Augmented reality and human factors regarding the neurosurgical operating room workflow

2020 ◽  
Author(s):  
Nhu Q. Nguyen ◽  
Jillian Cardinell ◽  
Joel M. Ramjist ◽  
Dimitrios Androutsos ◽  
Victor X. D. Yang
Keyword(s):  
Augmented Reality ◽  
Human Factors ◽  
Operating Room

Design Features of Wearable AR Information Display for Surgery and Anesthesiology

2016 ◽  
Vol 60 (1) ◽  
pp. 571-575 ◽  
Author(s):  
Richard A. del Rio ◽  
Russell J. Branaghan ◽  
Rob Gray
Keyword(s):  
Augmented Reality ◽  
Human Factors ◽  
Operating Room ◽  
Healthcare System ◽  
Lower Cost ◽  
Design Guidelines ◽  
Medical Community ◽  
Information Display ◽  
The Past ◽  
Wearable Medical

The medical community is constantly looking for technological solutions to reduce use-error and improve procedures to benefit the healthcare system worldwide. One area that has seen frequent improvement in the past few decades due to improved computing capabilities, lower cost and better displays has been augmented reality (AR) (Sauer, Khamene, Bascle, Vogt, & Rubino, 2002). In an operating room, surgeons and anesthesiologists are required to attend to a patient while receiving information from many different displays and instruments. This paper analyzes the human factors components of various AR devices and information display techniques to provide design guidelines for display configurations of wearable, medical AR devices that will improve upon current methods of information presentation in the operating room.

Evaluations for New Healthcare Environment Commissioning and Operational Decision Making Using Simulation and Human Factors: A Case Study of an Interventional Trauma Operating Room

2021 ◽  
pp. 193758672199966
Author(s):  
Mirette Dubé ◽  
Jason Laberge ◽  
Elaine Sigalet ◽  
Jonas Shultz ◽  
Christine Vis ◽  
...  
Keyword(s):  
Decision Making ◽  
Human Factors ◽  
Operating Room ◽  
Healthcare Services ◽  
Healthcare Team ◽  
Healthcare Environment ◽  
New Process ◽  
Timely Access ◽  
Operational Decision Making

Purpose: The aim of this article is to provide a case study example of the preopening phase of an interventional trauma operating room (ITOR) using systems-focused simulation and human factor evaluations for healthcare environment commissioning. Background: Systems-focused simulation, underpinned by human factors science, is increasingly being used as a quality improvement tool to test and evaluate healthcare spaces with the stakeholders that use them. Purposeful real-to-life simulated events are rehearsed to allow healthcare teams opportunity to identify what is working well and what needs improvement within the work system such as tasks, environments, and processes that support the delivery of healthcare services. This project highlights salient evaluation objectives and methods used within the clinical commissioning phase of one of the first ITORs in Canada. Methods: A multistaged evaluation project to support clinical commissioning was facilitated engaging 24 stakeholder groups. Key evaluation objectives highlighted include the evaluation of two transport routes, switching of operating room (OR) tabletops, the use of the C-arm, and timely access to lead in the OR. Multiple evaluation methods were used including observation, debriefing, time-based metrics, distance wheel metrics, equipment adjustment counts, and other transport route considerations. Results: The evaluation resulted in several types of data that allowed for informed decision making for the most effective, efficient, and safest transport route for an exsanguinating trauma patient and healthcare team; improved efficiencies in use of the C-arm, significantly reduced the time to access lead; and uncovered a new process for switching OR tabletop due to safety threats identified.

Virtual Reality, Augmented Reality, and Virtual Environments: Demonstrations of Current Technologies and Future Directions

2020 ◽  
Vol 64 (1) ◽  
pp. 2119-2123
Author(s):  
Sarah Beadle ◽  
Randall Spain ◽  
Benjamin Goldberg ◽  
Mahdi Ebnali ◽  
Shannon Bailey ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Augmented Reality ◽  
Human Factors ◽  
Virtual Environments ◽  
Medical Training ◽  
Risk Environment ◽  
Future Directions ◽  
Simulated Environments ◽  
Interactive Session ◽  
Immersive Technologies

Virtual environments and immersive technologies are growing in popularity for human factors purposes. Whether it is training in a low-risk environment or using simulated environments for testing future automated vehicles, virtual environments show promise for the future of our field. The purpose of this session is to have current human factors practitioners and researchers demonstrate their immersive technologies. This is the eighth iteration of the “Me and My VE” interactive session. Presenters in this session will provide a brief introduction of their virtual reality, augmented reality, or virtual environment work before engaging with attendees in an interactive demonstration period. During this period, the presenters will each have a multimedia display of their immersive technology as well as discuss their work and development efforts. The selected demonstrations cover issues of designing immersive interfaces, military and medical training, and using simulation to better understand complex tasks. This includes a mix of government, industry, and academic-based work. Attendees will be virtually immersed in the technologies and research presented allowing for interaction with the work being done in this field.

Human Factors Analysis of Infection Prevention Practices in the Anesthesia Work Environment

2017 ◽  
Vol 61 (1) ◽  
pp. 639-642
Author(s):  
Ella Franklin ◽  
Lucy Stein
Keyword(s):  
Human Factors ◽  
Work Environment ◽  
Operating Room ◽  
Physical Environment ◽  
Infection Prevention ◽  
Pathogen Transmission ◽  
Organizational Influences ◽  
Space Design ◽  
Factors Analysis ◽  
Emerging Themes

The department of anesthesia for a Washington, D.C. hospital engaged the MedStar National Center for Human Factors in Healthcare to identify opportunities for improving the anesthesia work environment with aims to mitigate the risk of pathogen transmission during operating room procedures. The human factors approach included operating room visits for observation and thematic analysis to identify emerging themes. Process inconsistencies in hand hygiene and cleaning practices were indicative of system vulnerabilities, including organizational influences and the design of the physical environment. Work-space design recommendations as well as strategies to improve infection control processes and safety culture are presented.

scholarly journals A Novel Augmented-Reality-Based Surgical Navigation System for Spine Surgery in a Hybrid Operating Room: Design, Workflow, and Clinical Applications

2019 ◽  
Vol 18 (5) ◽  
pp. 496-502 ◽  
Author(s):  
Erik Edström ◽  
Gustav Burström ◽  
Rami Nachabe ◽  
Paul Gerdhem ◽  
Adrian Elmi Terander
Keyword(s):  
Augmented Reality ◽  
Radiation Exposure ◽  
Pedicle Screw ◽  
Operating Room ◽  
Wound Closure ◽  
Surgical Navigation ◽  
Pedicle Screws ◽  
Screw Placement ◽  
Hybrid Operating Room ◽  
Pedicle Screw Placement

Abstract BACKGROUND Treatment of several spine disorders requires placement of pedicle screws. Detailed 3-dimensional (3D) anatomic information facilitates this process and improves accuracy. OBJECTIVE To present a workflow for a novel augmented-reality-based surgical navigation (ARSN) system installed in a hybrid operating room for anatomy visualization and instrument guidance during pedicle screw placement. METHODS The workflow includes surgical exposure, imaging, automatic creation of a 3D model, and pedicle screw path planning for instrument guidance during surgery as well as the actual screw placement, spinal fixation, and wound closure and intraoperative verification of the treatment results. Special focus was given to process integration and minimization of overhead time. Efforts were made to manage staff radiation exposure avoiding the need for lead aprons. Time was kept throughout the procedure and subdivided to reflect key steps. The navigation workflow was validated in a trial with 20 cases requiring pedicle screw placement (13/20 scoliosis). RESULTS Navigated interventions were performed with a median total time of 379 min per procedure (range 232-548 min for 4-24 implanted pedicle screws). The total procedure time was subdivided into surgical exposure (28%), cone beam computed tomography imaging and 3D segmentation (2%), software planning (6%), navigated surgery for screw placement (17%) and non-navigated instrumentation, wound closure, etc (47%). CONCLUSION Intraoperative imaging and preparation for surgical navigation totaled 8% of the surgical time. Consequently, ARSN can routinely be used to perform highly accurate surgery potentially decreasing the risk for complications and revision surgery while minimizing radiation exposure to the staff.

Augmented reality for training operating room scrub nurses

2019 ◽  
Vol 53 (5) ◽  
pp. 514-515
Author(s):  
Leticia San Martin‐Rodriguez ◽  
Maria Nelia Soto‐Ruiz ◽  
Guillermo Echeverria‐Ganuza ◽  
Paula Escalada‐Hernandez
Keyword(s):  
Augmented Reality ◽  
Operating Room
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