An evaluation of an expert system for detecting critical events during anesthesia in a human patient simulator: A prospective randomized controlled study

Anesthesia and Analgesia

Volumn 117, Issue 2, 2013, Pages 380-391

  Görges, Matthias ^a   Winton, Pamela ^a   Koval, Valentyna ^b   Lim, Joanne ^a   Stinson, Jonathan ^a   Choi, Peter T ^a   Schwarz, Stephan K W ^a   Dumont, Guy A ^a   Ansermino, J Mark ^b  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ANAPHYLAXIS; ANESTHESIA; ANESTHESIST; ANESTHETIC VAPORIZER; CLINICAL DECISION MAKING; CLINICAL EFFECTIVENESS; CLINICAL PATHWAY; CLINICAL PRACTICE; CONFERENCE PAPER; CONTROLLED STUDY; DIFFERENTIAL DIAGNOSIS; ENDOTRACHEAL TUBE CUFF; EXPERT SYSTEM; HUMAN; INTOXICATION; JOB EXPERIENCE; OPERATING ROOM; PRIORITY JOURNAL; QUESTIONNAIRE; SCORING SYSTEM; SIMULATOR; TENSION PNEUMOTHORAX;

ADULT; AGED; ANAPHYLAXIS; ANESTHESIA, GENERAL; ANESTHETICS, INHALATION; BRITISH COLUMBIA; CLINICAL ALARMS; CLINICAL COMPETENCE; COMPUTER SIMULATION; DRUG OVERDOSE; EQUIPMENT DESIGN; EQUIPMENT FAILURE; EXPERT SYSTEMS; FEMALE; HUMANS; LINEAR MODELS; MALE; MANIKINS; MIDDLE AGED; MULTIVARIATE ANALYSIS; OPERATING ROOMS; PNEUMOTHORAX; PROSPECTIVE STUDIES; QUESTIONNAIRES; SIGNAL PROCESSING, COMPUTER-ASSISTED; TASK PERFORMANCE AND ANALYSIS; TIME FACTORS; TIME-TO-TREATMENT; WORKLOAD; YOUNG ADULT;

EID: 84881368980     PISSN: 00032999     EISSN: 15267598     Source Type: Journal    
DOI: 10.1213/ANE.0b013e3182975b63     Document Type: Conference Paper

References (21)

1. Lawless ST. Crying wolf: false alarms in a pediatric intensive care unit. Crit Care Med 1994;22:981-5
2. Borowski M, Görges M, Fried R, Such O, Wrede C, Imhoff M. Medical device alarms. Biomed Tech (Berl) 2011;56:73-83
3. Block FE Jr, Nuutinen L, Ballast B. Optimization of alarms: a study on alarm limits, alarm sounds, and false alarms, intended to reduce annoyance. J Clin Monit Comput 1999;15:75-83
4. Webb RK, Currie M, Morgan CA, Williamson JA, Mackay P, Russell WJ, Runciman WB. The Australian Incident Monitoring Study: an analysis of 2000 incident reports. Anaesth Intensive Care 1993;21:520-8
5. Korniewicz DM, Clark T, David Y. A national online survey on the effectiveness of clinical alarms. Am J Crit Care 2008; 17:36-41
6. Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg 2006;102:1525-37
7. Saeed M, Mark RG. Multiparameter trend monitoring and intelligent displays using wavelet analysis. Comput Cardiol 2000;27:797-800
8. Simons DJ, Ambinder MS. Change blindness. Theory and consequences. Curr Dir Psychol Sci 2005;14:44-8
9. Tappan JM, Daniels J, Slavin B, Lim J, Brant R, Ansermino JM. Visual cueing with context relevant information for reducing change blindness. J Clin Monit Comput 2009;23:223-32
10. Sanborn KV, Castro J, Kuroda M, Thys DM. Detection of intra-operative incidents by electronic scanning of computerized anesthesia records. Comparison with voluntary reporting. Anesthesiology 1996;85:977-87
11. Westenskow DR, Orr JA, Simon FH, Bender HJ, Frankenberger H. Intelligent alarms reduce anesthesiologist's response time to critical faults. Anesthesiology 1992;77:1074-9
12. Gaba DM, Howard SK, Small SD. Situation awareness in anes-thesiology. Hum Factors 1995;37:20-31
13. Ansermino JM, Daniels JP, Hewgill RT, Lim J, Yang P, Brouse CJ, Dumont GA, Bowering JB. An evaluation of a novel software tool for detecting changes in physiological monitoring. Anesth Analg 2009;108:873-80
14. Brouse C, Dumont G, Yang P, Lim J, Ansermino JM. iAssist: a software framework for intelligent patient monitoring. Conf Proc IEEE Eng Med Biol Soc 2007;2007:3790-3
15. Dosani M, Lim J, Yang P, Brouse C, Daniels J, Dumont G, Ansermino JM. Clinical evaluation of algorithms for context-sensitive physiological monitoring in children. Br J Anaesth 2009;102:686-91
16. Dunsmuir D, Daniels J, Brouse C, Ford S, Ansermino JM. A knowledge authoring tool for clinical decision support. J Clin Monit Comput 2008;22:189-98
17. Ansermino JM, Dosani M, Amari E, Choi PT, Schwarz SK. Defning rules for the identifcation of critical ventilatory events. Can J Anaesth 2008;55:702-14
18. Görges M. Development and Evaluation of an Event Recognition Alarm System Using a High Fidelity Patient Simulator [MSc Thesis]. Hamburg, Germany: HAW-Hamburg, 2005
19. Hart SG, Staveland LE. Development of NASA-TLX (Task Load Index): results of empirical and theoretical research. In: Hancock P, Meshkati N, eds. Human Mental Workload. Amsterdam, the Netherlands: North Holland Press, 1988:139-83
20. Lewis JR. IBM computer usability satisfaction questionnaires: psychometric evaluation and instructions for use. Int J Hum-Comput Int 1995;7:57-78
21. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, 1988:590