AI Black Box Quiz Flashcards
How is the new smart monitoring system helping and not helping some surgeons?
Could help doctors avoid mistakes, but also alarming some surgeons and leading to sabotage
Why was Theodore first surgery bad when he watched it on VHS tape
He had roughness in his dissections, used the wrong instruments and transformed a 30 minute operation into a 90 minute one
What was the big problem in the 90s?
In the 90s recordings were a realistic quality improvement strategy has the VHS tapes for granny. It was impossible to determine mundane slip ups
How many Americans die a year on the operating table or after a surgery?
About 22,000 Americans due to errors have been on the operating table for leaving surgical sponges inside patients bodies or performing the wrong procedures
What has a patient safety movement pushed for
Uniform checklist and other manual fail safes to prevent such mistakes
What was Grantcharov obsessed with and what did he want to develop?
He was obsessed with improving safety and surgical efficiency, and wanted to make it challenging to make mistakes. He thought that developing the system could create recordings could be key.
What did he develop?
Operating room equivalent of airplanes, black box as it records everything in the OR Panoramic cameras, microphones, and anesthesia monitors before using artificial intelligence to help surgeons make sense of the data
What do he want to capture with the black box?
Capture the OR as a hole from the number of times the door is open to how many non-case related conversations occur during the operation
-to study the OR environment holistically
What do surgeons think of the black boxes present in the OR rooms?
questions privacy and the threat of disciplinary action and legal exposure
What do surgeons think of the black boxes in the OR rooms?
Presents slowly, tricky questions are privacy and the threat of disciplinary action and legal exposure
How have surgeons reacted to the black boxes?
Have refused to operate when black boxes are in place and the systems have been sabotaged
How many black boxes have been deployed?
I almost 40 institutions in the US Canada and Western Europe from Mount Sinai to Duke to the mayo clinic
What is not be recorded without these black boxes?
Performance to instrument handling as the OR is the most measured place in the hospital, but one of the most poorly captured
Where did operations take place in the 19th century?
In large amphitheaters with general price of the mission
What happened to operating rooms around the 1900s?
Became increasingly smaller and less accessible to the public the germs
What did Ernest Conman suggest in the 1910s?
Form of surveillance known as the end results system documenting every operation, including failures, problems, and errors and tracking patient outcomes
What distanced between patients and physicians?
Opacity towards medicine professionalization in the 20 century characterized by technological advancements, the decline of generalist and the bureaucratization of healthcare institutions
What happened in 1960s
From the 1960s onward the medical field to see rise and not practice lawsuits at least partially driven by patients trying to find answers when things went wrong
How did Grantcharov realize how to get surgeons to use the black box?
Make surgeons feel protected
How did he design the system?
To record the action but hide the identity of both patients and staff even deleting our recordings within 30 days. With the idea that no individual should be punished for making a mistake.
What does the blackbox platform utilize?
Utilizes a handful of computer vision, models, and ultimately spits out series of short video clips, and a dashboard of statistics like how much blood was lost, which instruments were used, and how many auditory descriptions occurred system also identifies and breakout key segments of procedures like dissection, resection and closure
Why are identity protections only half measures?
Hospital administration can still COR number at time of operation and the patient’s medical record so even if our personnel are technically identified, they are truly anonymous
How many black boxes does the Duke University hospital have?
Seven
What is Donovan worried about the black boxes?
Not convinced the hospital protect staff members identities is worried that according will be used to catch them through internal disciplinary actions or patient practice suit
What action has Donovan taken?
In February 23, she and 60 others sent a letters to the hospital chief of surgery objecting to the black box has
-filed agreements with the state with arbitration proceedings scheduled for October
