Evaluation for effectiveness and market readiness of an ego-centric computer vision based surgical safety system

上周，在英国国家医疗服务体系（NHS）的一家信托机构，一名病人在接受膀胱镜检查（一种使用薄相机检查膀胱内部的手术）时，意外地接受了包皮环切术。这一事件的发生是由于手术前病人病历的混淆。手术中可预防的错误是NHS和全球医院的一个重要问题。在过去的两年里，NHS发生了超过40601起严重事件和数量不理想的“从未发生过的事件”。Never事件是指严重的、基本上可以预防的患者安全事件，如果医疗保健提供者实施了现有的国家指导或安全建议，这些事件就不应该发生。然而，“从未发生过的事件”仍在继续发生：2017年4月1日至2018年3月31日期间，共有468起事件被暂时归类为“从未发生过的事件”。在全球范围内，超过700万患者在手术中遭受不良事件，其中大多数是可预防的错误，这对经济造成了严重影响。在每一个手术过程中，这些都是例行检查——这是正确的病人吗？我们数过所有的器械了吗？病人同意做这个手术吗？这是正确的植入物吗？每个医生和护士都知道他们应该做什么，但却没有有效地执行。目前的黄金标准是一份纸质的世卫组织手术安全清单，由于其实施不一致、打勾式练习方法以及使用动机不足而无法实现。在接受手术时，患者不会考虑他们可能会带着异物离开医院。在过去的五年里，NHS已经花费了2530万英镑用于病人手术后体内有异物的赔偿和法律费用。在手术刀有限公司，我们正在制造使手术更安全、更有效的工具。我们已经开发了一种自主软件，可以解决普通外科中可预防的严重事故。我们通过与利兹教学医院信托基金和MD-TEC伯明翰的一线临床工作人员和患者合作开发了我们的技术。目前的项目将允许我们在临床环境中对我们的技术进行进一步的评估，并在明年进入市场之前对我们的商业模式进行压力测试。该项目不仅解决了标准手术安全检查清单中的问题，还展示了人工智能和数据分析的强大功能，可以实时支持临床工作人员。该项目的成果为外科手术安全技术在迈向移动优先和数字化NHS的过程中奠定了基础。”

"Last week in an NHS trust, a patient underwent unintended circumcision when he was actually scheduled for cystoscopy - a procedure using a thin camera to examine inside the bladder. This incident occurred due to the mix-up of patient records before the operation.Preventable errors in surgery are a significant concern to the NHS and hospitals globally. In the past two years, there were over 40,601 serious incidents and an undesirable number of Never Events in the NHS. Never Events are serious, largely preventable patient safety incidents that should not occur if healthcare providers have implemented existing national guidance or safety recommendations. However, Never Events continue to happen: there were 468 incidents provisionally classified as Never Events between 1 April 2017 and 31 March 2018\. Globally, over seven million patients suffer adverse events in surgery, the majority of them are preventable errors, which cause a severe dent in the economy.In every surgical procedure, these are routine checks -- is this the right patient, did we count all the instruments? is the patient consent for this operation? is this the right implant? - that every doctor and nurse knows they should do, but fails to carry them out effectively. The current gold standard, a paper-based WHO surgical safety checklist doesn't deliver due to inconsistencies in its implementation, tick-box exercise approach and a lack of motivation in its usage. When undergoing surgery, patients don't consider they could leave the hospital with foreign objects inside them. The NHS has spent £25.3million in compensation and legal fees over the past five years in cases where patients have left surgery with foreign objects inside them.At Scalpel limited, we are building tools to make surgery safer and more efficient. We have already developed an autonomous software that addresses preventable serious incidents in General Surgery. We developed our technology by working with frontline clinical staff and patients at Leeds Teaching Hospital Trusts and MD-TEC Birmingham.The current project will allow us to perform further evaluation of our technology in a clinical setting and stress test our business models before we hit the market next year. This project not only addresses the issues in the standard surgical safety checklists but demonstrates the power of artificial intelligence and data analytics to support clinical staff in real-time. The outcomes of this project lay the foundation for surgical safety technologies in the journey towards a mobile-first and digital NHS."