Clinician's Gaze Behaviour in Simulated Paediatric Emergencies

Ben  McNaughton; Caroline Hart; Stephen Gallagher; Carol Junk; Patricia Coulter; Andrew Thompson; Thomas Burke

doi:10.1136/archdischild-2017-314119

Clinician's Gaze Behaviour in Simulated Paediatric Emergencies

Ben McNaughton, Caroline Hart, Stephen Gallagher, Carol Junk, Patricia Coulter, Andrew Thompson, Thomas Burke

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

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Abstract

Aim: Differences in the gaze behaviour of experts and novices are described in aviation and surgery. This study sought to describe the gaze behaviour of clinicians from different training backgrounds during a simulated paediatric emergency.

Methods: Clinicians from four clinical areas undertook a simulated emergency. Participants wore SMI (SensoMotoric Instruments) eye tracking glasses. We measured the fixation count and dwell time on predefined areas of interest and the time taken to key clinical interventions.

Results: Paediatric intensive care unit (PICU) consultants performed best and focused longer on the chest and airway. Paediatric consultants and trainees spent longer looking at the defibrillator and algorithm (51 180 ms and 50 551 ms, respectively) than the PICU and paediatric emergency medicine consultants.

Conclusions: This study is the first to describe differences in the gaze behaviour between experts and novices in a resuscitation. They mirror those described in aviation and surgery. Further research is needed to evaluate the potential use of eye tracking as an educational tool.

Original language	English
Pages (from-to)	1146-1149
Number of pages	4
Journal	Archives of disease in childhood
Volume	103
Early online date	7 Mar 2018
DOIs	https://doi.org/10.1136/archdischild-2017-314119
Publication status	Published (in print/issue) - 20 Nov 2018

Keywords

eye tracking;
gaze behaviour
paediatric emergencies
resuscitation
simulation

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10.1136/archdischild-2017-314119

Eye Gaze Manuscript V19Author Accepted Manuscript, 292 KB

Cite this

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title = "Clinician's Gaze Behaviour in Simulated Paediatric Emergencies",

abstract = "Aim: Differences in the gaze behaviour of experts and novices are described in aviation and surgery. This study sought to describe the gaze behaviour of clinicians from different training backgrounds during a simulated paediatric emergency.Methods: Clinicians from four clinical areas undertook a simulated emergency. Participants wore SMI (SensoMotoric Instruments) eye tracking glasses. We measured the fixation count and dwell time on predefined areas of interest and the time taken to key clinical interventions.Results: Paediatric intensive care unit (PICU) consultants performed best and focused longer on the chest and airway. Paediatric consultants and trainees spent longer looking at the defibrillator and algorithm (51 180 ms and 50 551 ms, respectively) than the PICU and paediatric emergency medicine consultants.Conclusions: This study is the first to describe differences in the gaze behaviour between experts and novices in a resuscitation. They mirror those described in aviation and surgery. Further research is needed to evaluate the potential use of eye tracking as an educational tool.",

keywords = "eye tracking;, gaze behaviour, paediatric emergencies, resuscitation, simulation",

author = "Ben McNaughton and Caroline Hart and Stephen Gallagher and Carol Junk and Patricia Coulter and Andrew Thompson and Thomas Burke",

year = "2018",

month = nov,

day = "20",

doi = "10.1136/archdischild-2017-314119",

language = "English",

volume = "103",

pages = "1146--1149",

journal = "Archives of disease in childhood",

issn = "1468-2044",

publisher = "BMJ Publishing Group",

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TY - JOUR

T1 - Clinician's Gaze Behaviour in Simulated Paediatric Emergencies

AU - McNaughton, Ben

AU - Hart, Caroline

AU - Gallagher, Stephen

AU - Junk, Carol

AU - Coulter, Patricia

AU - Thompson, Andrew

AU - Burke, Thomas

PY - 2018/11/20

Y1 - 2018/11/20

N2 - Aim: Differences in the gaze behaviour of experts and novices are described in aviation and surgery. This study sought to describe the gaze behaviour of clinicians from different training backgrounds during a simulated paediatric emergency.Methods: Clinicians from four clinical areas undertook a simulated emergency. Participants wore SMI (SensoMotoric Instruments) eye tracking glasses. We measured the fixation count and dwell time on predefined areas of interest and the time taken to key clinical interventions.Results: Paediatric intensive care unit (PICU) consultants performed best and focused longer on the chest and airway. Paediatric consultants and trainees spent longer looking at the defibrillator and algorithm (51 180 ms and 50 551 ms, respectively) than the PICU and paediatric emergency medicine consultants.Conclusions: This study is the first to describe differences in the gaze behaviour between experts and novices in a resuscitation. They mirror those described in aviation and surgery. Further research is needed to evaluate the potential use of eye tracking as an educational tool.

AB - Aim: Differences in the gaze behaviour of experts and novices are described in aviation and surgery. This study sought to describe the gaze behaviour of clinicians from different training backgrounds during a simulated paediatric emergency.Methods: Clinicians from four clinical areas undertook a simulated emergency. Participants wore SMI (SensoMotoric Instruments) eye tracking glasses. We measured the fixation count and dwell time on predefined areas of interest and the time taken to key clinical interventions.Results: Paediatric intensive care unit (PICU) consultants performed best and focused longer on the chest and airway. Paediatric consultants and trainees spent longer looking at the defibrillator and algorithm (51 180 ms and 50 551 ms, respectively) than the PICU and paediatric emergency medicine consultants.Conclusions: This study is the first to describe differences in the gaze behaviour between experts and novices in a resuscitation. They mirror those described in aviation and surgery. Further research is needed to evaluate the potential use of eye tracking as an educational tool.

KW - eye tracking;

KW - gaze behaviour

KW - paediatric emergencies

KW - resuscitation

KW - simulation

UR - https://pure.ulster.ac.uk/en/publications/clinicians-gaze-behaviour-in-simulated-paediatric-emergencies

U2 - 10.1136/archdischild-2017-314119

DO - 10.1136/archdischild-2017-314119

M3 - Article

C2 - 29514811

SN - 1468-2044

VL - 103

SP - 1146

EP - 1149

JO - Archives of disease in childhood

JF - Archives of disease in childhood

ER -

Clinician's Gaze Behaviour in Simulated Paediatric Emergencies

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Clinician's Gaze Behaviour in Simulated Paediatric Emergencies

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