Objective Assessment of Surgical Technical Skill and Competency in the Operating Room.
Objective Assessment of Surgical Technical Skill and Competency in the Operating Room.
复制标题
DOI：
10.1146/annurev-bioeng-071516-044435
复制
发表时间：
2017-06-21
影响因子：
9.7
通讯作者：
Hager GD
中科院分区：
文献类型：
--
作者：
Vedula SS;Ishii M;Hager GD
培训熟练和称职的外科医生对于确保高质量的护理和尽量减少获得有效护理方面的差距至关重要。传统的外科医生培训模式正受到技术快速进步、强化患者安全文化以及对价值驱动的卫生系统需求的挑战。与此同时，技术的发展使得能够捕获和分析大量复杂的手术数据。这些发展正在推动一种“手术数据科学”方法，用于客观的计算机辅助技术技能评估（OCASE-T），以进行可扩展的准确评估;个性化反馈;和自动化指导。我们定义了OCASE-T的问题空间，并总结了45篇代表这一领域最新研究的出版物。我们发现大多数关于OCASE-T的研究都是基于模拟的，很少有在手术室进行的。用于OCASE-T的算法和验证方法差异很大;没有统一的共识。未来的研究应强调在手术室的能力评估，验证对病人的结果，和手术培训的有效性。
Training skillful and competent surgeons is critical to ensure high quality of care and to minimize disparities in access to effective care. Traditional models to train surgeons are being challenged by rapid advances in technology, an intensified patient-safety culture, and a need for value-driven health systems. Simultaneously, technological developments are enabling capture and analysis of large amounts of complex surgical data. These developments are motivating a “surgical data science” approach to objective computer-aided technical skill evaluation (OCASE-T) for scalable, accurate assessment; individualized feedback; and automated coaching. We define the problem space for OCASE-T and summarize 45 publications representing recent research in this domain. We find that most studies on OCASE-T are simulation based; very few are in the operating room. The algorithms and validation methodologies used for OCASE-T are highly varied; there is no uniform consensus. Future research should emphasize competency assessment in the operating room, validation against patient outcomes, and effectiveness for surgical training.
登录
查看更多内容
影响因子：
1.5
作者：
Atkins, M. Stella;Tien, Geoffrey;Zheng, Bin
通讯作者：
Zheng, Bin
影响因子：
--
作者：
Anderson, Fraser;Birch, Daniel W.;Bischof, Walter F.
通讯作者：
Bischof, Walter F.
影响因子：
3.1
作者：
BERGLAND, GD
通讯作者：
BERGLAND, GD
影响因子：
6.4
作者：
Ahmidi, Narges;Ishii, Masaru;Hager, Gregory D.
通讯作者：
Hager, Gregory D.
DOI：
10.1007/s11548-015-1194-1
发表时间：
2015-06-01
影响因子：
3
作者：
Ahmidi, Narges;Poddar, Piyush;Ishii, Masaru
通讯作者：
Ishii, Masaru