Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Int J Comput Assist Radiol Surg. 2012 Sep;7(5):721-35. doi: 10.1007/s11548-012-0683-8. Epub 2012 Apr 7.
We describe the decision drivers, development and implementation of an integrated mobile situational awareness application for the perioperative environment. This digital operating room tool for anesthesiologists facilitates direct supervision of in-room staff without requiring being tied to a stationary computer workstation.
The iOS platform was used to create the VigiVU™ mobile application at Vanderbilt University Medical Center. The first working version was completed in 3 weeks with a scalable application for department-wide distribution requiring less than 1,000 development hours.
The VigiVU™ application provides situational awareness via access to real time operating room video, patient vital signs, anesthetic interventions, OR management visualization tools, patient data protection, bidirectional voice and text communication, and integrated electronic medical record access. The application allows anesthesiologists to know the status of their patients in up to four locations simultaneously. The application provides the ability to visually follow the flow of patients through the operative suite and prioritize which patients need attention. The application provides a consistent user environment on several compatible iOS devices. A group of 40 beta testers has consistently used and maintained their copy of the application, suggesting user acceptance.
We have demonstrated that it is possible to develop and implement an integrated mobile situational awareness application at a large academic medical center. Future research may determine whether perioperative deployment and utilization of VigiVU™ at our institution enhances patient safety and/or operating room efficiency.
我们描述了一种用于围手术期环境的综合移动态势感知应用程序的决策驱动因素、开发和实施。这种用于麻醉师的数字化手术室工具便于直接监督室内工作人员，而无需绑定到固定的计算机工作站。
范德比尔特大学医学中心在 iOS 平台上创建了 VigiVU™移动应用程序。第一个工作版本在 3 周内完成，具有可扩展的部门范围分发应用程序，需要不到 1000 个开发小时。
VigiVU™应用程序通过访问实时手术室视频、患者生命体征、麻醉干预、OR 管理可视化工具、患者数据保护、双向语音和文本通信以及集成的电子病历访问提供态势感知。该应用程序允许麻醉师同时在多达四个位置了解其患者的状态。该应用程序提供了通过手术套件可视化跟踪患者流程并确定需要关注的患者的能力。该应用程序在几个兼容的 iOS 设备上提供了一致的用户环境。一组 40 名测试人员一直使用并维护他们的应用程序副本，这表明用户接受度。
我们已经证明，在大型学术医疗中心开发和实施综合移动态势感知应用程序是可行的。未来的研究可能会确定我们机构中 VigiVU™的围手术期部署和利用是否增强了患者安全性和/或手术室效率。
