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Development and Evaluation of a Tablet-Control for a Surgical Workstation in the Open Integrated Operating Room

机译:在开放式综合手术室中为手术工作站设计平板电脑控件并进行评估

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In the complex and safety-critical environment of the operating room the increasing use of technology and the interactions are significant causes for critical incidents and adverse events. Thus, the usability needs to be optimized, e.g. by enhancing the Human-Machine-Interaction, the workflow and therefore the safety for users and patients. Hence, big companies offer integrated operation room systems, with harmonized safety- and HMI-concepts. Unfortunately, these systems come along with closed proprietary communication solutions. This prevents flexible design for the hospital operator and easy integration of medical equipment from small and medium-sized enterprises. To open this market, a safe and dynamic networking approach of medical devices has been established on the basis of an open communication standard (IEEE 11073-SDC). Within the OR.NET follow-up project ZiMT (Certifiable integrated Medical Technology), a mobile control in addition to the central surgical workstation use concept has been developed. The requirement analysis for the tablet concept considers existing integrated OR systems and the development and evaluation of human-machine interfaces, regarding the usability engineering process as well as related standards (e.g. Machinery Directive 2006/42/EC, DIN EN ISO 9241-110, IEC 62366). The graphical user interface provides inter alia a flexible und workflow-oriented assembly of a function group view. To evaluate the developed concept in comparison to the user interface of the workstation, an interaction-centered usability test with nine participants (surgeons and OR nurses) has been conducted. The results show a comparable effectiveness and efficiency. Moreover, the intuitiveness of the tablet control is estimated to be higher and most test subjects prefer to work with the tablet control.
机译:在手术室复杂且对安全至关重要的环境中,不断增加的技术使用和交互作用是导致严重事故和不良事件的重要原因。因此,例如,需要优化可用性。通过增强人机交互,工作流程以及用户和患者的安全性。因此,大公司提供具有统一的安全和HMI概念的集成手术室系统。不幸的是,这些系统都带有封闭的专有通信解决方案。这妨碍了医院操作员的灵活设计以及中小型企业容易集成医疗设备。为了打开这个市场,已经在开放的通信标准(IEEE 11073-SDC)的基础上建立了一种安全,动态的医疗设备联网方法。在OR.NET后续项目ZiMT(可认证集成医疗技术)中,除中央手术工作站使用概念外,还开发了一种移动控件。平板电脑概念的需求分析考虑了现有的集成OR系统以及人机界面的开发和评估,涉及可用性工程流程以及相关标准(例如,机械指令2006/42 / EC,DIN EN ISO 9241-110, IEC 62366)。图形用户界面尤其提供了功能组视图的灵活和面向工作流的组装。为了与工作站的用户界面进行比较来评估开发的概念,已进行了以交互为中心的可用性测试,其中包括9位参与者(外科医生和OR护士)。结果显示出可比的有效性和效率。此外,估计数位板控件的直观性更高,大多数测试对象更喜欢使用数位板控件。

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