Abstract
Risk-management training in the operating room (OR) can be achieved by involving learners in a simulated risky situation. The task is particularly complex because most of the time, the causes of an accident or an adverse event imply a large variety of contributing factors that are (i) difficult to combine artificially and (ii) even harder to detect and evaluate in a dynamic training context. This paper describes a model for specifying pedagogical objectives that has been integrated and used in a 3D virtual operating room project designed to train medical staff on risk management, particularly risks linked to communication default. Training sessions organized with trainers, student-anesthetist-nurses, student-operating-nurse and student-anesthetists show how teamwork efficiency in critical situations may be evaluated in a collaborative environment.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Debriefing with Good Judgment. New York, NY
The Effect of the WHO Surgical Safety Checklist on Complication Rate and Communication 109
Prevention of Wrong Site Surgery, Retained Surgical Items, Surgical Fires: A Systematic Review. VA Evidence-based Synthesis Program Reports, Washington (DC)
Safety Checklists in the Operating Room 109
Authority, P.P.S: Pennsylvania Patient Safety Authority - 2012. Annual report 2012, Pennsylvania (2012)
Capin, T.K., Noser, H., Thalmann, D., Pandzic, I.S., Thalmann, N.M.: Virtual human representation and communication in VLNet. IEEE Comput. Graph. Appl. 2, 42–53 (1997)
Carayon, P.: Human factors of complex sociotechnical systems. Appl. Ergon. 37(4), 525–535 (2006)
Charniak, E., Goldman, R.P.: A bayesian model of plan recognition. Artif. Intell. 64(1), 53–79 (1993)
Effken, J.A.: Different lenses, improved outcomes: a new approach to the analysis and design of healthcare information systems. Int. J. Med. Inf. 65(1), 59–74 (2002)
El-Kechaï, N., Després, C.: A plan recognition process, based on a task model, for detecting Learner’s erroneous actions. In: Ikeda, M., Ashley, K.D., Chan, T.-W. (eds.) ITS 2006. LNCS, vol. 4053, pp. 329–338. Springer, Heidelberg (2006). doi:10.1007/11774303_33
Gawande, A.A., Thomas, E.J., Zinner, M.J., Brennan, T.A.: The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 126(1), 66–75 (1999)
Grice, H.P., Cole, P., Morgan, J.L.: Syntax and semantics. In: Logic and Conversation, vol. 3, pp. 41–58 (1975)
Halverson, A.L., Casey, J.T., Andersson, J., Anderson, K., Park, C., Rademaker, A., Moorman, D.: Communication failure in the operating room. Surgery 149(3), 305–310 (2011)
Haynes, A.B., Weiser, T.G., Berry, W.R., Lipsitz, S.R., Breizat, A.H.S., Dellinger, E.P., Herbosa, T., Joseph, S., Kibatala, P.L., Lapitan, M.C.M., Merry, A.F., Moorthy, K., Reznick, R.K., Taylor, B., Gawande, A.A.: Safe surgery saves lives study group: a surgical safety checklist to reduce morbidity and mortality in a global population. N. Engl. J. Med. 360(5), 491–499 (2009)
Johnson, W.L., Rickel, J.: Steve: an animated pedagogical agent for procedural training in virtual environments. ACM SIGART Bull. 8(1–4), 16–21 (1997)
Commission, J.: Improving Americas Hospitals: The Joint Commissions Annual Report on Quality and Safety, Retrieved February, vol. 25 (2008)
de Jong, T.: Learning and instruction with computer simulations. Edu. Comput. 6(3), 217–229 (1991)
Kohn, L.T., Corrigan, J.M., Donaldson, M.S. (eds.): To err is Human: Building a Safer Health System, national academies press edn. National Academies Press, Washington, D.C. (2000)
Kolb, A.Y., Kolb, D.A.: Learning styles and learning spaces: enhancing experiential learning in higher education. Acad. Manag. Learn. Edu. 4(2), 193–212 (2005)
Koper, R., Manderveld, J.: Educational modelling language: modelling reusable, interoperable, rich and personalised units of learning. Br. J. Edu. Technol. 35(5), 537–551 (2004)
Lagarrigue, P., Lubrano, V., Minville, V., Pons-Lelardeux, C.: The 3dvor project (2012). http://3dvor.univ-jfc.fr/
Lingard, L., Espin, S., Whyte, S., Regehr, G., Baker, G., Reznick, R.: Communication failure in the operating room: observational classification of reccurent types and effects. Qual. Saf. Heathcare 13(5), 330–334 (2004)
Maroto, D., Leony, D., Delgado Kloos, C., Ibáñez, M.B., García Rueda, J.J.: Orchestrating learning activities in 3D virtual worlds: IMS-LD in open wonderland. In: Kloos, C.D., Gillet, D., Crespo García, R.M., Wild, F., Wolpers, M. (eds.) EC-TEL 2011. LNCS, vol. 6964, pp. 455–460. Springer, Heidelberg (2011). doi:10.1007/978-3-642-23985-4_38
McGaghie, W.C., Issenberg, S.B., Petrusa, E.R., Scalese, R.J.: A critical review of simulation-based medical education research: 20032009. Med. Edu. 44(1), 50–63 (2010)
Panzoli, D., Sanselone, M., Sanchez, S., Sanza, C., Lelardeux, C., Lagarrigue, P., Duthen, Y.: Introducing a design methodology for multi-character collaboration in immersive learning games (regular paper). In: Proceedings of the Sixth International Conference on Virtual Worlds and Games for Serious Applications (VS-Games14). p. (electronic medium). IEEExplore digital library, University of Malta (2014)
Pennsylvania Patient Safety Authority: Pennsylvania Patient Safety Authority - 2007. Annual report, Pennsylvania (2007)
Plasters, C.L., Seagull, F.J., Xiao, Y.: Coordination challenges in operating-room management: an in-depth field study. In: AMIA Annual Symposium Proceedings (2003)
Plsek, P.E., Greenhalgh, T.: The challenge of complexity in health care. Br. Med. J. 323(7313), 625 (2001)
Pons Lelardeux, C., Panzoli, D., Lubrano, V., Minville, V., Lagarrigue, P., Jessel, J.P.: Communication system and team situation awareness in a multiplayer real-time learning environment: application to a virtual operating room. Visual Computer in progress (2016)
Reason, J.: A Life in Error, ashgate edn. Ashgate Pub Ltd, Farnham (2013)
Seiden, S.C., Barach, P.: Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? Arch. Surg. 141(9), 931–939 (2006)
World Alliance for Patient Safety: WHO Surgical Safety Checklist (2009)
Zegers, M., de Bruijne, M.C., de Keizer, B., Merten, H., Groenewegen, P.P., van der Wal, G., Wagner, C.: The incidence, root-causes, and outcomes of adverse events in surgical units: implication for potential prevention strategies. Patient Saf. Surg. 5(1), 1 (2011)
Acknowledgments
The steering committee of 3DVOR is composed of P. Lagarrigue, V. Lubrano, V. Minville and C. Pons Lelardeux. The authors are also grateful to contributors: C. Guimbal, O. Chabiron, L. Saillard, T. Rodsphon, S. Beck, M. Sanselone. C. Paban and M. Domec are trainers who used 3DVOR for this expriment in the anesthetist nurse school of Toulouse and the operating nurse school of University Hospital of Toulouse. These works are part of a global national innovative IT program whose industrial partners are KTM Advance company and Novamotion company.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this paper
Cite this paper
Lelardeux, C.P. et al. (2017). 3D Real-Time Collaborative Environment to Learn Teamwork and Non-technical Skills in the Operating Room. In: Auer, M., Guralnick, D., Uhomoibhi, J. (eds) Interactive Collaborative Learning. ICL 2016. Advances in Intelligent Systems and Computing, vol 544. Springer, Cham. https://doi.org/10.1007/978-3-319-50337-0_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-50337-0_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-50336-3
Online ISBN: 978-3-319-50337-0
eBook Packages: EngineeringEngineering (R0)