Publications

From Intelligent Operating Systems to Intelligent Operating Rooms

Concept: How emerging technologies including sensors, audiovisual analysis, and artificial intelligence are revolutionising the measurement, feedback, and improvement of both technical and non-technical skills in surgery.

Surgical Analytics

  • Machine learning for skill evaluation

  • Wearable biosensors for cognitive load measurement (e.g., HRV, EDA, EEG)

  • Computer vision (e.g., hand pose tracking)

  • Automated video-based performance feedback

  • Real-time cognitive load and motion analysis

Concept: Clinical Human Factors explores how individual, team, and system-level factors affect clinical performance. It informs the design of safer, more efficient healthcare systems by aligning processes and environments with human capabilities and limitations.

Clinical Human Factors

  • Distributed Cognition

  • Non-technical skills

  • Multiteam system (MTS) dynamics

  • Behavioural adaptation under uncertainty

  • Environmental and ambient conditions

Concept: Examines how intentional strategies at individual, team and system-level can be embedded into surgical systems to improve long-term performance and safety.

Systemic Interventions

  • Surgical education

  • Performance enhancing techniques

  • Coaching frameworks

  • Briefing and debriefing

  • Surgical culture

"Given the challenges of traditional methods of skill assessment, there is a growing need for an objective and reliable method of providing feedback that is complementary to expert-based assessment."

Lachlan Dick, Clinical Research Fellow (PhD)

"Objective, real-time, digital metrics are essential to improve clinical performance."

Emma Howie, Clinical Research Fellow (PhD)

"Teams leave data trails in the form of interaction patterns that reflect the cognitive dynamics of high-stakes performance."

Harini Dharanikota, PhD Candidate