Evaluation and Modification of Surgeon Ergonomics in the Operation Room Using Artificial Intelligence Analytics

Обзор

The study is working to identify actions of surgeons in the operating room that can contribute to work-related musculoskeletal disorders. This includes poor positioning and time spent in poor positioning while working in the operating room. The study is also looking to determine if fatigue plays a role in work-related musculoskeletal disorders and whether an education intervention will change ergonomic risk.

Подробное описание

The study is working to identify actions of surgeons in the operating room that can contribute to work-related musculoskeletal disorders. This includes poor positioning and time spent in poor positioning while working in the operating room. The study is also looking to determine if fatigue plays a role in work-related musculoskeletal disorders.

Employing within-subject pre-post design to assess 1) patterns of aggregate risk data from video analysis in the OR for resident and attending surgeons over time and for different types of surgical tasks, 2) concurrent reliability assessment of the Rapid Upper Limb Assessment and Rapid Entire Body Assessment scores calculated from the software and visual analysis, 3) changes in pain data after review of the SOTER Task ergonomic outputs. The feasibility of using the system in the OR will also be assessed for open and laparoscopic surgery.

The study team will collect data, perform assessments, collect information from self-proctored surveys, and video record surgeon activities in the operating room on 20 surgeons. The video recordings will take measurements to assess risk factors for work-related musculoskeletal disorders. Following the fifth surgical case, the study team complete an education intervention by reviewing measurements established in the video recordings and supply a brief presentation on Ergonomics for Surgeons. A summary of observed body positioning for each subject is provided. Post intervention, five additional surgical cases will be observed in the manner of the previous cases to identify change in ergonomic risk.

Вмешательства

• Поведенческое Education presentation of surgical ergonomics
  During an individual meeting with participant, a brief presentation will be supplied for review.
• Поведенческое Summary of Ergonomic Measurement System
  Participant will view a video of their movements with a visual guideline highlighting high-risk angles and movements.

Первичные конечные точки

• Determine Ergonomic Risk Through Video-based Analysis calculated by an artificial intelligence software and evaluator assessment of Rapid Upper Limb Assessment (RULA) and Rapid Entire Body Assessment (REBA) [Срок оценки: 1 year]

Вторичные конечные точки (1)

• Change in Ergonomic Risk After Reviewing Video Capture and Risk Data [Срок оценки: 1 year]

Критерии участия

Критерии включения

• Any general surgery operative case by a surgeon from the Division of Acute Care Surgery. These cases will be conducted in what has been designated as the "Acute Care Surgery OR" for the day.

Критерии исключения

• Any operative case in which the surgical attending or resident has not signed informed consent to record this individual during the case.
• Any operative case that the surgical attending feels is inappropriate for video recording or when filming could interfere with surgical procedures

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Другое

Центры проведения

США · 2 центра

• UF Health at Shands Hospital — Gainesville
• UF Health Shands Hospital at the University of Florida — Gainesville

Идентификаторы

NCT: NCT06576570 · IRB202301655

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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