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Ethical Considerations When Using a Mobile Eye Tracker in a Patient-Facing Area: Lessons from an Intensive Care Unit
Ethan P Larsen1, Jacob M Kolman2, Faisal N Masud3
1Human factors engineer at the Children's Hospital of Philadelphia and was a postdoctoral fellow at the Houston Methodist Hospital's Center for Outcomes Research when this study was conducted.
Investigator-initiated eye-tracking research in healthcare settings presents unique ethical challenges. This study outlines a successful protocol for using eye-tracking devices while navigating privacy, consent, and Health Insurance Portability and Accountability Act (HIPAA) compliance.
Area of Science:
- Medical technology
- Healthcare research ethics
- Occupational health
Background:
- Eye-tracking devices offer valuable insights into healthcare workflows.
- Implementing novel technologies in clinical settings necessitates careful ethical consideration.
- Incidental capture of sensitive data requires robust privacy protocols.
Purpose of the Study:
- To describe the ethical and logistical process of designing and conducting an investigator-initiated eye-tracking study in an intensive care unit.
- To address the challenges of informed consent, privacy, and Health Insurance Portability and Accountability Act (HIPAA) compliance when using audiovisual recording devices in healthcare.
- To share lessons learned to facilitate future audiovisual research in healthcare.
Main Methods:
- Development and approval of an investigator-initiated research protocol for eye-tracking device use.
- Deployment of eye-tracking devices resembling eyeglasses in an intensive care unit setting.
- Proactive communication with the institutional review board to address ethical considerations.
Main Results:
- A feasible protocol was established for using eye-tracking technology in a healthcare environment.
- Key ethical considerations including consent, HIPAA compliance, and data privacy were successfully navigated.
- The study demonstrated the potential for eye-tracking data to inform occupational research and quality improvement.
Conclusions:
- Successful implementation of eye-tracking research in healthcare requires meticulous planning and ethical oversight.
- Proactive engagement with institutional review boards is crucial for navigating complex ethical landscapes.
- Eye-tracking technology holds significant promise for advancing healthcare research and improving patient care through workflow analysis.

