Engineering for Patient Safety: Issues in Minimally Invasive Procedures (Human Error and Safety)
Jenny Dankelman,Cornelis A. Grimbergen,Henk G. Stassen | 2004-11-02 00:00:00 | CRC Press | 536 | Engineering
Engineering for Patient Safety: Issues in Minimally Invasive Procedures is a brief study of how human factors engineers have worked with medical personnel to improve patient safety and reduce medical error in the newest minimally invasive surgical procedures. In traditional surgery, surgeons had the advantages of three-dimensional vision and hands-on feedback as a result of direct contact with instruments and tissue. While the new surgical techniques have cost benefits and generally reduce patient trauma and recovery time, a whole new cast of potential problems has been introduced and there are greater risks of medical error.
This book features:
*an explanation of new technologies to improve minimally invasive procedures, starting with task analysis, problem assessment, instrument design, and evaluation of the new technologies;
*examples from laparoscopy, arthroscopy, virtual colonoscopy, and cardiovascular catheter interventions; and
*future projects and research fields.
This study is of interest to human factors researchers who focus on health care, designers and manufacturers of medical equipment, and surgeons and technicians.
Reviews
Do not be confused of the book name. This book is not talking about the surgical device safety. It is a literature review of minimally Invasive surgical (MIS) device design problems. I borrow this book from library. After reading some chapter, I go to bookstore to figure it later, and give up the ideas of writing teaching materials. I also discard the papers and notes I collected, just keeping those not mentioned in this book.
A brief introduction can be found on Paul H. King, Engineering in Medicine and Biology Magazine, IEEE. 2006;25(1):14. You also can find some page through Google.
The text consists of 12 chapters. Chapter 1 and 12 is a introduction to MIS device design and training. Chapter 2 discuss about surgical procedure task analysis.
Chapter 3 "Observation and Manipulation in Laparoscopic Surgery", and Chapter 4 "Eye-Hand Coordination in Laparoscopy" cover the visual impendence, mis-location and misorientation. The interaction of device tip motion with the monitor height and position is demostrated clearly. You will not miss in the jargons of color science, visual theory. Though the authors discribed clear of fleible wrist of DaVinci system (US Patent No.5,797,900,1998)in chapter 3, the key image patent (US Patent No.7,397,934,2008): "Registration of Thoracic and Abdominal Imaging Modalities" is not see then.
chapter 5 "Force Transmission of Laparoscopic Graspers", Chapter 6 "Safe Manipulation of Bowel Tissue", and Chapter 7 "Design and Evaluation of Endoscope Positioners" review the device ergonomic problems. It discuss about how the force transmission from your hand to the grasp tip, the laparoscopic instrument sensation of surgeon, and the jaw design demage factor on bowel.
Chapter 3-7 is enough for bed-side teaching. You need not waste time of data mining in EI, SCI papers.
In chapter 9, the authors did not mentioned about Osirix TM (Mac software). It is the best free software for virtual colonscopy, and frendly in bed-side teaching.
I have no comment of chapter 8 discuss arthroscopy, and chapter 10,11 discuss catheters, because I am not a orthologist or cardiovascular surgeon.
The authors skip about the surgeon's muscle fatigue problems, including handle design, surgical table height, EMG and 3D-motion analysis. The direct energy source device is also not mentioned. But you can find excellent review through Pubmed.
Conclusion, If you are a laparoscopic surgeon, and not interested in bioengineering. Or if you are a bioengineering new investigating in laparoscopic device design. This is a book for you. But Please keep in mind that not talk this to PGY or junior residents they have no laparoscopic surgery experience. Or you will see innocent eyes only.
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