Evidence map›Paper›PMID 34264400›Full record

ArticleSurgical endoscopy2022

Does your team know how to respond safely to an operating room fire? Outcomes of a virtual reality, AI-enhanced simulation training.

Hung Truong, Di Qi, Adam Ryason, Amy M Sullivan, Jaime Cudmore, Samuel Alfred, Stephanie B Jones, Jose M Parra, Suvranu De, Daniel B Jones

Abstract read
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. The use of extended reality in anesthesiology education: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
    Article
  6. Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hung TruongDepartment of Surgery, Beth Israel Deaconess Medical Center, Harvard School of Medicine, 330 Brookline Ave, Shapiro Clinical Center 3rd Floor, Boston, MA, 02215, USA.ORCID 0000-0002-7422-7377
Di QiCenter for Modeling, Simulation, and Imaging in Medicine, Rensselaer Polytechnic Institute, Troy, NY, USA.
Adam RyasonCenter for Modeling, Simulation, and Imaging in Medicine, Rensselaer Polytechnic Institute, Troy, NY, USA.
Amy M SullivanBeth Israel Deaconess Medical Center, Carl J. Shapiro Institute for Research and Education, Harvard Medical School, Boston, MA, USA.
Jaime CudmoreDepartment of Surgery, Beth Israel Deaconess Medical Center, Harvard School of Medicine, 330 Brookline Ave, Shapiro Clinical Center 3rd Floor, Boston, MA, 02215, USA.
Samuel AlfredCenter for Modeling, Simulation, and Imaging in Medicine, Rensselaer Polytechnic Institute, Troy, NY, USA.
Stephanie B JonesDepartment of Anesthesia and Critical Care, Albany Medical Center, Albany, NY, USA.
Jose M ParraBeth Israel Deaconess Medical Center, Carl J. Shapiro Institute for Research and Education, Harvard Medical School, Boston, MA, USA.
Suvranu DeCenter for Modeling, Simulation, and Imaging in Medicine, Rensselaer Polytechnic Institute, Troy, NY, USA.
Daniel B JonesDepartment of Surgery, Beth Israel Deaconess Medical Center, Harvard School of Medicine, 330 Brookline Ave, Shapiro Clinical Center 3rd Floor, Boston, MA, 02215, USA. djones1@bidmc.harvard.edu.

Funding

Physically Realistic Virtual SurgeryR01EB005807 · NIBIB · RENSSELAER POLYTECHNIC INSTITUTE · PI DE, SUVRANU, JACKSON, CULLEN DAVIS · 2006 to 2024
$7.0M
Development and Validation of a Virtual Electrosurgical Skill Trainer (VEST)R01EB014305 · NIBIB · RENSSELAER POLYTECHNIC INSTITUTE · PI CAO, CAROLINE GL, DE, SUVRANU · 2012 to 2016
$2.5M
NIBIB NIH HHS 1R01EB014305NIBIB NIH HHS R01 EB005807NIBIB NIH HHS R01 EB014305
6 · The paper itself

Abstract

backgroundOperating room (OR) fires are rare but devastating events requiring immediate and effective response. Virtual Reality (VR) simulation training can provide a safe environment for practice of skills in such highly stressful situation. This study assessed interprofessional participants' ability to respond to VR-simulated OR fire scenarios, attitudes, numbers of attempt of the VR simulation do participants need to successfully respond to OR fires and does prior experience, confidence level, or professional role predict the number of attempts needed to demonstrate safety and pass the simulation.

methods180 surgical team members volunteered to participate in this study at Beth Israel Deaconess Medical Center, Boston, MA. Each participant completed five VR OR simulation trials; the final two trials incorporated AI assistance. Primary outcomes were performance scores, number of attempts needed to pass, and pre- and post-survey results describing participant confidence and experiences. Differences across professional or training role were assessed using chi-square tests and analyses of variance. Differences in pass rates over time were assessed using repeated measures logistic regression.

resultsOne hundred eighty participants completed simulation testing; 170 (94.4%) completed surveys. Participants included surgeons (17.2%), anesthesiologists (10.0%), allied health professionals (41.7%), and medical trainees (31.1%). Prior to training, 45.4% of participants reported feeling moderately or very confident in their ability to respond to an OR fire. Eight participants (4.4%) responded safely on the first simulation attempt. Forty-three participants (23.9%) passed by the third attempt (VR only); an additional 97 participants (53.9%) passed within the 4-5th attempt (VR with AI assistance).

conclusionsProviders are unprepared to respond to OR fires. VR-based simulation training provides a practical platform for individuals to improve their knowledge and performance in the management of OR fires with a 79% pass rate in our study. A VR AI approach to teaching this essential skill is innovative, feasible, and effective.

Indexed as

FiresSimulation TrainingVirtual RealityArtificial IntelligenceClinical CompetenceComputer SimulationHumansOperating RoomsArtificial intelligenceEducationOperating room firesPatient safetySimulationVirtual reality

Identifiers

PMID34264400
PMCPMC10771129

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.