Int J Med Robot - Failure mode and effects analysis in designing a virtual reality-based training simulator for bilateral sagittal split osteotomy.

Tópicos

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Resumo

CKGROUND: Virtual reality-based simulators offer a cost-effective and efficient alternative to traditional medical training and planning. Developing a simulator that enables the training of medical skills and also supports recognition of errors made by the trainee is a challenge. The first step in developing such a system consists of error identification in the real procedure, in order to ensure that the training environment covers the most significant errors that can occur. This paper focuses on identifying the main system requirements for an interactive simulator for training bilateral sagittal split osteotomy (BSSO).METHODS: An approach is proposed based on failure mode and effects analysis (FMEA), a risk analysis method that is well structured and already an approved technique in other domains.RESULTS: Based on the FMEA results, a BSSO training simulator is currently being developed, which centres upon the main critical steps of the procedure (sawing and splitting) and their main errors.CONCLUSIONS: FMEA seems to be a suitable tool in the design phase of developing medical simulators. Herein, it serves as a communication medium for knowledge transfer between the medical experts and the system developers. The method encourages a reflective process and allows identification of the most important elements and scenarios that need to be trained.

Resumo Limpo

ckground virtual realitybas simul offer costeffect effici altern tradit medic train plan develop simul enabl train medic skill also support recognit error made traine challeng first step develop system consist error identif real procedur order ensur train environ cover signific error can occur paper focus identifi main system requir interact simul train bilater sagitt split osteotomi bssomethod approach propos base failur mode effect analysi fmea risk analysi method well structur alreadi approv techniqu domainsresult base fmea result bsso train simul current develop centr upon main critic step procedur saw split main errorsconclus fmea seem suitabl tool design phase develop medic simul herein serv communic medium knowledg transfer medic expert system develop method encourag reflect process allow identif import element scenario need train

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