Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback
Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback
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DOI：
10.1186/s13037-018-0153-5
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发表时间：
2018-04-19
影响因子：
3.7
通讯作者：
Jaffer, Usman
中科院分区：
文献类型：
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作者：
Normahani, Pasha;Makwana, Nita;Jaffer, Usman
背景：我们的目的是探讨在模拟外科病房危机管理中使用实时压力量化增强的视频回放用于临床技能自我评估的可行性和态度。方法：22名临床医生参与了3种不同的模拟病房情景：术后病情恶化。所有参与者都进行了连续的心电记录，以使用心率变异性(HRV)指数监测应激水平。用实时压力生物反馈增强的模拟场景的视频记录被重播给参与者。然后，他们被要求使用客观的评估工具对自己的表现进行自我评估。结果：使用HRV压力指数，新手参与者表现出更高的压力水平。在更有经验的参与者中，自我评估得分显著更高。总体而言，参与者认为视频回放和增强的压力生物反馈在自我评估中是有用的。结论：使用客观的自我评估工具与视频回放和压力生物反馈相结合的自我评估工具在模拟环境中是可行的，并受到参与者的欢迎。
Background: We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management.Methods: Twenty two clinicians participated in 3 different simulated ward based scenarios of deteriorating post-operative patients. Continuous ECG recordings were made for all participants to monitor stress levels using heart rate variability (HRV) indices. Video recordings of simulated scenarios augmented with real time stress biofeedback were replayed to participants. They were then asked to self-assess their performance using an objective assessment tool. Participants attitudes were explored using a post study questionnaire.Results: Using HRV stress indices, we demonstrated higher stress levels in novice participants. Self-assessment scores were significantly higher in more experienced participants. Overall, participants felt that video replay and augmented stress biofeedback were useful in self-assessment.Conclusion: Self-assessment using an objective self-assessment tool alongside video replay augmented with stress biofeedback is feasible in a simulated setting and well liked by participants.