Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students

<i>Background:</i> The occurrence of a fire when implementing anesthesia is a high-risk, low-frequency event. The operating room is a high-stakes environment that has no room for error. Mixed reality simulation may be a solution to better prepare healthcare professionals. The purpose of...

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Main Authors: Linda Wunder, Nicole A. Gonzaga Gomez, Juan E. Gonzalez, Greta Mitzova-Vladinov, Max Cacchione, Jampierre Mato, Cynthia L. Foronda, Jeffrey A. Groom
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Informatics
Subjects:
Online Access:https://www.mdpi.com/2227-9709/7/4/40
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author Linda Wunder
Nicole A. Gonzaga Gomez
Juan E. Gonzalez
Greta Mitzova-Vladinov
Max Cacchione
Jampierre Mato
Cynthia L. Foronda
Jeffrey A. Groom
author_facet Linda Wunder
Nicole A. Gonzaga Gomez
Juan E. Gonzalez
Greta Mitzova-Vladinov
Max Cacchione
Jampierre Mato
Cynthia L. Foronda
Jeffrey A. Groom
author_sort Linda Wunder
collection DOAJ
description <i>Background:</i> The occurrence of a fire when implementing anesthesia is a high-risk, low-frequency event. The operating room is a high-stakes environment that has no room for error. Mixed reality simulation may be a solution to better prepare healthcare professionals. The purpose of this quantitative, descriptive study was to evaluate the technical and non-technical skills of student registered nurse anesthetists (SRNAs) who participated in a mixed reality simulation of an operating room fire. <i>Methods:</i> Magic Leap One<sup>TM</sup> augmented reality headsets were used by 32 student registered nurse anesthetists to simulate an emergent fire during a simulated tracheostomy procedure. Both technical and non-technical skills were evaluated by faculty members utilizing a checklist. <i>Results:</i> The SRNAs’ overall mean technical skill performance was 18.16 ± 1.44 out of a maximum score of 20, and the mean non-technical skill performance was 91.25% out of 100%. <i>Conclusions:</i> This study demonstrated the utility and limitations in applying novel technology in simulation. Participants demonstrated a strong performance of technical and non-technical skills in the management of a simulated operating room fire. Recommendations for future applications include the use of multiple sensory inputs into the scenario design and including all core team members in the immersive mixed reality environment.
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spelling doaj.art-9903aa6c46724a8e98720735a6f52ba52023-11-20T15:36:39ZengMDPI AGInformatics2227-97092020-09-01744010.3390/informatics7040040Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia StudentsLinda Wunder0Nicole A. Gonzaga Gomez1Juan E. Gonzalez2Greta Mitzova-Vladinov3Max Cacchione4Jampierre Mato5Cynthia L. Foronda6Jeffrey A. Groom7School of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USASchool of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USASchool of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USASchool of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USAUniversity of Miami, Information Technology, Coral Gables, FL 33146, USASchool of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USASchool of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USASchool of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USA<i>Background:</i> The occurrence of a fire when implementing anesthesia is a high-risk, low-frequency event. The operating room is a high-stakes environment that has no room for error. Mixed reality simulation may be a solution to better prepare healthcare professionals. The purpose of this quantitative, descriptive study was to evaluate the technical and non-technical skills of student registered nurse anesthetists (SRNAs) who participated in a mixed reality simulation of an operating room fire. <i>Methods:</i> Magic Leap One<sup>TM</sup> augmented reality headsets were used by 32 student registered nurse anesthetists to simulate an emergent fire during a simulated tracheostomy procedure. Both technical and non-technical skills were evaluated by faculty members utilizing a checklist. <i>Results:</i> The SRNAs’ overall mean technical skill performance was 18.16 ± 1.44 out of a maximum score of 20, and the mean non-technical skill performance was 91.25% out of 100%. <i>Conclusions:</i> This study demonstrated the utility and limitations in applying novel technology in simulation. Participants demonstrated a strong performance of technical and non-technical skills in the management of a simulated operating room fire. Recommendations for future applications include the use of multiple sensory inputs into the scenario design and including all core team members in the immersive mixed reality environment.https://www.mdpi.com/2227-9709/7/4/40anesthesiaaugmented realitymixed realityeducationfirenon-technical skills
spellingShingle Linda Wunder
Nicole A. Gonzaga Gomez
Juan E. Gonzalez
Greta Mitzova-Vladinov
Max Cacchione
Jampierre Mato
Cynthia L. Foronda
Jeffrey A. Groom
Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students
Informatics
anesthesia
augmented reality
mixed reality
education
fire
non-technical skills
title Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students
title_full Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students
title_fullStr Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students
title_full_unstemmed Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students
title_short Fire in the Operating Room: Use of Mixed Reality Simulation with Nurse Anesthesia Students
title_sort fire in the operating room use of mixed reality simulation with nurse anesthesia students
topic anesthesia
augmented reality
mixed reality
education
fire
non-technical skills
url https://www.mdpi.com/2227-9709/7/4/40
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