Implementation of an Innovative Technology Called the OR Black Box: A Feasibility Study

Area of Science:

• Medical technology
• Patient safety
• Surgical informatics

Background:

• The operating room (OR) Black Box is an emerging technology for real-time data capture in surgical environments.
• Analyzing OR data can identify factors influencing procedures and enhance patient safety.
• Implementation of such technologies presents unique challenges.

Purpose of the Study:

• To assess the feasibility and acceptability of implementing the OR Black Box system.
• To evaluate stakeholder engagement and practical aspects of OR Black Box adoption.
• To identify factors critical for the successful integration of OR Black Box technology.

Main Methods:

• An observational study was conducted from May 2017 to May 2021 at Copenhagen University Hospital - Rigshospitalet.
• The study involved 152 OR staff and 306 patients, assessing feasibility using Bowen's framework.
• Data collection focused on stakeholder participation, process improvements, and practical implementation aspects.

Main Results:

• The OR Black Box demonstrated high acceptability: 100% management, 93% OR staff, and 98% patients participated.
• An average of 80% of surgeries were captured, with implementation processes improving over time.
• Practical aspects like meetings and approvals were feasible but time-consuming; the system was adopted without disrupting the surgical schedule.

Conclusions:

• Implementation of the OR Black Box is feasible but presents challenges.
• Strong embrace from management, staff, and patients was observed.
• Sustained implementation requires ongoing evaluation, stakeholder commitment, and information sharing for future expansion.