AI Black Box Quiz

Question 1

How is the new smart monitoring system helping and not helping some surgeons?

Answer 1

Could help doctors avoid mistakes, but also alarming some surgeons and leading to sabotage

Question 2

Why was Theodore first surgery bad when he watched it on VHS tape

Answer 2

He had roughness in his dissections, used the wrong instruments and transformed a 30 minute operation into a 90 minute one

Question 3

What was the big problem in the 90s?

Answer 3

In the 90s recordings were a realistic quality improvement strategy has the VHS tapes for granny. It was impossible to determine mundane slip ups

Question 4

How many Americans die a year on the operating table or after a surgery?

Answer 4

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

Question 5

What has a patient safety movement pushed for

Answer 5

Uniform checklist and other manual fail safes to prevent such mistakes

Question 6

What was Grantcharov obsessed with and what did he want to develop?

Answer 6

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.

Question 7

What did he develop?

Answer 7

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

Question 8

What do he want to capture with the black box?

Answer 8

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

Question 9

What do surgeons think of the black boxes present in the OR rooms?

Answer 9

questions privacy and the threat of disciplinary action and legal exposure

Question 10

What do surgeons think of the black boxes in the OR rooms?

Answer 10

Presents slowly, tricky questions are privacy and the threat of disciplinary action and legal exposure

Question 11

How have surgeons reacted to the black boxes?

Answer 11

Have refused to operate when black boxes are in place and the systems have been sabotaged

Question 12

How many black boxes have been deployed?

Answer 12

I almost 40 institutions in the US Canada and Western Europe from Mount Sinai to Duke to the mayo clinic

Question 13

What is not be recorded without these black boxes?

Answer 13

Performance to instrument handling as the OR is the most measured place in the hospital, but one of the most poorly captured

Question 14

Where did operations take place in the 19th century?

Answer 14

In large amphitheaters with general price of the mission

Question 15

What happened to operating rooms around the 1900s?

Answer 15

Became increasingly smaller and less accessible to the public the germs

Question 16

What did Ernest Conman suggest in the 1910s?

Answer 16

Form of surveillance known as the end results system documenting every operation, including failures, problems, and errors and tracking patient outcomes

Question 17

What distanced between patients and physicians?

Answer 17

Opacity towards medicine professionalization in the 20 century characterized by technological advancements, the decline of generalist and the bureaucratization of healthcare institutions

Question 18

What happened in 1960s

Answer 18

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

Question 19

How did Grantcharov realize how to get surgeons to use the black box?

Answer 19

Make surgeons feel protected

Question 20

How did he design the system?

Answer 20

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.

Question 21

What does the blackbox platform utilize?

Answer 21

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

Question 22

Why are identity protections only half measures?

Answer 22

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

Question 23

How many black boxes does the Duke University hospital have?

Answer 23

Seven

Question 24

What is Donovan worried about the black boxes?

Answer 24

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

Question 25

What action has Donovan taken?

Answer 25

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