A Continuum of Interfaces to Engage Surgical Staff in Efficient Collaboration

Journal of Medical Systems - Tập 43 - Trang 1-9 - 2019
Juliette Rambourg1,2, Hélène Gaspard-Boulinc2, Stéphane Conversy2, Marc Garbey1
1Houston Methodist Hospital, Houston, USA
2ENAC – French University of Civil Aviation, Toulouse, France

Tóm tắt

Large hospital surgical suites must combine high quality of care with an efficient management of operations. However, the diversity of procedures, staff, and patients present important challenges for staff collaboration. The complexity of flows between tasks and places, such as interconnections between pre-operation, post-operation and intensive care units, led previous research to address these issues separately using checklists, scheduling, or specialized human-computer interfaces. Approaches to treat the surgical suite as a whole entity have not been explored yet. Here, we build upon a cyber-physical system comprising an electronic whiteboard and different sensors tracking the status of operating rooms to design a continuum of mobile and fixed, shared computer interfaces. The interfaces disseminate the information through different locations and devices and allow for its manipulation in order to foster appropriate collaboration on unforeseen events and decisions. We present our design rationale process, involving the different surgical suite users and stakeholders and report on the architecture of the system.

Tài liệu tham khảo

HIMSS analytics Database, 2015. Cuschieri, A., Nature of human error: Implications for surgical practice. Ann. Surg. 244(5):642, 2006. Erdogan, S. A., and Denton, B. T., Surgery Planning and Scheduling. Wiley Encyclopedia of operations research and management science, 2011. Doryab, A., and Bardram, J. E., Designing activity-aware recommender systems for operating rooms. In: Proceedings of the 2011 Workshop on Context-Awareness in Retrieval and Recommendation. ACM, 2011, 43–46. Bossen, C., and Foss, M., The collaborative work of hospital porters: Accountability, visibility and configurations of work. In: Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing. ACM, 2016, 965–979. Bardram, J. E., and Bossen, C., A web of coordinative artifacts: Collaborative work at a hospital ward. In: Proceedings of the 2005 International ACM SIGGROUP Conference on Supporting Group Work. ACM, 2005, 168–176. Garbey, M., Joerger, G., Rambourg, J., Dunkin, B., and Bass, B., Multiscale modeling of surgical flow in a large operating room suite: Understanding the mechanism of accumulation of delays in clinical practice. Procedia Computer Science 108:1863–1872, 2017. Lee, I., Sokolsky, O., Chen, S., Hatcliff, J., Jee, E., Kim, B., King, A., Mullen-Fortino, M., Park, S., Roederer, A., and Venkatasubramanian, K. K., Challenges and research directions in medical cyber–physical systems. Proc. IEEE 100(1):75–90, 2012. Haque, S. A., Aziz, S. M., and Rahman, M., Review of cyber-physical system in healthcare. International Journal of Distributed Sensor Networks 10(4):217415, 2014. Tang, C., and Carpendale, S., Evaluating the deployment of a mobile technology in a hospital ward. In: Proceedings of the 2008 ACM Conference on Computer Supported Cooperative Work. ACM, 2008, 205–214. Moss, J., Xiao, Y., and Zubaidah, S., The operating room charge nurse: Coordinator and communicator. J. Am. Med. Inform. Assoc. 9(Supplement_6):S70–S74, 2002. Prgomet, M., Georgiou, A., and Westbrook, J. I., The impact of mobile handheld technology on hospital physicians’ work practices and patient care: A systematic review. J. Am. Med. Inform. Assoc. 16(6):792–801, 2009. Kusunoki, D., Sarcevic, A., Zhang, Z., and Yala, M., Sketching awareness: A participatory study to elicit designs for supporting ad hoc emergency medical teamwork. Comput. Supported Coop Work (CSCW) 24(1):1–38, 2015. Bardram, J. E., and Nørskov, N., A context-aware patient safety system for the operating room. In: Proceedings of the 10th International Conference on Ubiquitous Computing. ACM, 2008, 272–281. Amir, O., Grosz, B. J., Gajos, K. Z., Swenson, S. M., and Sanders, L. M., From care plans to care coordination: Opportunities for computer support of teamwork in complex healthcare. In: Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems. ACM, 2015, 1419–1428. Kapur, N., Parand, A., Soukup, T., Reader, T., and Sevdalis, N., Aviation and healthcare: A comparative review with implications for patient safety. JRSM open 7(1):2054270415616548, 2015. Toff, N. J., Human factors in anaesthesia: Lessons from aviation. Br. J. Anaesth. 105(1):21–25, 2010. Helmreich, R. L., On error management: lessons from aviation. Bmj 320(7237):781–785, 2000. Surgical suite., (n.d.), Mosby's Medical Dictionary, 8th edition, 2009. Retrieved February 7 2018 from https://medical-dictionary.thefreedictionary.com/surgical+suite. Harrison, S., and Dourish, P., Re-place-ing space: The roles of place and space in collaborative systems. In: Proceedings of the 1996 ACM Conference on Computer Supported Cooperative Work. ACM, 1996, 67–76. Joerger, G., Rambourg, J., Gaspard-Boulinc, H., Conversy, S., Bass, B., Dunkin, B. J., and Garbey, M., A cyber-physical system to improve the management of a large suite of operating rooms. ACM Transactions on Cyber-Physical Systems 2:34, 2017. Joerger, G., Rambourg, J., Garbey, M., Conversy, S., and Gaspard-Boulinc, H., Re-engineer operating room data acquisition and transmission for improving surgical suite awareness and management. In: Biomedical & Health Informatics (BHI), 2017 IEEE EMBS International Conference. IEEE, 2017, 205–208. Garbey, M., Joerger, G., Huang, A., Salmon, R., Kim, J., Sherman, V., Dunkin, B., and Bass, B., An intelligent hospital operating room to improve patient health care. Journal of Computational Surgery 2(1):3, 2015. Huang, A. Y., Joerger, G., Fikfak, V., Salmon, R., Dunkin, B. J., Bass, B. L., and Garbey, M., The SmartOR: A distributed sensor network to improve operating room efficiency. Surg. Endosc. 31(9):3590–3595, 2017. Huang, A. Y., Joerger, G., Salmon, R., Dunkin, B., Sherman, V., Bass, B. L., and Garbey, M., A robust and non-obtrusive automatic event tracking system for operating room management to improve patient care. Surg. Endosc. 30(8):3638–3645, 2016. Garbey, M., Joerger, G., Rambourg, R., Dunkin, B., and Bass, L. B., Multiscale modeling of surgical flow explains lognormal distribution of surgical time and occurrence of large delays. PLoS ONE, 2018 Under revision. Villafruela, J. M., San José, J. F., Castro, F., and Zarzuelo, A., Airflow patterns through a sliding door during opening and foot traffic in operating rooms. Build. Environ. 109:190–198, 2016. Yao, W., Chu, C. H., and Li, Z., The use of RFID in healthcare: Benefits and barriers. In: RFID-Technology and Applications (RFID-TA), 2010 IEEE International Conference. IEEE, 2010, 128–134. Conversy, S., Lemort, A., and Valès, S., MAMMI WP1: Review of existing systems. Technical report, T06-043, Eurocontrol, 2007. Conversy, S., Gaspard-Boulinc, H., Chatty, S., Valès, S., Dupré, C., and Ollagnon, C., Supporting air traffic control collaboration with a TableTop system. In: Proceedings of the ACM 2011 Conference on Computer Supported Cooperative Work. ACM, 2011, 425–434. Miller, J. H., and Page, S. E., Complex Adaptive Systems: An Introduction to Computational Models of Social Life: An Introduction to Computational Models of Social Life. Princeton: Princeton university press, 2009. Burns, K. K., Bellows, M., Eigenseher, C., and Gallivan, J., Practical’resources to support patient and family engagement in healthcare decisions: A scoping review. BMC Health Serv. Res. 14(1):175, 2014.