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Patient Safety in Surgery
Published in: Patient Safety in Surgery 1/2018

Open Access 01-12-2018 | Research

Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback

Authors: Pasha Normahani, Nita Makwana, Wilhelm von Rosenberg, Sadie Syed, Danilo P. Mandic, Valentin Goverdovsky, Nigel J. Standfield, Usman Jaffer

Published in: Patient Safety in Surgery | Issue 1/2018

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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.
Appendix
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Metadata
Title
Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback
Authors
Pasha Normahani
Nita Makwana
Wilhelm von Rosenberg
Sadie Syed
Danilo P. Mandic
Valentin Goverdovsky
Nigel J. Standfield
Usman Jaffer
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Patient Safety in Surgery / Issue 1/2018
Electronic ISSN: 1754-9493
DOI
https://doi.org/10.1186/s13037-018-0153-5

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