Medical errors causing preventable adverse events are the third leading cause of death in the U.S. The role of human cognition in contributing to errors in complex healthcare environments is increasingly being recognized. Many studies have demonstrated a direct relationship between cognitive performance metrics and patient outcomes. Notwithstanding, the role of cognition in improving safety has not received enough attention. Cardiac surgical OR is a high-impact area to improve patient safety and save lives. High mental workload during complex cardiac surgery and associated reduction of spare attentional capacity is bound to have a detrimental effect on a team's ability to detect their own errors. In the proposed project, we will explore and evaluate novel approaches to using process and patient real-time data, and device status information dynamically and proactively to provide guidance forward from the current surgical state. The proposed Cognition-based Guidance System will be deployed intraoperatively. We believe that human errors in the cardiac OR can be reduced by supporting individual and team interactions via dynamically-updated electronic guidance that are responsive to the details of the on-going process (i.e., context-aware), to the patient's current medical condition (i.e., patient-aware), and to cognitive workload demands on the participating clinicians (i.e., workload-aware).
Medical errors causing preventable adverse events are the third leading cause of death in the U.S. Many studies have demonstrated a direct relationship between cognitive performance metrics and patient outcomes but the role of cognition in improving safety has not received enough attention. To reduce errors and preventable adverse events, we propose to develop a Cognition-based Guidance System to support individual and team interactions via dynamically-updated electronic guidance that are responsive to the details of the on- going surgical process, to the patient's current medical condition, and to cognitive workload demands on the participating providers (i.e., context-aware).
| 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 |
| 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 |
| 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 |
