scholarly journals An observational study using eye tracking to assess resident and senior anesthetists’ situation awareness and visual perception in postpartum hemorrhage high fidelity simulation

PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0221515 ◽  
Author(s):  
Arnaud Desvergez ◽  
Arnaud Winer ◽  
Jean-Bernard Gouyon ◽  
Médéric Descoins
Keyword(s):  
Visual Perception ◽  
Observational Study ◽  
Eye Tracking ◽  
Situation Awareness ◽  
Postpartum Hemorrhage ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings

2021 ◽  
Vol 11 (3) ◽  
pp. 31
Author(s):  
Issam Tanoubi ◽  
Mathieu Tourangeau ◽  
Komi Sodoké ◽  
Roger Perron ◽  
Pierre Drolet ◽  
...  
Keyword(s):  
Visual Perception ◽  
Eye Tracking ◽  
Clinical Performance ◽  
Vital Signs ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Convenience Sample ◽  
Total View ◽  
Simulation Scenario ◽  
Tracking Technology

Introduction: We used eye-tracking technology to explore the visual perception of clinicians during a high-fidelity simulation scenario. We hypothesized that physicians who were able to successfully manage a critical situation would have a different visual focus compared to those who failed. Methods: A convenience sample of 18 first-year emergency medicine residents were enrolled voluntarily to participate in a high-fidelity scenario involving a patient in shock with a 3rd degree atrioventricular block. Their performance was rated as pass or fail and depended on the proper use of the pacing unit. Participants were wearing pre-calibrated eye-tracking glasses throughout the 9-min scenario and infrared (IR) markers installed in the simulator were used to define various Areas of Interest (AOI). Total View Duration (TVD) and Time to First Fixation (TFF) by the participants were recorded for each AOI and the results were used to produce heat maps. Results: Twelve residents succeeded while six failed the scenario. The TVD for the AOI containing the pacing unit was significantly shorter (median [quartile]) for those who succeeded compared to the ones who failed (42 [31–52] sec vs. 70 [61–90] sec, p = 0.0097). The TFF for the AOI containing the ECG and vital signs monitor was also shorter for the participants who succeeded than for those who failed (22 [6–28] sec vs. 30 [27–77] sec, p = 0.0182). Discussion: There seemed to be a connection between the gaze pattern of residents in a high-fidelity bradycardia simulation and their performance. The participants who succeeded looked at the monitor earlier (diagnosis). They also spent less time fixating the pacing unit, using it promptly to address the bradycardia. This study suggests that eye-tracking technology could be used to explore how visual perception, a key information-gathering element, is tied to decision-making and clinical performance.

User perceptions of different monitor modalities during high-fidelity simulation: Visual-Patient-avatar, Split Screen and Conventional - a qualitative analysis (Preprint)

2021 ◽  
Author(s):  
Samira Akbas ◽  
Sadiq Said ◽  
Tadzio Raoul Roche ◽  
Christoph Beat Nöthiger ◽  
Donat Rudolf Spahn ◽  
...  
Keyword(s):  
Situation Awareness ◽  
Simulation Study ◽  
Vital Signs ◽  
Numerical Data ◽  
New Technique ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Care Providers ◽  
Clinical Implementation ◽  
Waveform Data

BACKGROUND Patient safety during anaesthesia is crucially dependent on the monitoring of vital signs. However, the values obtained must also be perceived and correctly classified by the attending care providers. To facilitate these processes, we developed Visual-Patient-avatar- an animated virtual model of the monitored patient, which innovatively presents numerical and waveform data following user-centred design principles. After a high-fidelity simulation study, we analysed participants' perceptions of three different monitor modalities, including this new technique. OBJECTIVE After a high-fidelity simulation study, we analysed participants' perceptions of three different monitor modalities, including this new technique. METHODS This study was a researcher-initiated, single-centre, qualitative study. We asked 92 care providers right after finishing three simulated emergency scenarios about their positive and negative opinions concerning the different monitor modalities. Following qualitative research methods, we processed the field notes obtained and derived main categories and corresponding subthemes. RESULTS We gained a total of 307 statements. Visual-Patient-avatar was the most occurring term in both positive and negative responses. We identified three main categories and divided them into eleven positive and negative subthemes. In assigning the statements to one of the topics, we achieved substantial inter-rater reliability. Most of the statements concerned the design and usability features of the avatar, respectively, the Split Screen mode. CONCLUSIONS This study qualitatively reviewed the clinical applicability of the Visual-Patient-avatar technique in a high-fidelity simulation study and revealed strengths and limitations of the avatar only und Split Screen modality. We received valuable suggestions for improving the design. The requirement of training before clinical implementation was reinforced. The responses regarding the Split Screen suggested that this symbiotic modality generates improved situation awareness combined with numerical data and accurate curves.

An Evaluation of the Taxiway Navigation and Situation Awareness (T-NASA) System in High-Fidelity Simulation

1998 ◽  
Author(s):  
Robert S. McCann ◽  
Becky L. Hooey ◽  
Bonny Parke ◽  
David C. Foyle ◽  
Anthony D. Andre ◽  
...  
Keyword(s):  
Situation Awareness ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals Comparison of the Effects of Automated and Manual Record Keeping on Anesthetists’ Monitoring Performance: Randomized Controlled Simulation Study

10.2196/16036 ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. e16036
Author(s):  
Man-Kei Tse ◽  
Simon Y W Li ◽  
Tsz Hin Chiu ◽  
Chung Wai Lau ◽  
Ka Man Lam ◽  
...  
Keyword(s):  
Situation Awareness ◽  
Simulation Study ◽  
Mental Workload ◽  
Detection Accuracy ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Record Keeping ◽  
Randomized Controlled ◽  
Monitoring Performance ◽  
Manual Record

Background Anesthesia information management systems (AIMSs) automatically import real-time vital signs from physiological monitors to anesthetic records, replacing part of anesthetists’ traditional manual record keeping. However, only a handful of studies have examined the effects of AIMSs on anesthetists’ monitoring performance. Objective This study aimed to compare the effects of AIMS use and manual record keeping on anesthetists’ monitoring performance, using a full-scale high-fidelity simulation. Methods This simulation study was a randomized controlled trial with a parallel group design that compared the effects of two record-keeping methods (AIMS vs manual) on anesthetists’ monitoring performance. Twenty anesthetists at a tertiary hospital in Hong Kong were randomly assigned to either the AIMS or manual condition, and they participated in a 45-minute scenario in a high-fidelity simulation environment. Participants took over a case involving general anesthesia for below-knee amputation surgery and performed record keeping. The three primary outcomes were participants’ (1) vigilance detection accuracy (%), (2) situation awareness accuracy (%), and (3) subjective mental workload (0-100). Results With regard to the primary outcomes, there was no significant difference in participants’ vigilance detection accuracy (AIMS, 56.7% vs manual, 56.7%; P=.50), and subjective mental workload was significantly lower in the AIMS condition than in the manual condition (AIMS, 34.2 vs manual, 46.7; P=.02). However, the result for situation awareness accuracy was inconclusive as the study did not have enough power to detect a difference between the two conditions. Conclusions Our findings suggest that it is promising for AIMS use to become a mainstay of anesthesia record keeping. AIMSs are effective in reducing anesthetists’ workload and improving the quality of their anesthetic record keeping, without compromising vigilance.

scholarly journals Testing the effects of checklists on team behaviour during emergencies on general wards: An observational study using high-fidelity simulation

Resuscitation ◽  
2020 ◽  
Vol 157 ◽  
pp. 3-12
Author(s):  
A.J.R. De Bie Dekker ◽  
J.J. Dijkmans ◽  
N. Todorovac ◽  
R. Hibbs ◽  
K. Boe Krarup ◽  
...  
Keyword(s):  
Observational Study ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
General Wards

scholarly journals Eye tracking metrics and leader’s behavioral performance during a post-partum hemorrhage high-fidelity simulated scenario

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Emanuele Capogna ◽  
Giorgio Capogna ◽  
Denise Raccis ◽  
Francesco Salvi ◽  
Matteo Velardo ◽  
...  
Keyword(s):  
Eye Tracking ◽  
Team Performance ◽  
Postpartum Hemorrhage ◽  
Post Partum ◽  
Eye Contact ◽  
Assessment Process ◽  
High Fidelity ◽  
Eye Tracker ◽  
Sources Of Information ◽  
Areas Of Interest

Abstract Background The use of eye tracking in the simulated setting can help improve our understanding of what sources of information clinicians are using as they deliver routine patient care. The aim of this simulation study was to observe the differences, if any, between the eye tracking patterns of leaders who performed best in a simulated postpartum hemorrhage (PPH) high-fidelity scenario, in comparison with those who performed worst. Methods Forty anesthesia trainees from the University of Catania Medical School were divided into eight teams, to enact four times the same scenario of a patient with postpartum hemorrhage following vaginal delivery. Trainees who were assigned the leader’s role wore the eye tracking glasses during the scenario, and their behavioral skills were evaluated by two observers, who reviewed the video recordings of the scenarios using a standardized checklist. The leader’s eye tracking metrics, extracted from 27 selected areas of interest (AOI), were recorded by a Tobii Pro Glasses 50 Hz wearable wireless eye tracker. Team performance was evaluated using a PPH checklist. After completion of the study, the leaders were divided into two groups, based on the scores they had received (High-Performance Leader group, HPL, and Low-Performance Leader group, LPL). Results In the HPL group, the duration and number of fixations were greater, and the distribution of gaze was uniformly distributed among the various members of the team as compared with the LPL group (with the exception of the participant who performed the role of the obstetrician). The HPL group also looked both at the patient’s face and established eye contact with their team members more often and for longer (P < .05). The team performance (PPH checklist) score was greater in the HPL group (P < .001). The LPL group had more and/or longer fixations of technical areas of interest (P < .05). Conclusions Our findings suggest that the leaders who perform the best distribute their gaze across all members of their team and establish direct eye contact. They also look longer at the patient’s face and dwell less on areas that are more relevant to technical skills. In addition, the teams led by these best performing leaders fulfilled their clinical task better. The information provided by the eye behaviors of “better-performing physicians” may lay the foundation for the future development of both the assessment process and the educational tools used in simulation. Trial Registration Clinical.Trial.Gov ID n. NCT04395963.

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