Abstract

The rates of preventable harm to patients in the U.S. are at concerning levels. The operating room is the most common site for adverse events in the hospital. To enhance surgical patient safety we introduce a novel approach that leverages advances in information technology. We propose to develop and analyze innovative surgical process models to facilitate standardization of critical procedural steps in cardiac surgery (smart checklists). We have assembled an experienced multidisciplinary team and we anticipate that our novel approach will contribute to a transformational redesign toward a health system that is waste-free, harm-free and highly reliable.

Public Health Relevance

The operating room is the most common site for adverse events in the hospital. To enhance surgical patient safety we propose to develop and analyze innovative surgical process models to facilitate standardization of critical procedural steps in cardiac surgery.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
1R01HL126896-01A1
Application #
9029501
Study Section
Special Emphasis Panel (ZRG1-SBIB-Q (80)S)
Program Officer
Lee, Albert
Project Start
2016-09-01
Project End
2019-06-30
Budget Start
2016-09-01
Budget End
2017-06-30
Support Year
1
Fiscal Year
2016
Total Cost
$391,808
Indirect Cost
$38,406

  Institution

Name
Harvard Medical School
Department
Surgery
Type
Schools of Medicine
DUNS #
047006379
City
Boston
State
MA
Country
United States
Zip Code
02115

  Publications

Dias, R D; Ngo-Howard, M C; Boskovski, M T et al. (2018) Systematic review of measurement tools to assess surgeons' intraoperative cognitive workload. Br J Surg 105:491-501
Dias, Roger D; Osterweil, Leon J; Riccardi, Giuseppe et al. (2018) Development of an Interactive Dashboard to Analyze Cognitive Workload of Surgical Teams During Complex Procedural Care. IEEE Int Interdiscip Conf Cogn Methods Situat Aware Decis Suppo 2018:77-82
Avrunin, George S; Clarke, Lori A; Conboy, Heather M et al. (2018) Toward Improving Surgical Outcomes by Incorporating Cognitive Load Measurement into Process-Driven Guidance. Softw Eng Healthc Syst SEHS IEEE ACM Int Workshop 2018:2-9
Zenati, Marco A; Scarinci, Andrea (2018) Cutting off the lizard's tail in surgery. J Thorac Cardiovasc Surg 156:1220-1221
Dias, Roger D; Conboy, Heather M; Gabany, Jennifer M et al. (2018) Intelligent Interruption Management System to Enhance Safety and Performance in Complex Surgical and Robotic Procedures. OR 2.0 Context Aware Oper Theaters Comput Assist Robot Endosc C 11041:62-68
Conboy, Heather M; Avrunin, George S; Clarke, Lori A et al. (2017) Cognitive Support During High-Consequence Episodes of Care in Cardiovascular Surgery. IEEE Int Interdiscip Conf Cogn Methods Situat Aware Decis Suppo 2017:
Tarola, Christopher L; Quin, Jacquelyn A; Haime, Miguel E et al. (2016) Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg 151:1183-1186