagen, Jan Maarten; Boermeester, Marja A.; Bemelman, Willem A.; Schijven, Marlies P.

doi:10.1002/bjs.9643

Cited by 90 publications

(63 citation statements)

References 48 publications

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“…The use of AR is therefore preeminently suited for training curricula aiming at situational awareness. It is known that training situational awareness in high-risk environments such as the operating room is much needed, but lacking in medical educational curricula [61]. The benefit of AR could be widespread, from training better surgeons to making fewer errors in the operating room, ultimately leading to improvement of patient safety.…”

Section: Discussionmentioning

confidence: 99%

Systematic review on the effectiveness of augmented reality applications in medical training

2016

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BackgroundComputer-based applications are increasingly used to support the training of medical professionals. Augmented reality applications (ARAs) render an interactive virtual layer on top of reality. The use of ARAs is of real interest to medical education because they blend digital elements with the physical learning environment. This will result in new educational opportunities. The aim of this systematic review is to investigate to which extent augmented reality applications are currently used to validly support medical professionals training.MethodsPubMed, Embase, INSPEC and PsychInfo were searched using predefined inclusion criteria for relevant articles up to August 2015. All study types were considered eligible. Articles concerning AR applications used to train or educate medical professionals were evaluated.ResultsTwenty-seven studies were found relevant, describing a total of seven augmented reality applications. Applications were assigned to three different categories. The first category is directed toward laparoscopic surgical training, the second category toward mixed reality training of neurosurgical procedures and the third category toward training echocardiography. Statistical pooling of data could not be performed due to heterogeneity of study designs. Face-, construct- and concurrent validity was proven for two applications directed at laparoscopic training, face- and construct validity for neurosurgical procedures and face-, content- and construct validity in echocardiography training. In the literature, none of the ARAs completed a full validation process for the purpose of use.ConclusionAugmented reality applications that support blended learning in medical training have gained public and scientific interest. In order to be of value, applications must be able to transfer information to the user. Although promising, the literature to date is lacking to support such evidence.

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Section: Discussionmentioning

confidence: 99%

Systematic review on the effectiveness of augmented reality applications in medical training

2016

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“…Although the majority of healthcare errors can be attributed to failure in non-technical skills,77 87 this aspect of colonoscopy performance has neither been explicitly measured nor incorporated in training curricula. In other medical disciplines, especially anaesthesiology and surgery, dedicated tools for non-technical skills assessment were developed88 89 and used to assess success of training interventions 90. Recently, a generic framework of non-technical skills for health education was developed 86.…”

Section: Colonoscopy Trainingmentioning

confidence: 99%

“…Although very few training courses for non-technical skills in medicine have been developed and validated,90 approaches from those can be used to create curriculums for colonoscopy training (see table 2). Indeed, recently a one-day course for non-technical colonoscopy skills training was developed and was shown to improve patient safety knowledge and some patient safety attitudes 92…”

Section: Colonoscopy Trainingmentioning

confidence: 99%

Effectiveness, training and quality assurance of colonoscopy screening for colorectal cancer

Robertson

Kaminski

Bretthauer

2015

Gut

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Screening for colorectal cancer has been proven to be effective in reducing colorectal cancer incidence and mortality. While the precise benefit of screening exclusively by colonoscopy is not yet known, unarguably, the exam is central to the success of any screening programme. The test affords the opportunity to detect and resect neoplasia across the entire large bowel and is the definitive examination when other screening tests are positive. However, colonoscopy is invasive and often requires sedation as well as extensive bowel preparation, all of which puts the patient at risk. Furthermore, the test can technically be demanding and, unarguably, there is variation in how it is performed. This variation in performance has now been definitively linked to important outcome measures. For example, interval cancers are more common in low adenoma detectors as compared with high adenoma detectors. This review outlines the most current thinking regarding the effectiveness of colonoscopy as a screening tool. It also outlines key concepts to optimise its performance through robust quality assurance programmes and high-quality training.

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“…Task (over-)load imposed on surgeons is a main contributing factor leading to errors [3,4]. For example, while new surgical techniques present several advantages to the patient's safety and quality of life-such as reduced postoperative pain and earlier return to activities of daily living [5]-surgeons have started to face unexpected higher levels of work load [6,7].…”

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confidence: 99%