Cone Stephen W, Leung Anna, Mora Francisco, Rafiq Azhar, Merrell Ronald C
Medical Informatics and Technology Applications Consortium, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia 23298, USA.
Telemed J E Health. 2006 Jun;12(3):351-8. doi: 10.1089/tmj.2006.12.351.
The objective of this study was to design an electronic form of documentation of surgical procedures, which would include audio and video recording of the entire surgical procedure. Video clips have shown promise for teaching surgical procedures. To date, no systems have been described to fully record video and audio of all events during a surgical procedure. Much as such systems have aided the airline industry, surgical safety, documentation, and education could benefit from comprehensive, multimedia documentation systems. Four camcorders provided views of: (1) anesthetic monitors, (2) laparoscopic images, (3) room view, and (4) surgical field view. All video and audio were combined with real-time written documentation of events within a simple, inexpensive database for archiving, review, and evaluation. Electronic records provided answers to more than 90% of the structured review questions, leaving only 6% unanswered, versus 92% unanswerable based on the traditional paper records. This electronic documentation system provides a much more comprehensive and easily mined means of surgical documentation than traditional paper records.
本研究的目的是设计一种手术过程的电子记录形式，其中包括整个手术过程的音频和视频记录。视频片段已显示出在手术教学方面的前景。迄今为止，尚未有系统被描述为能完全记录手术过程中所有事件的视频和音频。就像此类系统对航空业有所帮助一样，手术安全、记录和教育也能从全面的多媒体记录系统中受益。四台摄像机提供了以下视角：（1）麻醉监测器，（2）腹腔镜图像，（3）手术室视野，以及（4）手术区域视野。所有视频和音频都与事件的实时书面记录相结合，存储在一个简单、低成本的数据库中，用于存档、回顾和评估。电子记录对超过90%的结构化回顾问题提供了答案，仅有6%未得到解答，而基于传统纸质记录的未解答率为92%。与传统纸质记录相比，这种电子记录系统提供了一种更全面且更容易挖掘的手术记录方式。
