ViSIOT: Video-Supported Simulation for Interactions in Operating Theatre
After spending six months observing and video recording teamwork in the operating theaters of a London teaching hospital, this team utilized social scientific approaches to address team interactions at a more detailed level than is usually done. ViSIOT, aka Video-Supported Simulation for Interactions in Operating Theatre, targets real issues in the operating theatre using simulation and video-supported debriefig training to facilitate new communication strategies. SIMStation was used as the simulation a/v recording platform.
ViSIOT trains new social interaction strategies to operating teams. The model draws on original research conducted in the operating theatre of a London teaching hospital. The objective of the training is to improve verbal and nonverbal interactions between nurses, surgeons, and anesthetists that often fall outside explicit training.
These include visual monitoring of colleagues, verbal responsiveness, speaking up about distractions, seeking prompt clarification when needed, and managing the WHO Surgical Safety Checklist. The model includes two scenarios and video-supported debriefing, during which authentic video data from the operating theatre are reviewed.
Recently ViSIOT was utilized in research published in the Journal of Advanced Nursing:
music being played, and found requests from surgeons to nurses for instruments or supplies were often repeated, while there was evidence of frustration or tension within some of the teams.
Video recordings from multiple cameras placed at strategic points gave researchers an insight into the verbal and non-verbal communications between clinicians as operations were carried out. Twenty operations lasting a total of 35 hours were analysed, 70% of which had music playing. They found that how the music was played and controlled was important too. If playback volume from digital sources was not standardized, there could be sudden increases in volume between tracks.
Sometimes staff turned up a popular song, again leading to a sudden increase in volume that could mask instructions and other verbal communications. Researchers suggested the decision to play music during an operation should be made by the entire team, taking into account both the benefits and the risks.