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Kulak O, Drobysheva A, Wick N, Arvisais-Anhalt S, Germans SK, Timmons CF, Park JY. Smart Glasses as a Surgical Pathology Grossing Tool. Arch Pathol Lab Med 2021; 145:457-460. [PMID: 32823276 DOI: 10.5858/arpa.2020-0090-oa] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2020] [Indexed: 11/06/2022]
Abstract
CONTEXT.— Smart glasses are a wearable technology that enable hands-free data acquisition and entry. OBJECTIVE.— To develop a surgical pathology grossing application on a smart glass platform. DESIGN.— An existing logistics software for the Google Glass Enterprise smart glass platform was used to create surgical pathology grossing protocols. The 2 grossing protocols were developed to simulate grossing a complex (heart) and a simple (kidney) specimen. For both protocols, users were visually prompted by the smart glass device to perform each task, record measurements, or document the field of view. In addition to measuring the total time of the protocol performance, each substep within the protocol was automatically recorded. Subsequently, a report was generated that contained the dictation, images, voice recordings, and the timing of each step. The application was tested by 3 users using the 2 grossing protocols. The users were tracked across 3 grossing procedures for each protocol. RESULTS.— For the complex specimen grossing the average time across repeated procedures was not significantly different between users (P > .99). However, when grossing times of the complex specimen were compared for repeated performances of the same user, a significant reduction in grossing times was observed with each repetition (P = .002). For the simple specimen, the average grossing time across multiple attempts was different among users (P = .03); however, no improvement in grossing time was observed with repeated performance (P = .499). CONCLUSIONS.— Augmented reality based grossing applications can provide automated data collection to track the changes in grossing performance over time.
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Affiliation(s)
- Ozlem Kulak
- Department of Pathology, University of Texas Southwestern Medical Center, Dallas (Kulak, Wick, Arvisais-Anhalt, Germans, Timmons, Park). Kulak and Drobysheva contributed equally to this work
| | - Anastasia Drobysheva
- From the Department of Pathology, Boston Children's Hospital, Boston, Massachusetts (Drobysheva)
| | - Neda Wick
- Department of Pathology, University of Texas Southwestern Medical Center, Dallas (Kulak, Wick, Arvisais-Anhalt, Germans, Timmons, Park). Kulak and Drobysheva contributed equally to this work
| | - Simone Arvisais-Anhalt
- Department of Pathology, University of Texas Southwestern Medical Center, Dallas (Kulak, Wick, Arvisais-Anhalt, Germans, Timmons, Park). Kulak and Drobysheva contributed equally to this work
| | - Sharon Koorse Germans
- Department of Pathology, University of Texas Southwestern Medical Center, Dallas (Kulak, Wick, Arvisais-Anhalt, Germans, Timmons, Park). Kulak and Drobysheva contributed equally to this work
| | - Charles F Timmons
- Department of Pathology, University of Texas Southwestern Medical Center, Dallas (Kulak, Wick, Arvisais-Anhalt, Germans, Timmons, Park). Kulak and Drobysheva contributed equally to this work
| | - Jason Y Park
- Department of Pathology, University of Texas Southwestern Medical Center, Dallas (Kulak, Wick, Arvisais-Anhalt, Germans, Timmons, Park). Kulak and Drobysheva contributed equally to this work
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Romare C, Skär L. Smart Glasses for Caring Situations in Complex Care Environments: Scoping Review. JMIR Mhealth Uhealth 2020; 8:e16055. [PMID: 32310144 PMCID: PMC7199139 DOI: 10.2196/16055] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Revised: 11/27/2019] [Accepted: 02/06/2020] [Indexed: 11/13/2022] Open
Abstract
Background Anesthesia departments and intensive care units represent two advanced, high-tech, and complex care environments. Health care in those environments involves different types of technology to provide safe, high-quality care. Smart glasses have previously been used in different health care settings and have been suggested to assist health care professionals in numerous areas. However, smart glasses in the complex contexts of anesthesia care and intensive care are new and innovative. An overview of existing research related to these contexts is needed before implementing smart glasses into complex care environments. Objective The aim of this study was to highlight potential benefits and limitations with health care professionals' use of smart glasses in situations occurring in complex care environments. Methods A scoping review with six steps was conducted to fulfill the objective. Database searches were conducted in PubMed and Scopus; original articles about health care professionals’ use of smart glasses in complex care environments and/or situations occurring in those environments were included. The searches yielded a total of 20 articles that were included in the review. Results Three categories were created during the qualitative content analysis: (1) smart glasses as a versatile tool that offers opportunities and challenges, (2) smart glasses entail positive and negative impacts on health care professionals, and (3) smart glasses' quality of use provides facilities and leaves room for improvement. Smart glasses were found to be both a helpful tool and a hindrance in caring situations that might occur in complex care environments. This review provides an increased understanding about different situations where smart glasses might be used by health care professionals in clinical practice in anesthesia care and intensive care; however, research about smart glasses in clinical complex care environments is limited. Conclusions Thoughtful implementation and improved hardware are needed to meet health care professionals’ needs. New technology brings challenges; more research is required to elucidate how smart glasses affect patient safety, health care professionals, and quality of care in complex care environments.
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Affiliation(s)
- Charlotte Romare
- Region Blekinge, Karlskrona, Sweden.,Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden
| | - Lisa Skär
- Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden
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Carrera JF. A Systematic Review of the Use of Google Glass in Graduate Medical Education. J Grad Med Educ 2019; 11:637-648. [PMID: 31871562 PMCID: PMC6919184 DOI: 10.4300/jgme-d-19-00148.1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 06/13/2019] [Accepted: 08/21/2019] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Graduate medical education (GME) has emphasized the assessment of trainee competencies and milestones; however, sufficient in-person assessment is often constrained. Using mobile hands-free devices, such as Google Glass (GG) for telemedicine, allows for remote supervision, education, and assessment of residents. OBJECTIVE We reviewed available literature on the use of GG in GME in the clinical learning environment, its use for resident supervision and education, and its clinical utility and technical limitations. METHODS We conducted a systematic review in accordance with 2009 PRISMA guidelines. Applicable studies were identified through a review of PubMed, MEDLINE, and Web of Science databases for articles published from January 2013 to August 2018. Two reviewers independently screened titles, abstracts, and full-text articles that reported using GG in GME and assessed the quality of the studies. A systematic review of these studies appraised the literature for descriptions of its utility in GME. RESULTS Following our search and review process, 37 studies were included. The majority evaluated GG in surgical specialties (n = 23) for the purpose of surgical/procedural skills training or supervision. GG was predominantly used for video teleconferencing, and photo and video capture. Highlighted positive aspects of GG use included point-of-view broadcasting and capacity for 2-way communication. Most studies cited drawbacks that included suboptimal battery life and HIPAA concerns. CONCLUSIONS GG shows some promise as a device capable of enhancing GME. Studies evaluating GG in GME are limited by small sample sizes and few quantitative data. Overall experience with use of GG in GME is generally positive.
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Wang CH, Tsai NH, Lu JM, Wang MJJ. Usability evaluation of an instructional application based on Google Glass for mobile phone disassembly tasks. APPLIED ERGONOMICS 2019; 77:58-69. [PMID: 30832779 DOI: 10.1016/j.apergo.2019.01.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 10/13/2018] [Accepted: 01/19/2019] [Indexed: 06/09/2023]
Abstract
This study aims at comparing a Google Glass-based instructional application with a printed manual in mobile phone disassembly tasks. Thirty participants (15 males and 15 females) were recruited to perform tasks via three types of instructional methods (Google Glass-based augmented reality, Google Glass-based video, and a printed manual). The objective measures of performance (task completion time, error counts), and the subjective measures (NASA-Task Load Index, system usability scale) were considered. Additionally, visual fatigue was assessed by critical flicker fusion frequency and near point accommodation. According to the findings, although the printed manual method produced better results regarding mental workload and system usability, the augmented reality method improved error reduction and efficiency. Furthermore, the participants indicated that the displayed animations were helpful in locating the exact work-pieces. The augmented reality method is believed to be a potential alternative to printed manuals in mobile disassembly tasks.
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Affiliation(s)
- Chao-Hung Wang
- Department of Industrial Engineering and Engineering Management, National Tsing Hua University, No. 101, Sec. 2, Kuangfu Road, Hsinchu, 30013, Taiwan, ROC
| | - Ni-Hsin Tsai
- Department of Industrial Engineering and Engineering Management, National Tsing Hua University, No. 101, Sec. 2, Kuangfu Road, Hsinchu, 30013, Taiwan, ROC
| | - Jun-Ming Lu
- Department of Industrial Engineering and Engineering Management, National Tsing Hua University, No. 101, Sec. 2, Kuangfu Road, Hsinchu, 30013, Taiwan, ROC
| | - Mao-Jiun J Wang
- Department of Industrial Engineering and Enterprise Information, Tunghai University, No. 1727, Sec. 4, Taiwan Boulevard, Xitun District, Taichung, 40704, Taiwan, ROC.
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McCoy CE, Alrabah R, Weichmann W, Langdorf MI, Ricks C, Chakravarthy B, Anderson C, Lotfipour S. Feasibility of Telesimulation and Google Glass for Mass Casualty Triage Education and Training. West J Emerg Med 2019; 20:512-519. [PMID: 31123554 PMCID: PMC6526878 DOI: 10.5811/westjem.2019.3.40805] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Accepted: 03/27/2019] [Indexed: 11/22/2022] Open
Abstract
Introduction Our goal was to evaluate the feasibility and effectiveness of using telesimulation to deliver an emergency medical services (EMS) course on mass casualty incident (MCI) training to healthcare providers overseas. Methods We conducted a feasibility study to establish the process for successful delivery of educational content to learners overseas via telesimulation over a five-month period. Participants were registrants in an EMS course on MCI triage broadcast from University of California, Irvine Medical Simulation Center. The intervention was a Simple Triage and Rapid Treatment (START) course. The primary outcome was successful implementation of the course via telesimulation. The secondary outcome was an assessment of participant thoughts, feelings, and attitudes via a qualitative survey. We also sought to obtain quantitative data that would allow for the assessment of triage accuracy. Descriptive statistics were used to express the percentage of participants with favorable responses to survey questions. Results All 32 participants enrolled in the course provided a favorable response to all questions on the survey regarding their thoughts, feelings, and attitudes toward learning via telesimulation with wearable/mobile technology. Key barriers and challenges identified included dependability of Internet connection, choosing appropriate software platforms to deliver content, and intercontinental time difference considerations. The protocol detailed in this study demonstrated the successful implementation and feasibility of providing education and training to learners at an off-site location. Conclusion In this feasibility study, we were able to demonstrate the successful implementation of an intercontinental MCI triage course using telesimulation and wearable/mobile technology. Healthcare providers expressed a positive favorability toward learning MCI triage via telesimulation. We were also able to establish a process to obtain quantitative data that would allow for the calculation of triage accuracy for further experimental study designs.
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Affiliation(s)
- C Eric McCoy
- University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California
| | - Rola Alrabah
- King Abdullah Bin Abdulaziz University Hospital, Department of Emergency Medicine, Riyadh, Saudi Arabia
| | - Warren Weichmann
- University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California
| | - Mark I Langdorf
- University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California
| | - Cameron Ricks
- University of California, Irvine School of Medicine, Department of Anesthesiology, Irvine, California
| | - Bharath Chakravarthy
- University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California
| | - Craig Anderson
- University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California
| | - Shahram Lotfipour
- University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California
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A low-pass filter of 300 Hz improved the detection of pacemaker spike on remote and bedside electrocardiogram. Chin Med J (Engl) 2019; 132:534-541. [PMID: 30807352 PMCID: PMC6416004 DOI: 10.1097/cm9.0000000000000110] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Background: The current upper-frequency cutoff of 150 Hz sometimes causes loss of pacemaker spike and misdiagnosis. We hypothesized that low-pass filter (LPF) other than 150 Hz could improve the detection of pacemaker spike. This study aimed to examine the effect of different LPF on pacemaker spike detection in remote and bedside electrocardiogram (ECG). Methods: Patients with permanent pacemaker implantation were included during routine follow-up. Standard 12-lead ECGs at 6 different upper-frequency cutoff (40, 100, 150, 200, 300, and 400 Hz) were collected. All ECGs were then transmitted to the remote clinic center. Ventricular and atrial pacing were analyzed by 2 independent medical practitioners. Results: A total of 88 patients’ ECGs were analyzed (mean age 73.8 ± 10.2 years and 85 with dual-chamber pacemakers). About 75.3% (64/85) of patients were diagnosed as atrial pacing by pacemaker programming. Among 6 different upper-frequency cutoff, the 300 Hz turned out to perform best in detecting atrial-paced spike (area under the curve [AUC] = 0.73, 95% confidence interval [CI]: 0.61–0.84 vs. 0.56, 95% CI: 0.61–0.84 at 150 Hz; P = 0.002) on bedside ECGs. Using programming as the golden standard, the 300 Hz LPF has a sensitivity of 59.4%, specificity of 85.7%, positive predictive value of 92.7% and negative predictive value of 40.9% on bedside ECGs. As for the ventricular pacing, the 300 Hz LPF also had a higher accuracy (AUC = 0.93; 95% CI = 0.84–1.00) than that at 150 Hz (AUC = 0.86; 95% CI: 0.77–0.94; P < 0.001) in detecting ventricular-paced spike on bedside ECGs. The results of remote ECGs were similar with bedside ECGs. Conclusions: A filter of 300 Hz cutoff may be recommended for ECG spike detection. With the recommended parameter, remote ECG can perform as well as bedside ECG.
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Odenheimer S, Goyal D, Jones VG, Rosenblum R, Ho L, Chan AS. Patient Acceptance of Remote Scribing Powered by Google Glass in Outpatient Dermatology: Cross-Sectional Study. J Med Internet Res 2018; 20:e10762. [PMID: 29929947 PMCID: PMC6035348 DOI: 10.2196/10762] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 05/11/2018] [Accepted: 05/11/2018] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND The ubiquitous use of electronic health records (EHRs) during medical office visits using a computer monitor and keyboard can be distracting and can disrupt patient-health care provider (HCP) nonverbal eye contact cues, which are integral to effective communication. Provider use of a remote medical scribe with face-mounted technology (FMT), such as Google Glass, may preserve patient-HCP communication dynamics in health care settings by allowing providers to maintain direct eye contact with their patients while still having access to the patient's relevant EHR information. The medical scribe is able to chart patient encounters in real-time working in an offsite location, document the visit directly into EHR, and free HCP to focus only on the patient. OBJECTIVE The purpose of this study was to examine patient perceptions of their interactions with an HCP who used FMT with a remote medical scribe during office visits. This includes an examination of any association between patient privacy and trust in their HCP when FMT is used in the medical office setting. METHODS For this descriptive, cross-sectional study, a convenience sample of patients was recruited from an outpatient dermatology clinic in Northern California. Participants provided demographic data and completed a 12-item questionnaire to assess their familiarity, comfort, privacy, and perceptions following routine office visits with an HCP where FMT was used to document the clinical encounter. Data were analyzed using appropriate descriptive and inferential statistics. RESULTS Over half of the 170 study participants were female (102/170, 59.4%), 60.0% were Caucasian (102/170), 24.1% were Asian (41/170), and 88.8% were college-educated (151/170). Age ranged between 18 and 90 years (mean 50.5, SD 17.4). The majority of participants (118/170, 69.4%) were familiar with FMT, not concerned with privacy issues (132/170, 77.6%), and stated that the use of FMT did not affect their trust in their HCP (139/170, 81.8%). Moreover, participants comfortable with the use of FMT were less likely to be concerned about privacy (P<.001) and participants who trusted their HCP were less likely to be concerned about their HCP using Google Glass (P<.009). Almost one-third of them self-identified as early technology adopters (49/170, 28.8%) and 87% (148/170) preferred their HCP using FMT if it delivered better care. CONCLUSIONS Our study findings support the patient acceptance of Google Glass use for outpatient dermatology visits. Future research should explore the use of FMT in other areas of health care and strive to include a socioeconomically diverse patient population in study samples.
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Affiliation(s)
- Sandra Odenheimer
- Palo Alto Medical Foundation, Sunnyvale, CA, United States.,The Valley Foundation School of Nursing, San Jose State University, San Jose, CA, United States.,Department of Nursing, California State University Fresno, Fresno, CA, United States
| | - Deepika Goyal
- The Valley Foundation School of Nursing, San Jose State University, San Jose, CA, United States.,Department of Nursing, California State University Fresno, Fresno, CA, United States
| | - Veena Goel Jones
- Office of Patient Experience, Sutter Health, Sacramento, CA, United States.,Palo Alto Medical Foundation Research Institute, Palo Alto, CA, United States
| | - Ruth Rosenblum
- The Valley Foundation School of Nursing, San Jose State University, San Jose, CA, United States.,Department of Nursing, California State University Fresno, Fresno, CA, United States
| | - Lam Ho
- Office of Patient Experience, Sutter Health, Sacramento, CA, United States
| | - Albert S Chan
- Office of Patient Experience, Sutter Health, Sacramento, CA, United States.,Palo Alto Medical Foundation Research Institute, Palo Alto, CA, United States
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Lee SJ, Jung TY, Lee TR, Han JH. Accepting telemedicine in a circulatory medicine ward in major hospitals in South Korea: patients' and health professionals' perception of real-time electrocardiogram monitoring. BMC Health Serv Res 2018; 18:293. [PMID: 29678189 PMCID: PMC5910594 DOI: 10.1186/s12913-018-3105-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 04/10/2018] [Indexed: 11/28/2022] Open
Abstract
Background South Korean government is currently in progress of expanding the coverage of telemedicine projects as part of an attempt to vitalize service industry, but is facing fierce opposition from KMA. Practice of telemedicine requires sufficient discussions among related parties. Although the participation of medical specialists is important, agreement from the public is essential. Methods Three main tertiary care centers in Seoul were selected for data collection. A total of 224 patients (patients n = 180, patient guardian n = 44) and medical professionals (n = 41) were selected using simple random sampling. Mixed method of quantitative survey and qualitative semi-interview was used. Results This study analyzed patients’ and medical professionals’ perception about the application of telemedicine in cardiology ward in tertiary care centers to provide baseline data when developing and applying telemedicine services. Results implied high need for encouraging telemedicine projects in order to appeal needs among population by providing experience (p < 0.001) and knowledge (p < 0.001). Other results showed that the need for electrocardiography monitoring was high among not only in remote areas but also in areas close to the capital. 64.52% of all participants thought that telemedicine was needed, and 73.21% of participants were willing to use telemedicine service if provided. Semi-interviews revealed that participants expected more cost and time saving services through remote treatment, by not having to visit long distance hospitals frequently. Conclusions Research results oppose Korean Medical Association’s opinion that the population is against enforcing telemedicine related laws. The findings in this study reflect an up-to-date perception of telemedicine among patients and medical professionals in a tertiary care centers’ cardiology ward. Moreover, the study provides a baseline that is needed in order to overcome past failures and to successfully implement telemedicine in South Korea. Electronic supplementary material The online version of this article (10.1186/s12913-018-3105-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Seo-Joon Lee
- Research Institute of Health Science, Korea University, Anam-ro, Seongbuk-gu, Seoul, Korea
| | - Tae-Young Jung
- Department of Medical & Health Administration, U1 University, 310, Daehak-ro, Yeongdong-eup, Yeongdong-gun, Chungcheongbuk-do, Korea
| | - Tae-Ro Lee
- BK21 PLUS, School of Health Policy and Management, Graduate School, Korea University, Anam-ro, Seongbuk-gu, Seoul, Korea
| | - Jae-Hoon Han
- Strategic Planning Team, Seoul St. Mary's Hospital, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, Korea. .,Department of Medical Information, The Catholic University of Seoul, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Korea.
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10
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Dougherty B, Badawy SM. Using Google Glass in Nonsurgical Medical Settings: Systematic Review. JMIR Mhealth Uhealth 2017; 5:e159. [PMID: 29051136 PMCID: PMC5668637 DOI: 10.2196/mhealth.8671] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Revised: 08/28/2017] [Accepted: 08/28/2017] [Indexed: 11/13/2022] Open
Abstract
Background Wearable technologies provide users hands-free access to computer functions and are becoming increasingly popular on both the consumer market and in various industries. The medical industry has pioneered research and implementation of head-mounted wearable devices, such as Google Glass. Most of this research has focused on surgical interventions; however, other medical fields have begun to explore the potential of this technology to support both patients and clinicians. Objective Our aim was to systematically evaluate the feasibility, usability, and acceptability of using Google Glass in nonsurgical medical settings and to determine the benefits, limitations, and future directions of its application. Methods This review covers literature published between January 2013 and May 2017. Searches included PubMed MEDLINE, Embase, INSPEC (Ebsco), Cochrane Central Register of Controlled Trials (CENTRAL), IEEE Explore, Web of Science, Scopus, and Compendex. The search strategy sought all articles on Google Glass. Two reviewers independently screened titles and abstracts, assessed full-text articles, and extracted data from articles that met all predefined criteria. Any disagreements were resolved by discussion or consultation by the senior author. Included studies were original research articles that evaluated the feasibility, usability, or acceptability of Google Glass in nonsurgical medical settings. The preferred reporting results of systematic reviews and meta-analyses (PRISMA) guidelines were followed for reporting of results. Results Of the 852 records examined, 51 met all predefined criteria, including patient-centered (n=21) and clinician-centered studies (n=30). Patient-centered studies explored the utility of Google Glass in supporting patients with motor impairments (n=8), visual impairments (n=5), developmental and psychiatric disorders (n=2), weight management concerns (n=3), allergies (n=1), or other health concerns (n=2). Clinician-centered studies explored the utility of Google Glass in student training (n=9), disaster relief (n=4), diagnostics (n=2), nursing (n=1), autopsy and postmortem examination (n=1), wound care (n=1), behavioral sciences (n=1), and various medical subspecialties, including, cardiology (n=3), radiology (n=3), neurology (n=1), anesthesiology (n=1), pulmonology (n=1), toxicology (n=1), and dermatology (n=1). Most of the studies were conducted in the United States (40/51, 78%), did not report specific age information for participants (38/51, 75%), had sample size <30 participants (29/51, 57%), and were pilot or feasibility studies (31/51, 61%). Most patient-centered studies (19/21, 90%) demonstrated feasibility with high satisfaction and acceptability among participants, despite a few technical challenges with the device. A number of clinician-centered studies (11/30, 37%) reported low to moderate satisfaction among participants, with the most promising results being in the area of student training. Studies varied in sample size, approach for implementation of Google Glass, and outcomes assessment. Conclusions The use of Google Glass in nonsurgical medical settings varied. More promising results regarding the feasibility, usability, and acceptability of using Google Glass were seen in patient-centered studies and student training settings. Further research evaluating the efficacy and cost-effectiveness of Google Glass as an intervention to improve important clinical outcomes is warranted.
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Affiliation(s)
- Bryn Dougherty
- Northwestern University Weinberg College of Arts and Sciences, Evanston, IL, United States
| | - Sherif M Badawy
- Division of Hematology, Oncology and Stem Cell Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.,Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.,Department of Pediatrics, Division of Hematology and Oncology, Zagazig University Faculty of Medicine, Zagazig, Egypt
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11
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Pérez Alonso N, Pardo Rios M, Juguera Rodriguez L, Vera Catalan T, Segura Melgarejo F, Lopez Ayuso B, Martí Nez Riquelme C, Lasheras Velasco J. Randomised clinical simulation designed to evaluate the effect of telemedicine using Google Glass on cardiopulmonary resuscitation (CPR). Emerg Med J 2017; 34:734-738. [PMID: 28768700 DOI: 10.1136/emermed-2016-205998] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 04/20/2017] [Accepted: 06/11/2017] [Indexed: 01/13/2023]
Abstract
AIM Through a clinical simulation, this study aims to assess the effect of telematics support through Google Glass (GG) from an expert physician on performance of cardiopulmonary resuscitation (CPR) performed by a group of nurses, as compared with a control group of nurses receiving no assistance. METHODS This was a randomised study carried out at the Catholic University of Murcia (November 2014-February 2015). Nursing professionals from the Emergency Medical Services in Murcia (Spain) were asked to perform in a clinical simulation of cardiac arrest. Half of the nurses were randomly chosen to receive coaching from physicians through GG, while the other half did not receive any coaching (controls). The main outcome of the study expected was successful defibrillation, which restores sinus rhythm. RESULTS Thirty-six nurses were enrolled in each study group. Statistically significant differences were found in the percentages of successful defibrillation (100% GG vs 78% control; p=0005) and CPR completion times: 213.91 s for GG and 250.31 s for control (average difference=36.39 s (95% CI 12.03 to 60.75), p=0.004). CONCLUSIONS Telematics support by an expert through GG improves success rates and completion times while performing CPR in simulated clinical situations for nurses in simulated scenarios.
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Affiliation(s)
- Nuria Pérez Alonso
- Nursing Faculty, Catholic University of Murcia (UCAM), Nurse in the 061 Emergency Services (112) of Murcia, Murcia, Spain
| | - Manuel Pardo Rios
- Nursing Faculty, Catholic University of Murcia (UCAM), Nurse in the 061 Emergency Services (112) of Murcia, Murcia, Spain
| | - Laura Juguera Rodriguez
- Nursing Faculty, Catholic University of Murcia (UCAM), Nurse in the 061 Emergency Services (112) of Murcia, Murcia, Spain
| | - Tomas Vera Catalan
- Nursing Faculty, Master's degree in Cardiovascular Risk of the Catholic University of Murcia (UCAM), Murcia, Spain
| | | | - Belen Lopez Ayuso
- Computer Engineering Faculty, Catholic University of Murcia (UCAM), Murcia, Spain
| | | | - Joaquin Lasheras Velasco
- Computer Engineering Faculty, Catholic University of Murcia (UCAM), Murcia, Spain.,Center of Information Technologies and Communications (CENTIC) of Murcia, Murcia, Spain
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Sahyouni R, Moshtaghi O, Tran DK, Kaloostian S, Rajaii R, Bustillo D, Chen JW. Assessment of Google Glass as an adjunct in neurological surgery. Surg Neurol Int 2017; 8:68. [PMID: 28540134 PMCID: PMC5421200 DOI: 10.4103/sni.sni_277_16] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Accepted: 02/15/2017] [Indexed: 11/25/2022] Open
Abstract
Background: We assess Google Glass (“Glass”) in improving postoperative review (“debriefing”) and augmenting education in Neurological Surgery at a tertiary academic medical center. Methods: This was a prospective study. Participants were patients of Neurological Surgery physicians at a Tertiary Care Level 1 Academic Trauma Center. Resident physicians received a pre-questionnaire immediately following surgery. Next, the resident and attending physicians debriefed by reviewing the Glass operative recording. Then, residents completed a 4-part post-questionnaire. Questions 1–3 assessed: (1) the residents’ comfort level with the procedure, (2) the quality of education provided by their superiors, and (3) their comfort level in repeating the operation. Question 4 assessed: (4) the perceived benefit of debriefing using Glass. Results: Twelve surveys were collected. Scores were based on a 5-point Likert scale, with a higher score corresponding to a more positive response. For Questions 1–3, the average pre- and post-questionnaire scores were 3.75 and 4.42, respectively (P <.05). For Question 4, the average post-questionnaire score was 4.63, suggesting that postoperative Glass review improved their technical understanding of the procedure. Conclusions: Glass significantly improved neurosurgery residents’ comfort level and quality of training, and provided a high fidelity, reliable, and modifiable tool that enhanced residents’ understanding, expertise, and educational experience. Of note, certain limitations such as variable battery life, variable image quality, and subpar compatibility with surgeon loupes must still be overcome for Glass to become a realistic addition to neurosurgical education.
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Affiliation(s)
- Ronald Sahyouni
- School of Medicine, Department of Neurological Surgery, University of California, Irvine, California, USA
| | - Omid Moshtaghi
- School of Medicine, Department of Neurological Surgery, University of California, Irvine, California, USA
| | - Diem Kieu Tran
- Division of Neurotrauma, Department of Neurological Surgery, University of California, Irvine, California, USA
| | - Sean Kaloostian
- Division of Neurotrauma, Department of Neurological Surgery, University of California, Irvine, California, USA
| | - Ramin Rajaii
- School of Medicine, Department of Neurological Surgery, University of California, Irvine, California, USA
| | - David Bustillo
- Division of Neurotrauma, Department of Neurological Surgery, University of California, Irvine, California, USA
| | - Jefferson W Chen
- School of Medicine, Department of Neurological Surgery, University of California, Irvine, California, USA.,Division of Neurotrauma, Department of Neurological Surgery, University of California, Irvine, California, USA
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Mao X, Wen X, Song Y, Li W, Chen G. Eliminating drift of the head gesture reference to enhance Google Glass-based control of an NAO humanoid robot. INT J ADV ROBOT SYST 2017. [DOI: 10.1177/1729881417692583] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This article presents a strategy for hand-free control of an NAO humanoid robot via head gesture detected by Google Glass-based multi-sensor fusion. First, we introduce a Google Glass-based robot system by integrating the Google Glass and the NAO humanoid robot, which is able to send robot commands through Wi-Fi communications between the Google Glass and the robot. Second, we detect the operator’s head gestures by processing data from multiple sensors including accelerometers, geomagnetic sensors and gyroscopes. Next, we use a complementary filter to eliminate drift of the head gesture reference, which greatly improves the control performance. This is accomplished by the high-pass filter component on the control signal. Finally, we conduct obstacle avoidance experiments while navigating the robot to validate the effectiveness and reliability of this system. The experimental results show that the robot is smoothly navigated from its initial position to its destination with obstacle avoidance via the Google Glass. This hands-free control system can benefit those with paralysed limbs.
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Affiliation(s)
- Xiaoqian Mao
- School of Electrical Engineering and Automation, Tianjin University, Tianjin, China
| | - Xi Wen
- School of Electrical Engineering and Automation, Tianjin University, Tianjin, China
| | - Yu Song
- School of Electrical Engineering and Automation, Tianjin University, Tianjin, China
| | - Wei Li
- School of Electrical Engineering and Automation, Tianjin University, Tianjin, China
- State Key Laboratory of Robotics, Shenyang Institute of Automation, Shenyang, Liaoning, China
- Department of Computer and Electrical Engineering and Science, California State University, Bakersfield, CA, USA
| | - Genshe Chen
- Intelligent Fusion Technology, Inc., Germantown, MD, USA
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Martinez-Millana A, Bayo-Monton JL, Lizondo A, Fernandez-Llatas C, Traver V. Evaluation of Google Glass Technical Limitations on Their Integration in Medical Systems. SENSORS (BASEL, SWITZERLAND) 2016; 16:E2142. [PMID: 27983691 PMCID: PMC5191122 DOI: 10.3390/s16122142] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Revised: 12/08/2016] [Accepted: 12/13/2016] [Indexed: 11/17/2022]
Abstract
Google Glass is a wearable sensor presented to facilitate access to information and assist while performing complex tasks. Despite the withdrawal of Google in supporting the product, today there are multiple applications and much research analyzing the potential impact of this technology in different fields of medicine. Google Glass satisfies the need of managing and having rapid access to real-time information in different health care scenarios. Among the most common applications are access to electronic medical records, display monitorizations, decision support and remote consultation in specialties ranging from ophthalmology to surgery and teaching. The device enables a user-friendly hands-free interaction with remote health information systems and broadcasting medical interventions and consultations from a first-person point of view. However, scientific evidence highlights important technical limitations in its use and integration, such as failure in connectivity, poor reception of images and automatic restart of the device. This article presents a technical study on the aforementioned limitations (specifically on the latency, reliability and performance) on two standard communication schemes in order to categorize and identify the sources of the problems. Results have allowed us to obtain a basis to define requirements for medical applications to prevent network, computational and processing failures associated with the use of Google Glass.
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Affiliation(s)
- Antonio Martinez-Millana
- Instituto Universitario de Investigación de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas (ITACA), Universitat Politecnica de Valencia, Camino de Vera S/N, Valencia 46022, Spain.
- Unidad Mixta de Reingeniería de Procesos Sociosanitarios (eRPSS), Instituto de Investigación Sanitaria del Hospital Universitario y Politecnico La Fe, Bulevar Sur S/N, Valencia 46026, Spain.
| | - Jose-Luis Bayo-Monton
- Instituto Universitario de Investigación de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas (ITACA), Universitat Politecnica de Valencia, Camino de Vera S/N, Valencia 46022, Spain.
| | - Aroa Lizondo
- Instituto Universitario de Investigación de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas (ITACA), Universitat Politecnica de Valencia, Camino de Vera S/N, Valencia 46022, Spain.
| | - Carlos Fernandez-Llatas
- Instituto Universitario de Investigación de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas (ITACA), Universitat Politecnica de Valencia, Camino de Vera S/N, Valencia 46022, Spain.
- Unidad Mixta de Reingeniería de Procesos Sociosanitarios (eRPSS), Instituto de Investigación Sanitaria del Hospital Universitario y Politecnico La Fe, Bulevar Sur S/N, Valencia 46026, Spain.
| | - Vicente Traver
- Instituto Universitario de Investigación de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas (ITACA), Universitat Politecnica de Valencia, Camino de Vera S/N, Valencia 46022, Spain.
- Unidad Mixta de Reingeniería de Procesos Sociosanitarios (eRPSS), Instituto de Investigación Sanitaria del Hospital Universitario y Politecnico La Fe, Bulevar Sur S/N, Valencia 46026, Spain.
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15
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Feasibility and safety of augmented reality-assisted urological surgery using smartglass. World J Urol 2016; 35:967-972. [PMID: 27761715 DOI: 10.1007/s00345-016-1956-6] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Accepted: 10/13/2016] [Indexed: 12/18/2022] Open
Abstract
PURPOSE To assess the feasibility, safety and usefulness of augmented reality-assisted urological surgery using smartglass (SG). METHODS Seven urological surgeons (3 board urologists and 4 urology residents) performed augmented reality-assisted urological surgery using SG for 10 different types of operations and a total of 31 urological operations. Feasibility was assessed using technical metadata (number of photographs taken/number of videos recorded/video time recorded) and structured interviews with the urologists on their use of SG. Safety was evaluated by recording complications and grading according to the Clavien-Dindo classification. Usefulness of SG for urological surgery was queried in structured interviews and in a survey. RESULTS The implementation of SG use during urological surgery was feasible with no intrinsic (technical defect) or extrinsic (inability to control the SG function) obstacles being observed. SG use was safe as no grade 3-5 complications occurred for the series of 31 urological surgeries of different complexities. Technical applications of SG included taking photographs/recording videos for teaching and documentation, hands-free teleconsultation, reviewing patients' medical records and images and searching the internet for health information. Overall usefulness of SG for urological surgery was rated as very high by 43 % and high by 29 % of surgeons. CONCLUSIONS Augmented reality-assisted urological surgery using SG is both feasible and safe and also provides several useful functions for urological surgeons. Further developments and investigations are required in the near future to harvest the great potential of this exciting technology for urological surgery.
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Schaer R, Salamin F, Jimenez Del Toro OA, Atzori M, Muller H, Widmer A. Live ECG readings using Google Glass in emergency situations. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2016; 2015:315-8. [PMID: 26736263 DOI: 10.1109/embc.2015.7318363] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Most sudden cardiac problems require rapid treatment to preserve life. In this regard, electrocardiograms (ECG) shown on vital parameter monitoring systems help medical staff to detect problems. In some situations, such monitoring systems may display information in a less than convenient way for medical staff. For example, vital parameters are displayed on large screens outside the field of view of a surgeon during cardiac surgery. This may lead to losing time and to mistakes when problems occur during cardiac operations. In this paper we present a novel approach to display vital parameters such as the second derivative of the ECG rhythm and heart rate close to the field of view of a surgeon using Google Glass. As a preliminary assessment, we run an experimental study to verify the possibility for medical staff to identify abnormal ECG rhythms from Google Glass. This study compares 6 ECG rhythms readings from a 13.3 inch laptop screen and from the prism of Google Glass. Seven medical residents in internal medicine participated in the study. The preliminary results show that there is no difference between identifying these 6 ECG rhythms from the laptop screen versus Google Glass. Both allow close to perfect identification of the 6 common ECG rhythms. This shows the potential of connected glasses such as Google Glass to be useful in selected medical applications.
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17
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Wosik J, Duong T, Martinez Parachini JR, Resendes E, Rangan BV, Roesle M, Minniefield N, Collins LJ, Grodin J, Abdullah SM, Banerjee S, Brilakis ES. Not Ready for Prime Time? Clinical Pitfalls of Echocardiographic Interpretation on Miniaturized Wearable Devices. J Am Soc Echocardiogr 2016; 29:914-6. [PMID: 27450365 DOI: 10.1016/j.echo.2016.06.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Indexed: 10/21/2022]
Affiliation(s)
- Jedrek Wosik
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Thao Duong
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | | | - Erica Resendes
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Bavana V Rangan
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Michele Roesle
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Nicole Minniefield
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Laura J Collins
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Jerrold Grodin
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Shuaib M Abdullah
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Subhash Banerjee
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
| | - Emmanouil S Brilakis
- VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas
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18
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Gupta S, Boehme J, Manser K, Dewar J, Miller A, Siddiqui G, Schwaitzberg SD. Does Wearable Medical Technology With Video Recording Capability Add Value to On-Call Surgical Evaluations? Surg Innov 2016; 23:498-504. [DOI: 10.1177/1553350616656278] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background. Google Glass has been used in a variety of medical settings with promising results. We explored the use and potential value of an asynchronous, near-real time protocol—which avoids transmission issues associated with real-time applications—for recording, uploading, and viewing of high-definition (HD) visual media in the emergency department (ED) to facilitate remote surgical consults. Study Design. First-responder physician assistants captured pertinent aspects of the physical examination and diagnostic imaging using Google Glass’ HD video or high-resolution photographs. This visual media were then securely uploaded to the study website. The surgical consultation then proceeded over the phone in the usual fashion and a clinical decision was made. The surgeon then accessed the study website to review the uploaded video. This was followed by a questionnaire regarding how the additional data impacted the consultation. Results. The management plan changed in 24% (11) of cases after surgeons viewed the video. Five of these plans involved decision making regarding operative intervention. Although surgeons were generally confident in their initial management plan, confidence scores increased further in 44% (20) of cases. In addition, we surveyed 276 ED patients on their opinions regarding concerning the practice of health care providers wearing and using recording devices in the ED. The survey results revealed that the majority of patients are amenable to the addition of wearable technology with video functionality to their care. Conclusions. This study demonstrates the potential value of a medically dedicated, hands-free, HD recording device with internet connectivity in facilitating remote surgical consultation.
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Affiliation(s)
| | | | | | | | - Amie Miller
- Cambridge Health Alliance, Cambridge, MA, USA
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19
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Editorial Commentary: Bringing precision medicine to intervention: Virtually a reality. Trends Cardiovasc Med 2016; 26:474-6. [DOI: 10.1016/j.tcm.2016.03.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Accepted: 03/03/2016] [Indexed: 11/19/2022]
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20
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Spaedy E, Christakopoulos GE, Tarar MNJ, Christopoulos G, Rangan BV, Roesle M, Ochoa CD, Yarbrough W, Banerjee S, Brilakis ES. Accuracy of remote chest X-ray interpretation using Google Glass technology. Int J Cardiol 2016; 219:38-40. [PMID: 27262231 DOI: 10.1016/j.ijcard.2016.05.070] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 05/24/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVES We sought to explore the accuracy of remote chest X-ray reading using hands-free, wearable technology (Google Glass, Google, Mountain View, California). METHODS We compared interpretation of twelve chest X-rays with 23 major cardiopulmonary findings by faculty and fellows from cardiology, radiology, and pulmonary-critical care via: (1) viewing the chest X-ray image on the Google Glass screen; (2) viewing a photograph of the chest X-ray taken using Google Glass and interpreted on a mobile device; (3) viewing the original chest X-ray on a desktop computer screen. One point was given for identification of each correct finding and a subjective rating of user experience was recorded. RESULTS Fifteen physicians (5 faculty and 10 fellows) participated. The average chest X-ray reading score (maximum 23 points) as viewed through the Google Glass, Google Glass photograph on a mobile device, and the original X-ray viewed on a desktop computer was 14.1±2.2, 18.5±1.5 and 21.3±1.7, respectively (p<0.0001 between Google Glass and mobile device, p<0.0001 between Google Glass and desktop computer and p=0.0004 between mobile device and desktop computer). Of 15 physicians, 11 (73.3%) felt confident in detecting findings using the photograph taken by Google Glass as viewed on a mobile device. CONCLUSION Remote chest X-ray interpretation using hands-free, wearable technology (Google Glass) is less accurate than interpretation using a desktop computer or a mobile device, suggesting that further technical improvements are needed before widespread application of this novel technology.
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Affiliation(s)
- Emily Spaedy
- University of Kansas Medical School, Kansas City, KS, USA
| | - Georgios E Christakopoulos
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Muhammad Nauman J Tarar
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Georgios Christopoulos
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Bavana V Rangan
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Michele Roesle
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Cristhiaan D Ochoa
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - William Yarbrough
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Subhash Banerjee
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Emmanouil S Brilakis
- VA North Texas Healthcare System, Dallas, TX, USA; University of Texas Southwestern Medical Center, Dallas, TX, USA.
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Hands-free zoom and pan technology improves the accuracy of remote electrocardiogram interpretation using Google Glass. Int J Cardiol 2015; 204:147-8. [PMID: 26657610 DOI: 10.1016/j.ijcard.2015.11.144] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Accepted: 11/22/2015] [Indexed: 11/23/2022]
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22
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Aungst TD, Lewis TL. Potential uses of wearable technology in medicine: lessons learnt from Google Glass. Int J Clin Pract 2015; 69:1179-83. [PMID: 26412708 DOI: 10.1111/ijcp.12688] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- T D Aungst
- Pharmacy Practice, MCPHS University, Worcester, MA, USA
| | - T L Lewis
- Kingston Hospital NHS Foundation Trust, London, UK
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Cho SJ, Kwon IH, Jeong J. Application of Telemedicine System to Prehospital Medical Control. Healthc Inform Res 2015; 21:196-200. [PMID: 26279957 PMCID: PMC4532845 DOI: 10.4258/hir.2015.21.3.196] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2015] [Revised: 06/28/2015] [Accepted: 06/29/2015] [Indexed: 11/23/2022] Open
Abstract
Objectives Although ambulance-based telemedicine has been reported to be safe and feasible, its clinical usefulness has not been well documented, and different prehospital management systems would yield different results. The authors evaluated the feasibility and usefulness of telemedicine-assisted direct medical control in the Korean emergency medical service system. Methods Twenty ambulances in the Busan area were equipped with a telemedicine system. Three-lead electrocardiogram, blood pressure, and pulse oximetry data from the patient and audiovisual input from the scene were transferred to a server. Consulting physicians used desktop computers and the internet to connect to the server. Both requesting emergency medical service (EMS) providers and consulting physicians were asked to fill out report forms and submit them for analysis. Results In the 41 cases in which telemedicine equipment was used, cellular phones were concomitantly used in 28 cases (68.35%) to compensate for the poor audio quality provided by the equipment. The EMS providers rated the video transmission quality with a 4-point average score (interquartile range [IQR] 2-5) on a 5-point scale, and they rated the biosignal transmission quality as 4 (IQR 3-5). The consulting physicians rated the video quality as 4 (IQR 2.5-4) and the biosignal quality as 4 (IQR 3-4). The physicians' ratings for usefulness for making diagnosis or treatment decisions did not differ significantly in relation to the method of communication used. Conclusions Our study did not find any significant advantage of implementing telemedicine over the use of voice calls in delivering on-line medical control. More user-friendly, smaller devices with clear advantages over voice communication would be required before telemedicine can be successfully implemented in prehospital patient care.
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Affiliation(s)
- Suck Ju Cho
- Department of Emergency Medicine, Pusan National University School of Medicine, Busan, Korea
| | - In Ho Kwon
- Department of Emergency Medicine, Dong-A University College of Medicine, Busan, Korea
| | - Jinwoo Jeong
- Department of Emergency Medicine, Dong-A University College of Medicine, Busan, Korea
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Abstract
Importance. Wearable devices such as Google Glass could potentially be used in the health care setting to expand access and improve quality of care. Objective. This study aims to assess the demographics of Google Glass users in health care and determine the obstacles to using Google Glass by surveying those who are known to use the device. Design. A 48-question survey was designed to assess demographics of users, technological limitations of Google Glass, and obstacles to implementation of the device. Setting. The physicians surveyed worked in various fields of health care, with 50% of the respondents being surgeons. Participants. Potential participants were found using an Internet search for physicians using Google Glass in their practice. Main Outcome Measures. Outcome measures were divided into demographic information of users, technological limitations of the device, and administrative obstacles. Results. A 43.6% response rate was observed. The majority of users were male, assistant professors, in academic hospitals, and in the United States. Numerous technological limitations were observed by the majority, including device ergonomics, display location, video quality, and audio quality. Patient confidentiality and data security were the major concerns among administrative obstacles. Conclusions and Relevance. Despite the potential of Google Glass, numerous obstacles exist that limit its use in health care. While Google Glass has been discontinued, the results of this study may be used to guide future designs of wearable devices.
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Affiliation(s)
- Jonathan Yu
- University of Alabama at Birmingham, AL, USA
| | | | | | | | - Brent Ponce
- University of Alabama at Birmingham, AL, USA
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25
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Dong C, Sharma N. Flipping the instructor in medical teaching. Br J Hosp Med (Lond) 2015; 76:428. [PMID: 26140567 DOI: 10.12968/hmed.2015.76.7.428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Neel Sharma
- Visiting Clinical Research Fellow Division of Gastroenterology and Hepatology National University Hospital Singapore 119228
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Knight HM, Gajendragadkar PR, Bokhari A. Wearable technology: using Google Glass as a teaching tool. BMJ Case Rep 2015; 2015:bcr-2014-208768. [PMID: 25969411 DOI: 10.1136/bcr-2014-208768] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Wearable technology holds great promise in revolutionising healthcare delivery. The benefits can also be seen in medical education and delivering healthcare in remote places. We report the use of Google Glass technology as a teaching tool in broadcasting a procedure onto a mobile phone as a viewer, replacing expensive and often cumbersome existing equipment.
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Affiliation(s)
| | | | - Awais Bokhari
- Department of Cardiology, Bedford Hospital, Bedford, UK
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