Nouei Mahyar Taghizadeh, Kamyad Ali Vahidian, Soroush Ahmad Reza, Ghazalbash Somayeh
Department of Applied Mathematics, School of Mathematical Sciences, Ferdowsi University of Mashhad, International Campus, Mashhad, Iran.
J Clin Monit Comput. 2015 Apr;29(2):251-61. doi: 10.1007/s10877-014-9591-5. Epub 2014 Jul 14.
Occasionally, surgeons do need various types of information to be available rapidly, efficiently and safely during surgical procedures. Meanwhile, they need to free up hands throughout the surgery to necessarily access the mouse to control any application in the sterility mode. In addition, they are required to record audio as well as video files, and enter and save some data. This is an attempt to develop a comprehensive operating room information system called "Medinav" to tackle all mentioned issues. An integrated and comprehensive operating room information system is introduced to be compatible with Health Level 7 (HL7) and digital imaging and communications in medicine (DICOM). DICOM is a standard for handling, storing, printing, and transmitting information in medical imaging. Besides, a natural user interface (NUI) is designed specifically for operating rooms where touch-less interactions with finger and hand tracking are in use. Further, the system could both record procedural data automatically, and view acquired information from multiple perspectives graphically. A prototype system is tested in a live operating room environment at an Iranian teaching hospital. There are also contextual interviews and usability satisfaction questionnaires conducted with the "MediNav" system to investigate how useful the proposed system could be. The results reveal that integration of these systems into a complete solution is the key to not only stream up data and workflow but maximize surgical team usefulness as well. It is now possible to comprehensively collect and visualize medical information, and access a management tool with a touch-less NUI in a rather quick, practical, and harmless manner.
偶尔,外科医生在手术过程中确实需要快速、高效且安全地获取各种类型的信息。与此同时,他们在整个手术过程中需要腾出手来,以便在无菌模式下操作鼠标来控制任何应用程序。此外,他们还需要录制音频和视频文件,并输入和保存一些数据。本文旨在开发一个名为“Medinav”的综合手术室信息系统,以解决上述所有问题。本文介绍了一个集成的综合手术室信息系统,该系统与健康级别7(HL7)和医学数字成像与通信(DICOM)兼容。DICOM是医学成像中处理、存储、打印和传输信息的标准。此外,专门为手术室设计了一种自然用户界面(NUI),该界面使用手指和手部跟踪进行无接触交互。此外,该系统既可以自动记录手术数据,又可以从多个角度以图形方式查看获取的信息。一个原型系统在伊朗一家教学医院的实际手术室环境中进行了测试。还对“MediNav”系统进行了情境访谈和可用性满意度问卷调查,以调查该系统的实用性。结果表明,将这些系统集成到一个完整的解决方案中不仅是简化数据和工作流程的关键,也是最大化手术团队效用的关键。现在可以以快速、实用且无害的方式全面收集和可视化医疗信息,并通过无接触NUI访问管理工具。