Increasing Completion Rate and Benefits of Checklists: Prospective Evaluation of Surgical Safety Checklists With Smart Glasses
Increasing Completion Rate and Benefits of Checklists: Prospective Evaluation of Surgical Safety Checklists With Smart Glasses
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DOI：
10.2196/13447
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发表时间：
2019-04-29
影响因子：
5
通讯作者：
Rivas, Homero
中科院分区：
文献类型：
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作者：
Boillat, Thomas;Grantcharov, Peter;Rivas, Homero
背景：研究表明，手术安全检查表（SSC）可以显著降低手术并发症和死亡率。这些清单依赖于传统的海报或纸张，其内容是关于正在进行的手术类型的通用信息。SSC的完成率和内容的一致性被报道为适度和广泛可变的。目的：本研究旨在调查在手术室使用智能眼镜的可行性和潜力，通过情境化内容提高可用性，并理想地提高完成率，从而增加SSC的益处。方法：我们前瞻性地评估并比较了2016年6月至2017年2月期间在一家主要学术医疗中心使用SSC的80例术前超时事件。参与者被分配到传统的检查表方法（海报，记忆，或两者兼而有之）或在Google Glass上运行的智能眼镜应用程序。结果：四名不同的外科医生使用传统方法（即记忆或海报）进行了41次检查表，使用智能眼镜应用程序进行了39次检查表。使用传统方法的平均检查表完成率为76%。智能眼镜的完成率高达100%，平均检查表持续时间减少了18%.Conclusions：与海报，纸张和记忆等替代品相比，智能眼镜检查表更容易使用和遵循。该眼镜允许外科医生使用情境化的超时检查表，这将完成率提高到100%，并减少了检查表执行时间和手术过程中准备设备所需的时间。
Background: Studies have demonstrated that surgical safety checklists (SSCs) can significantly reduce surgical complications and mortality rates. Such lists rely on traditional posters or paper, and their contents are generic regarding the type of surgery being performed. SSC completion rates and uniformity of content have been reported as modest and widely variable.Objective: This study aimed to investigate the feasibility and potential of using smart glasses in the operating room to increase the benefits of SSCs by improving usability through contextualized content and, ideally, resulting in improved completion rates.Methods: We prospectively evaluated and compared 80 preoperative time-out events with SSCs at a major academic medical center between June 2016 and February 2017. Participants were assigned to either a conventional checklist approach (poster, memory, or both) or a smart glasses app running on Google Glass.Results: Four different surgeons conducted 41 checklists using conventional methods (ie, memory or poster) and 39 using the smart glasses app. The average checklist completion rate using conventional methods was 76%. Smart glasses allowed a completion rate of up to 100% with a decrease in average checklist duration of 18%.Conclusions: Compared with alternatives such as posters, paper, and memory, smart glasses checklists are easier to use and follow. The glasses allowed surgeons to use contextualized time-out checklists, which increased the completion rate to 100% and reduced the checklist execution time and time required to prepare the equipment during surgical cases.