tion is the OR Black Box, a medical data recorder that captures the
patient's physiological data, audio and video of the surgical team, and
images of the surgical field, including video from endoscopic cameras.
All that data is sent to a central server for analysis. That might sound
a bit Big Brother, but the system's creator says its real purpose is
process improvement in the OR, especially in the wake of adverse
events and near misses. The system can detect trends and provide
insights on factors that might have gone unnoticed or aren't fully
understood or accounted for, like inefficiencies and distractions.
"The patient comes in for surgery and goes home and everything is
fine, but there were periods of care in the operating room that could
have resulted in a disaster," says Teodor Grantcharov, MD, PhD,
FACS, creator of the Black Box and a general surgeon at St. Michael
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