开发和评估一种新的语音支持原型,以支持对手术安全检查清单的一致应用:一项概念验证研究
Pedro Miguel Inácio Medroa1, Marcel Saltan1, Sandro-Michael Heining2
1Department Engineering and Computer Sciences, Institute Patient-Centered Digital Health, Bern University of Applied Sciences, Quellgasse 21, Biel, 2502, Switzerland.
Patient safety in surgery
|December 24, 2025
概括
一个新的语音控制数字助理,VoiceCheck,显示了改善外科手术检查清单遵守的承诺. 这种语音辅助系统被认为是可行的,并在现实环境中得到了外科小组的良好接受.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 外科手术的安全性
背景情况:
- 手术安全检查清单对于患者的结果至关重要,但在持续遵守时面临挑战.
- 传统的检查清单可能会阻碍手术室 (OR) 的工作流程和团队互动.
- 语音支持技术提供了一个潜在的解决方案,以提高合规性并保持OR通信.
研究的目的:
- 开发和评估 VoiceCheck,一个用于手术检查清单的语音控制数字助理.
- 评估语音检查的可用性,技术性能和临床可行性.
- 通过语音技术改善手术安全检查清单的遵守.
主要方法:
- 开发了VoiceCheck,这是一个离线系统,使用Rhasspy进行意图识别和Whisper进行语音到文本.
- 进行了现场评估,其中有12名外科小组成员在常规工作流程中执行任务.
- 通过系统可用性量表 (SUS) 和自定义问卷评估可用性;评估语音识别和意图识别的技术性能.
主要成果:
- 语音检查显示了积极的可用性 (SUS中位数为76.04),并得到了用户的良好接受.
- 在杂的环境中,Whisper V3实现了高的转录精度 (90.7-97.3%),超过了V2的性能.
- 拉斯斯皮显示出高意图识别准确度 (92.8-94.8%),假阳性率低;离线功能可靠.
结论:
- 语音检查 (VoiceCheck) 是一种可行且可靠的语音辅助手术检查清单执行工具.
- 该系统受到用户的积极欢迎,并在现实的临床条件下表现良好.
- 未来的研究应该侧重于临床整合,工作流的影响和多语言支持.
相关概念视频
01:26Tracheostomy Suctioning I: Pre-Procedural Steps
2.0K
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
2.0K
01:16Tracheostomy Care I: Pre-procedural Steps
915
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
915
01:25Suctioning the Oropharyngeal Airway
731
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
731
01:23Tracheostomy Suctioning II: Procedure
1.4K
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
1.4K