(RATE) Software User`s Manual
Contents
1. VIDEO 3 Play Stop Jump Mute Volume Auto Loop Playing Load Case Communication Eubanks Score SAVE Score Q Remote Analysis of lea Fie Option Tool ror HEL MuTE j _ Physiologica Data f VIDEO 2 MuTE f Playing Delay Time O 00 24 02 46 E Playing Delay Time Oo W 39 02 46 P4 Double clicking events here will jump the videos to that point i Annotate v E A To return to original view Load Case End Communication SAVE Score Playing Delay Time 0 02 26 02 46 M4 J Delay Time O 02 24 02 45 Figure 15 Video Watching Standard Version 12 2 02 of RATE exe Physiologica Data Mute other windows eo jj t Delay Time O 00 38 02 46 LE l Playing MuTE ANNOTATION 00 01 45 Patient Enters Room Show different scores here New Session Close Environment Socializing Other cases Request w name Tools Request w o nar Telephone Performance Rey Other persor Unknown P v Joking Question Statements Seeking advice 00 00 24 00 00 31 Neutral ST SR Teaching None 00 00 32 00 00 38 Neutral 44 47 Teaching Equipment 00 00 38 00 00 46 Neutral S4 ST Callout Tools Check List Edit v Names Roles v ABX Patient Hx Cholangiogram Open Personnel Shift Equipment Issues Poor Teamwork Average Teamwork v i 00 00 12. CN Question Equipment Identify cyshic eart ry g keamrerential dissection Check off events Adequate length A Proximal Clip Increment decrement Distal Cip End Division of CA and CD errors Areg Occurance of Error Case ID New Session Log Off Figure 10 Event Tracker ber of Completed Task Communication Score To edit the completed tasks and errors 1 Click the Edit button at the bottom of the Events or Counter list as shown in Figure 10 2 Enter new tasks or errors and give them an associated point values using the bottom text boxes as shown in Figure 11 Delete existing tasks or errors by clicking on them and then clicking Delete Move existing tasks or errors up or down using the Up and Down buttons Click Save Set to permanently save the changes for all future cases or Save Exit to save just for this Case ID as 11 RATE Manual Version 12 2 02 of RATE exe O Remote Analysis of Team Environment File Option Tool From To Event Content Tore Edt iefi 00 05 29 AAAA Teaching 00 15 39 SA CN Question Gallbladder injury mechanical or cat Unintentional release of the gallbaldc Gallbladder injury bile or stones spille Liver injury without bleeding Liver injury with bleeding Major vascular injury CBD hepatic duct injury Foley SCDs OG NG Request w name ABX n Request w o narr First Skin Inci
3. of fundus cephalad Sekr advice aries Retraction of body anterolateral Clarifying Start dissection of body infunibular junction Failure to cannulate patient cystic duct only mark Begin Triangle of Calot Dissection Additional atempt at clip placement on artery 00 05 09 partis 10 N Indentification of cystic duct Additional attemp at cutting cystic artery 00 05 38 00 15 x Circumferential dissection of duct Mistaking artery for duct for duct for artery adequate length of duct Cystic artery tear Proximal clip Distractions Distal Clip Ligature placement Division of Duct Names Roles Ductotomy ABX 4 Catheter placement Patient Hx 4447 ABX Secure Catheter Cholangiogram Remove catheter Open 49 Identify cystic artery Bish Shit 00 42 4 Dr commented on patient s weight Circumferential dissection quipment Issues 00 43 09 Assistant having trouble with Ds Taare 43 g trouble with camera Adequate length Average Teamwork 00 43 54 Decided to go with a cholangiogram Proximal Clip Excellent Teamwork Distal Clip Poor Communication End Division of CA and CD Average Communication Areolar tissue division Excellent Communication Inspect liver bed SCD Foley 0G End Trocar Removal umber of Completed Task Occurance of Error i i 4 Edit checklist aa Case ID items New Session Log Off Close Figure 9 Checklist editing Event Tracker Event Tracker counts the occurrences of completed tasks with optional positive scoring for eac
4. 5 Names Roles 00 00 16 ABX 00 00 17 Cholangiogram 00 00 20 Excellent Teamwork 00 01 03 Diagnosed with Chrohn s 00 01 13 ST left room Poor Communication Average Communication Excellent Communication SCD Foley 0G Debrief Logo New Session Close 16 Figure 16 Video Watching Communication Mode RATE Manual Remote Analysis of Team Environment File Option Tool VIDEO 1 To return to original view iM ri 33 Auto Loop Playing 01 55 02 46 M4 00 00 00 OG NG 00 00 00 SCDs 00 01 45 Patient Enters Room DoublelicK io kapside Load Case End Eubanks SAVE Score Version 12 2 02 of RATE exe Sele EUBANKS SURGEON S CHECKLIST SCORING SYSTEM Close Events v Patient Enters Room ABX First Skin Incision Begin Trocar Placement Placement of Fundus Grasper Placement of body grapser Retraction of fundus cephalad Retraction of body anterolateral Start dissection of body infunibular junction Begin Triangle of Calot Dissection Indentification of cystic duct Circumferential dissection of duct adequate lenath of duct Proximal clip Distal Clip Ligature placement Division of Duct Ductotomy Catheter placement Secure Catheter Remove catheter Identify cystic artery Circumferential dissection Adequate length Proximal Clip Distal Clip End Division of C and CD Areolar tissue division Inspect liver bed End Trocar Removal Number of Co
5. RATE Manual Version 12 2 02 of RATE exe Remote Analysis of Team Environments RATE Software User s Manual Developed at the University of Virginia by Thomas Shin Hui Guo and Stephanie Guerlain PhD Department of Systems and Information Engineering University of Virginia PO Box 400747 Charlottesville VA 22904 4747 434 924 4438 phone 434 982 2972 fax guerlain virginia edu www sys virginia edu hci J Forrest Calland MD Reid Adams MD and Beth Turrentine MD PhD Surgical Technology and Safety Laboratory PO Box 801359 434 924 5836 phone calland virginia edu http hsc virginia edu stsl TTPO OMG ON e achaseneaesawen acs echiaesiaendeebae hice sewan eco eeeniae E Ae nate vanes taniarese 2 DS a Sewanee beseech wisn be sca ac ested ese ad ee 2 Siem Kegui remeni serseri a eao a tabs sated eaaa ea eda eaites Z TS VON OV sac gs ed se a ese clea reashe os uaapnclsd a a a aaa settee es 3 OQ CI SAI gto acpi aca ares ec a eee ete 3 OE TI tr need va acetic cloves ta incites tac nein cee Ag nn tio tine gies tag nd E 3 IV CSS OI re alae ccc a EAE ANE Me cetacean eee nese Deseo a EE E N E TAEA 3 Fae Ge ae ane ee eT E NE cE ee ene ree ne AET ee eee 4 POO 01a 0 ek a een EEE ER Re One E E En eee ene 5 Reload a Case into the Scoring VV 1 OW sais cassia eclosion essa wdelas end sewc oa se cheno 6 SAP VEG EV CT SO OS asec ecg ase sine E alse vest nts TNO T EE EEN 6 Edit Team Members and Conversation Topics cccccccccccccccecccccece
6. Version 12 2 02 of RATE exe Remote Analysis of Team Environment Fie Option Tool Load Case Remote Analysis of Team Environment a University of Virginia R i n EEA PI case 0817 LAP wmv I Mp Documents 4 Surgery Stuff Select Sc 7 Main Video C My Documents Surgery Stuff CaseD The Load Videos Separately Dialog up Euba TET 4 to 4 videos can be Figure 14 Load Videos Separately Dialq loaded Watch Videos for a Case 1 The operation of the video watching is the same as Windows Media Player Figure 15 2 You can set what scores are shown on the main page by selecting from the drop down list Communication Annotation Eubanks All Figure 15 You can selectively mute or enable the audio from the backup videos Figure 15 4 To get an alternate view of the information focusing on communication aspects click the Communication button to enable the Conversation score window Figure 16 Click Eubanks to enable the Event Tracker window Figure 17 6 Click Communication Score to enable the Communication Score window not shown U N Scoring in those windows works as in the Scoring Case window Double clicking on an event will jump all the videos to that point minus several seconds to enable reviewing it 15 RATE Manual Remote Analysis of Tez Environment File Option Tool VIDEO 1 VIDEO 2 Manual Mf Set Delay
7. can be multiple selected by clicking the subjects and holding the Ctrl key RATE Manual Version 12 2 02 of RATE exe e The Tone check box can be checked which will cause a dialogue box to appear asking whether the tone was positive or negative for a given conversation e The Edit button can be selected to edit conversation topics or team members see next section e A Current Conversation will automatically be moved to the Completed Conversation list if you start a new conversation by the same person Edit Team Members and Conversation Topics All the subjects and event topics are editable by clicking the Edit button above the Event list Subjects and Events can be added or deleted as shown in Fig 7 rN Remote Analysis of Team Environment File Option Tool z Events Counter Events en Briefing i Case Specific A Pati Gallbladder injury mechanical or cautery Planning 7 Equipment F Me Unintentional release of the gallbaldder with graspa Teaching Environment SED Gallbladder injury bile or stones spilled Socializing Socializing Liver injury without bleeding Callout Other cases Liver injury with bleeding Request w names Tools Major vascular injury Request w o name Telephone CBD hepatic duct injury Performance Revie Other person Additional attempt at clip ligature placement on du Additional attemp at ductotomy Additional attempt at cystic duct cannulation Misplaced clip or ligatur
8. cement of body grapser Iak gt gt Retraction of fundus cephalad Answer lt Retraction of body anterolateral T Start dissection of body infunibular junction Begin Triangle of Calot Dissection Indentification of cystic duct 00 05 09 00 05 10 Neutral S4 SR Teaching Surgical approach s PE 3 Circumferential dissection of duct 00 05 26 00 15 12 Neutral SA SR Teaching Case Specific Version 12 2 02 of RATE exe Gallbladder injury mechanical or cautery Unintentional release of the gallbaldder with grasp Gallbladder injury bile or stones spilled Liver injury without bleeding Liver injury with bleeding Major vascular injury CBD hepatic duct injury Additional attempt at clip ligature placement on du Additional attemp at ductotomy Additional attempt at cystic duct cannulation Misplaced clip or ligature on cystic duct unintentional removal of cholaniogram catheter Unintentional cystic duct transection Failure to cannulate patient cystic duct only mark Additional atempt at clip placement on artery Additional attemp at cutting cystic artery Mistaking artery for duct for duct for artery adequate length of duct Cystic artery tear Proximal clip Distractions Distal Clip Ligature placement 00 05 39 Names Roles Division of Duct Names Roles 00 43 33 Patient Hx Ductotomy ABX 00 43 41 Cholangiagram wa Catheter placement Patient Hix 00 43 47 ABX Secure Catheter Cholangiogram Remove catheter 00 15 12 00 15 22 Neutral S4
9. e click the AA AR Teaching in the right list and the conversation end time will be marked and the text will be moved into the bottom list Q Remote Analysis of Team Environment Current Start p Tee Conversations TEA A Case Specifi A 00 05 26 54 5R Teaching f Gallbladder injury mechanical or cautery Equipment 00 05 29 44 AR Teaching Unintentional release of the gallbaldder with graspg Environment SCDs Gallbladder injury bile or stones spilled Socializing Liver injury without bleeding Other cases Liver injury with bleeding Request w name Tools 3 a Major vascular injury Request w o nar Telephone 4 Skin Incision CBD hepatic duct injury Performance Rey oier persor Additional attempt at clip ligature placement on du Additional attemp at ductotomy Completed Additional attempt at cystic duct cannulation i Misplaced fri or Dp m pon duct j unintentional removal of cholaniogram catheter Conversations Unintentional cystic duct serials Failure to cannulate patient cystic duct only mark 7 Additional atempt at clip placement on artery Indentification of cystic duct Additional attemp at cutting cystic artery Circumferential dissection of duct Mistaking artery for duct or duct for artery adequate length of duct Cystic artery tear Proximal clip Distractions Distal Clip Ligature placement Division of Duct Ductotomy Catheter placement Secure Catheter Conversations Remove catheter Identify cystic artery Pers
10. e on cystic duct Statements i unintentional removal of cholaniogram catheter Seeking advice igati j Unintentional cystic duct transection Clarifyin ve f Failure to cannulate patient cystic duct only mark Additional atempt at clip placement on artery Additional attemp at cutting cystic artery ery for duct or duct for artery ear Save Exit just saves i T changes for this Case pe ID session Patient Hx Cholangiogram Open Ean ein Edit team rout Save Set saves changes Poor Teamwork pea Teamwork members and rel permanently for future Excellent Teamwork Poor Communication Convers ation New C ase S i Average Communication Excellent Communication topic S SCD Foley 0G Debrief z Edit amd 4 Occurance of Error Total Score gl Case ID Communication Score New Session Log Off Close Fig 7 Edit Team Members and Conversation Topics Number of Completed Task 1 To add personnel type the name of the person or role in the text box below the Subject column Click Enter 2 To delete a person or role select that person or role and Click the Delete button above the Subject list 3 To move a person role up or down in the list select that item then click on the Up and Down buttons The Events and Content lists work exactly the same as the Subject list Hint RATE Manual Version 12 2 02 of RATE exe e To permanently save the changes for all future cases click the Save Set but
11. e sure both RATE exe and RATE mdb are stored in C Program Files RATE Quick Start RATE can be started as other common software by double clicking its icon Log In The Login Screen is shown in Figure 1 1 Enter the User ID currently stsl 2 Enter the Password currently patient 4 HKemote Analy Fie Opon Toci User ID stsl Password patient SS Figure 1 The Login Screen New Session After login you will be brought to the New Session Screen see Figure 2 The system will provide three options to choose e New Case for creating or opening a scoring window without videos e Load Case should say Load Videos e Real Time Viewing for watching video s being streamed over the internet RATE Manual Version 12 2 02 of RATE exe Opens a Scoring Window Loads saved video files Connects to streaming videos over the internet Figure 2 The New Session Screen New Case New Case enables you to score a case team session We generally score a case using this feature while watching the session live while simultaneously using other hardware software to digitally capture 4 video feeds of that session We name those digital video files with the same Case ID as the Case ID we use to score the case e g if the Case ID is 123 we name our 4 digital video files 123rl mpg 123r2 mpg 123r3 mpg and 123r4 mpg respectively ata Aae Anais Fie Goma Tool 7 CASE ID E i Remote Analysis of Team Environm
12. eeeeee cece e ae eae ee asaaaaa eae aaeeaaaaees 8 Cheek AIS and ANNO ON sis ccs cs dina Ss sass vo cas as asi EE teen tease ae 9 TOOT T a seta estes E Daehn E E E A 10 Communi ANON GOV airs r E EEEE E E EEE en tne e nee soneectotacendiones 12 Se IP SCONE SESSION cctitceteeseaeeteeeseecmete eam esa einem eeu ete Daacmen esaa mmr teaneeananaieets 13 Load and Review Fiagcos Jor COS sarees Nac ata iene inae EAE EEA EEEE ERANS 14 S O FOR COS 2 a EN Vie Current Known Bugs Unimplemented Features UI Quirks cccccccccccceceee eects a aaa eaaes 17 CO A S T E E A A E E A E N EE I RATE Manual Version 12 2 02 of RATE exe Introduction RATE Remote Analysis of Team Environment is a software program written in Visual Basic which provides different methods to record and score team performance All scored events and subjects can be amended quickly to fulfill different requirements The functions of RATE are as follows 1 Set Up and Score New Cases e Setup categories and weights of scoring information e Summarize conversations who is talking to whom about what for how long Mark off predetermined checklist events Add comments annotations Score critical events errors positive or negative Rate communication between team workers All scores and events are time stamped for later synchronization with digital video recordings of the session optional 2 Review and Rescore Recorded Cases e Watch digital files up to 4 audio video feeds simultaneously w
13. ent man Umversity of virgina Enter Case ID Check Set Start Time optional Click Enter Figure 3 The Enter Case ID Screen RATE Manual Version 12 2 02 of RATE exe To create a New Case 1 Select New Case from the New Session Screen Figure 2 2 Type ina case ID for the scoring session Figure 3 This can be any alphanumeric you want but should match your video file names if you are recording digital videos at the same time on another computer see note above 3 Note that the Scheduler check box is not functional yet If you check the Set Start Time box optional you will be brought to the Set Start Time dialog Figure 4 where you can set the time at which logging will begin This should be done if you want to synchronize your scoring session with the digital video capture of the session e g first start the digital video capture on your digital video capture computer s then set the start time on your scoring computer to be sometime after that Then once in the Scoring Screen hit Start when the digital video recording on the digitizing computer s reaches the Start Time on your scoring computer so that your scores are synchronized with the digital video s 4 Click Enter You will be brought to the Scoring Screen Figure 5 ae De Remote Analysis of Team Environment Sesame T E versity of Virginia Set Start Time Click Enter tm Commurscebon Fone fiers Setir taii Fi
14. f Error Number of Completed Task Decided to go with a cholangiogram Enter EE Total Score 4 Case ID E Se ee Score New Session Log Off Close Figure 8 Checklist Scoring and Adding Annotations RATE Manual Version 12 2 02 of RATE exe To edit the check list events 1 Click the Edit button above the checklist 2 The edit window will be shown as Figure 8 3 Check list events can be added deleted and adjusted up or down in the sequence 4 After editing click Save Set to permanently save your changes or Save Exit to just save the changes for this Case ID O Remote Analysis of Team Environment File Option Tool Stat Stop Event Tracker PAER Tone Edit Events Counter 00 05 29 44 ARA Teaching v Patient Enters Room Gallbladder injury mechanical or cautery 00 15 39 SA CN Question Unintentional release of the gallbaldder with graspe Cc Gallbladder injury bile or stones spilled Liver injur without bleeding Request w name k i p Major vascular injury Request w o nar First Skin Incision CBD hepatic duct injury Performance Rey Begin Trocar Placement Additional attempt at clip ligature placement on du Placement of Fundus Grasper Additional attemp at ductotomy Placement of body grapser Additional attempt at cystic duct cannulation Misplaced clip or ligature on cystic duct unintentional removal of cholaniogram catheter Unintentional cystic duct transection Tak gt gt Retraction
15. gure 4 The Set Start Time Screen Score a Case To score a new case 1 Click the Start button at the upper left corner in Figure 5 which will start the timer and enable all the scoring features 2 Score and or edit scoring features as desired how to do this is described below All scoring is saved immediately 3 Click Close to Close the program or New Session to go back to the New Session screen when finished scoring editing RATE Manual Version 12 2 02 of RATE exe oO Remote Analysis of Team Environment File Option Teo Event Tracker Events Counter NI attent E l Gallbladder injury mechanical or cautery Unintentional release of the gallbaldder with graspa Gallbladder injury bile or stones spilled Pres S Start to Liver injury without bleeding Liver injury with bleeding enable scoring Major vascular ray CBD hepatic duct injury Additional attempt at clip ligature placement on du Additional attemp at ductotomy Additional attempt at cystic duct cannulation 1 p Misplaced clip or ligature on cystic duct The Start Time Was S et unintentional removal of cholaniogram catheter Unintentional cystic duct transection when op enin g the C ase Failure to cannulate patient cystic duct only mark Additional atempt at clip placement on artery Additional attemp at cutting cystic artery Mistaking artery for duct for duct for artery e Cystic artery tear Edit buttons Dattactions Check List Edit Number of C
16. h task and the occurrences of errors with optional negative scoring which will give an overall score to the whole procedure Completed tasks and errors can be edited as required Event Tracker is located on the right side of the window as shown in Figure 10 The left part is the completed task tracker the right part is the error counter The completed task will be recorded only once however multiple errors can be recorded To record completed task of Catheter placement 1 Click the box before Catheter placement To cancel the record Catheter placement 1 Unclick the box before Catheter placement 2 Confirm the cancel in the Pop up window by clicking Yes To record the error of Liver injury with bleeding twice 1 Click the event of Liver injury with bleeding 10 RATE Manual 2 Click the button at the bottom of the counter list twice Or 1 Double click the event of Liver injury with bleeding twice To cancel the record of Liver injury with bleeding once 1 Click the event of Liver injury with bleeding 2 Click the button at the bottom of the counter IJ Remote Analysis of Team Environment File Option Tool Environment SCDs Socializing OG NG Other cases ABS Request w name Tools B ais v First Skin Incision Request w o nar Telephone Performance Rey Other persor v Begin Trocar Placement g M v Placement of Fundus Grasper Pla
17. ith previously scored events e Modify create scores at that time 3 Real Time Viewing of Streaming Videos e Watch up to 4 streaming audio video feeds real time over the internet and score events 4 Data Analysis e Not implemented yet All data is stored in a Microsoft Access Database Disclaimer This software has been developed at the University of Virginia to conduct research on team performance in the hospital operating room We make no claims or guarantees as to its use We have tried to make the software somewhat customizable for other uses and therefore make the software available to you at no charge so long as it 1s used for non profit purposes Any interest in using this software for commercial for profit use should be addressed to Stephanie Guerlain at the contact information above This material is based upon work supported by the National Science Foundation under Grant No 0092985 Any opinions findings and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the National Science Foundation System Requirements Pentium III 1GHz recommend 256M RAM 32M video RAM Windows 95 or greater operating system RATE Manual Version 12 2 02 of RATE exe Installation 1 Download the software from http hsc virginia edu stsl click on Tools and fill out the form completely 2 Unzip the file double click setup exe to start the installation 3 B
18. login Locate the video files of the saved case as shown in Figure 10 Those videos and only those videos that you would like to load simultaneously should be in the same folder RATE will attempt to load all the videos in a folder that you select Click Load OR If the multiple videos you would like to load are in separate folders click the Load Separate button This will enable you to browse and select a video file for each of the four video windows separately see Figure 11 e The four videos will be synchronized based on file creation time and the 2 3 and 4 videos will synchronize with the first video loaded Thus when digitizing the videos the computers that are digitizing the video should have synchronized clock times to the extent possible Use the About Time utility to set the times of the computer clocks to assist with this process The 4 video files will be loaded as shown in Figure 15 RATE will also look for previously scored case information about that video by using the name of the video file For example a video file named 12345rl mpg will cause RATE to look for scoring information for Case ID 12345 in RATE mdb The Load Videos Dialog all videos must be in same folder Otherwise click Load C Load Case Remote Analysis of Team En University of Virginia Please Select a Case lf Auto Play co Figure 13 Load Videos Together Dialog 14 RATE Manual
19. mpleted Task Total Score Lt New Session Log Off Counter Gallbladder injury mechanical or cautery Unintentional release of the gallbaldder with grasp Gallbladder injury bile or stones spilled Liver injury without bleeding Liver injury with bleeding Major vascular injury CBD hepatic duct injury Additional attempt at clip ligature placement on du Additional attemp at ductotomy Additional attempt at cystic duct cannulation Misplaced clip or ligature on cystic duct unintentional removal of cholaniogram catheter Unintentional cystic duct transection Failure to cannulate patient cystic duct only mark Additional atempt at clip placement on artery Additional attemp at cutting cystic artery Mistaking artery for duct for duct for artery Cystic artery tear Distractions Occurance of Error Case ID favi Close Figure 17 Video Watching Eubanks checklist Scoring Mode Current Known Bugs Unimplemented Features UI Quirks we are continuously updating the program manual e Eubanks Event Tracker Eubanks is the name of the scoring system we re using We ll change that eventually to just say Events everywhere e You can t reset the Start Time once in the Scoring Window must click New Session and reenter Case ID and Set Start Time under New Case The Total Score is incorrect Conversations annotations can t be edited deleted once entered The Case ID may need to be added manually t
20. munication 00 42 47 Dr commented on patient s weight 00 43 07 Assistant having trouble with camera First Skin Incision Begin Trocar Placement Placement of Fundus Grasper Placement of body grapser Retraction of fundus cephalad Retraction of body anterolateral Start dissection of body infunibular junction Begin Triangle of Calot Dissection Indentification of cystic duct Circumferential dissection of duct adequate length of duct Proximal clip Distal Clip Ligature placement Division of Duct Ductotomy Catheter placement Secure Catheter Remove catheter entify cystic artery CiXumferential dissection Adequate length and CD Counter Gallbladder injury mechanical or cautery Unintentional release of the gallbaldder with graspe Gallbladder injury bile or stones spilled Liver injury without bleeding a Major vascular injury CBD hepatic duct injury Additional attempt at clip ligature placement on du Additional attemp at ductotomy Additional attempt at cystic duct cannulation Misplaced clip or ligature on cystic duct unintentional removal of cholaniogram catheter Unintentional cystic duct transection Failure to cannulate patient cystic duct only mark Additional atempt at clip placement on artery Additional attemp at cutting cystic artery Mistaking artery for duct for duct for artery Cystic artery tear Distractions Excellent Communication z SCD Foley le atic Annotation Input Debrief 5 A om h Occurance o
21. nspect liver bed Em Hocar Removal saji a Patient leaves room Contamination Enter Point Value fo Point Value f q Save Exit Save Sct Save Exit Occurance of Error Case ID Log of Communication Score Close Figure 11 Events and Error Counter in Edit Mode Communication Score Communication Score in RATE is a tool to score communication events by scales e g Not Done Incomplete Well Done or Low Medium High Use the Communication Score button the caption of the button will be changed to Saving Score at the bottom of the screen see Figure 11 to switch the Event Tracker to Communication Score window as shown in Figure 12 To score the communication 1 Click the Communication Score button at the bottom of the screen Figure 11 to bring you to the Communication Rating screen Figure 12 2 Rate the communication 3 Click Save to save the score result to the database or Cancel to exit the Communication Score window without saving To edit the score event types 1 Not implemented yet 12 RATE Manual Pas s Remote Analysis of Team Environment 12330 60 C Start Stop Tone Edit 00 05 29 44 AR Teaching me 00 15 39 SA CN Question Content Request w name Request w o narr Performance Rev Unknown Joking Question Statements Seeking advice Clarifying Arg
22. o the RATE mdb CaseTDbl The Pause Button does not work while watching videos Two videos sometimes play on top of each other in video watching mode Videos in wmv windows media format take a long time to scroll Videos in mpg format jump around instantaneously this is a Microsoft feature not a RATE bug e There is no way yet to track who is scoring or to merge compare scores Comments Questions Address to Stephanie Guerlain contact info on Page 1 of this manual Send us an email if you d like to be on the distribution list for future updates 17
23. ompleted Task Occurance of Error Total Score Case ID a Communication Score New Session Log Off Close Figure 5 The Scoring Screen Reload a Case into the Scoring Window To reload a previously scored case into the Scoring window 1 Select New Case from the New Session Screen Type in the case ID for the session you would like to reload Check the Set Start Time box optional Click Enter The system will say that the Case ID already exists and ask if you want to load anyway Select Yes You will be brought into the Scoring window with the previously marked events already entered eS Summarize Conversations In the Scoring window the Conversation Scoring is located at the upper left corner as shown in Figure 6 The position will be different in Load Case video watching mode see Figure 16 however the interface and operation is totally the same This interface will allow you to mark who is talking to whom about what topic and at what time To record that AA anesthesia attending is teaching AR anesthesia resident 1 Click AA in the From list click AR in the To list and Teaching in the Event list respectively 2 Click Talk or double click Teaching and a description of AA AR Teaching is shown in the right rectangle list along with the start time of the conversation RATE Manual Version 12 2 02 of RATE exe 3 To end the conversation doubl
24. on Circumferential dissection Adequate length Proximal Clip Aroa ta Distal Clip Excellent Teamwork End Division of CA and CD Poor Communication Areolar tissue division Average Communication Inspect liver bed Excellent Communication End Tica Ranoval SCD Foley 0G Debrief Edit Edit pm 4 Occurance of Error Total Score Case ID ha e Number of Completed Task Communication Score New Session Log Off Close Figure 6 Summarize Conversations To record SR requested equipment from ST and SR answered back 1 Click SR in the From list click ST in the To list click Request w Name or Role in the Event list and click Equipment in the Content list 2 Click the Talk button or double click on Equipment and a description of SR ST Request w Name or Role Equipment is shown in the current conversation list along with the start time of that conversation 3 Click not double click SR ST Request w Name or Role Equipment in the right list to select it 4 Click Answer Back A window will pop up to ask if the answer back was adequate or not 5 Click Yes or No The text SR ST Request w Name or Role Equipment will be moved into the bottom list Another text of ST SR answered adequately inadequately to SR s question will be added automatically in the bottom list Hints e To list subjects
25. sion Performance Rev Begin Trocar Placement Unknown Pag v Placement of Fundus Grasper Joking Placement of body grapser Question Talk gt gt Retraction of fundus cephalad Statements Retraction of body anterolateral Seeking advice Answer Start dissection of body infunibul Clarifying Back Begin Triangle of Calot Dissectio qui Indentification of cystic duct Circumferential dissection of ducl adequate length of duct Proximal clip Distal Clip Ligature placement Division of Duct Ductotomy Catheter placement Secure Catheter Remove catheter Identify cystic artery Circumferential dissection Additional attempt at clip ligature pla Additional attemp at ductotomy Additional attempt at cystic duct can Misplaced clip or ligature on cystic d unintentional removal of cholaniogra Unintentional cystic duct transection Failure to cannulate patient cystic di Additional atempt at clip placement c Additional attemp at cutting cystic ar Mistaking artery for duct for duct for Cystic artery tear Distractions 00 05 09 00 05 10 Neutral S4 SR Teaching Surgical approach 00 05 26 00 15 12 Neutral S4 SR Teaching Case Specific 00 15 12 00 15 22 Neutral SA CN Question Equipment 00 05 39 Names Roles Names Roles 00 43 33 Patient Hx ABX 00 43 41 Cholangiogram Edit events weights Edit error types weights End Division of CA and CD r 5 Areolar tissue division Move items up down I
26. ton To just save this list for this case click the Save Exit button Check list and Annotation Check list records the critical events happening It is different from the Event Tracker in which completed tasks and errors are scored with different weights Check list is located at the bottom left in New Case session as shown in Figure 3 Annotation is located beside the Check list which enables the observer to input text comments at any time The locations will be different from that in Load Case session see Figure16 however the interface is the same To record ABX 1 Click the box before ABX To cancel the record of ABX 1 Unclick the box before ABX 2 Confirm the cancel in the Pop up window by clicking Yes To add a comment 3 Type comment max 256 characters into the annotation text box Click Enter Remote Analysis of Team Environment File Option Tool Environment Socializing Other cases Request w name Tools Request w o nar Telephone Performance Rey Other persor Tak gt gt Answer 05 09 00 05 10 Neutral S4 SR Teaching Surgical approach 05 26 00 15 12 Neutral SA SR Teaching Case Specific 00 05 39 Names Roles 00 43 33 Patient Hx SA 00 43 41 Cholangiogram v Patient Hx 00 43 47 ABX v Cholangiogram Open Personnel Shift Equipment Issues Poor Teamwork Average Teamwork Excellent Teamwork Poor Communication Average Com
27. uing 00 05 10 Neutral SA SR Teaching Surgical approach 00 15 12 Neutral SA SR Teaching Case Specific 00 15 22 Neutral S4 CN Question Equipment 00 05 09 00 05 26 00 15 12 00 05 39 Names Roles 00 43 33 Patient Hx 00 43 41 Cholangiogram 00 43 47 ABX Names Roles ABX Patient Hx Cholangiogram Open Personnel Shift Equipment Issues 00 42 47 Dr commented on pAtient s weight 0 43 07 Assistant havi i Average C communications Excellent 0 Save and Exit a Scoring Session All data is saved as you work 1 Click the Close button at the bottom Version 12 2 02 of RATE exe Communication Score Communication Score NotDone Incomplete Ve ere all the team members introduced by name c Was the pertinent patient history reviewed e Was the callout list confirmed Was the likelihood of converting to open indicated Was the likelihood of a cholangiogram indicated Were equipment issues brought up Were team member schedule breaks identified Was the staff empowered Did the attending ask if there were any questions or concerns Medium High Level of Teamwork Level of Communication of the window to exit the program OR 2 Click New Session to go back to the 13 New Session window Figure 2 RATE Manual Version 12 2 02 of RATE exe Load and Review Videos for a Case l 2 To load and review videos for a case choose Load Case from the menu after
Download Pdf Manuals
Related Search