Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback
Abstract Background We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management. Methods Twenty two clinicians participated in 3 different simul...
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doaj-725feed3aa414732bf3116d091b5792b2020-11-24T23:35:30ZengBMCPatient Safety in Surgery1754-94932018-04-0112111010.1186/s13037-018-0153-5Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedbackPasha Normahani0Nita Makwana1Wilhelm von Rosenberg2Sadie Syed3Danilo P. Mandic4Valentin Goverdovsky5Nigel J. Standfield6Usman Jaffer7Imperial Vascular Unit, Imperial College NHS Healthcare TrustDepartment of Postgraduate Medical Education & Simulation, Imperial College Healthcare NHS Trust, St Mary’s HospitalDepartment of Electrical and Electronic Engineering, Imperial College LondonDepartment of Postgraduate Medical Education & Simulation, Imperial College Healthcare NHS Trust, St Mary’s HospitalDepartment of Electrical and Electronic Engineering, Imperial College LondonDepartment of Electrical and Electronic Engineering, Imperial College LondonImperial Vascular Unit, Imperial College NHS Healthcare TrustImperial Vascular Unit, Imperial College NHS Healthcare TrustAbstract Background We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management. Methods Twenty two clinicians participated in 3 different simulated ward based scenarios of deteriorating post-operative patients. Continuous ECG recordings were made for all participants to monitor stress levels using heart rate variability (HRV) indices. Video recordings of simulated scenarios augmented with real time stress biofeedback were replayed to participants. They were then asked to self-assess their performance using an objective assessment tool. Participants attitudes were explored using a post study questionnaire. Results Using HRV stress indices, we demonstrated higher stress levels in novice participants. Self-assessment scores were significantly higher in more experienced participants. Overall, participants felt that video replay and augmented stress biofeedback were useful in self-assessment. Conclusion Self-assessment using an objective self-assessment tool alongside video replay augmented with stress biofeedback is feasible in a simulated setting and well liked by participants.http://link.springer.com/article/10.1186/s13037-018-0153-5SimulationSurgerySelf-assessmentStressBiofeedback |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pasha Normahani Nita Makwana Wilhelm von Rosenberg Sadie Syed Danilo P. Mandic Valentin Goverdovsky Nigel J. Standfield Usman Jaffer |
spellingShingle |
Pasha Normahani Nita Makwana Wilhelm von Rosenberg Sadie Syed Danilo P. Mandic Valentin Goverdovsky Nigel J. Standfield Usman Jaffer Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback Patient Safety in Surgery Simulation Surgery Self-assessment Stress Biofeedback |
author_facet |
Pasha Normahani Nita Makwana Wilhelm von Rosenberg Sadie Syed Danilo P. Mandic Valentin Goverdovsky Nigel J. Standfield Usman Jaffer |
author_sort |
Pasha Normahani |
title |
Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback |
title_short |
Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback |
title_full |
Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback |
title_fullStr |
Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback |
title_full_unstemmed |
Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback |
title_sort |
self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback |
publisher |
BMC |
series |
Patient Safety in Surgery |
issn |
1754-9493 |
publishDate |
2018-04-01 |
description |
Abstract Background We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management. Methods Twenty two clinicians participated in 3 different simulated ward based scenarios of deteriorating post-operative patients. Continuous ECG recordings were made for all participants to monitor stress levels using heart rate variability (HRV) indices. Video recordings of simulated scenarios augmented with real time stress biofeedback were replayed to participants. They were then asked to self-assess their performance using an objective assessment tool. Participants attitudes were explored using a post study questionnaire. Results Using HRV stress indices, we demonstrated higher stress levels in novice participants. Self-assessment scores were significantly higher in more experienced participants. Overall, participants felt that video replay and augmented stress biofeedback were useful in self-assessment. Conclusion Self-assessment using an objective self-assessment tool alongside video replay augmented with stress biofeedback is feasible in a simulated setting and well liked by participants. |
topic |
Simulation Surgery Self-assessment Stress Biofeedback |
url |
http://link.springer.com/article/10.1186/s13037-018-0153-5 |
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