Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Pediatric Anesthesia Providers' Perspective on the Real-Life Implementation of Philips Visual Patient Avatar: A Qualitative Study

Version 1 : Received: 11 October 2023 / Approved: 12 October 2023 / Online: 12 October 2023 (12:22:41 CEST)

A peer-reviewed article of this Preprint also exists.

Lunkiewicz, J.; Fries, D.; Milovanovic, P.; Noethiger, C.B.; Tscholl, D.W.; Gasciauskaite, G. Pediatric Anesthesia Providers’ Perspective on the Real-Life Implementation of the Philips Visual Patient Avatar: A Qualitative Study. Children 2023, 10, 1841, doi:10.3390/children10121841. Lunkiewicz, J.; Fries, D.; Milovanovic, P.; Noethiger, C.B.; Tscholl, D.W.; Gasciauskaite, G. Pediatric Anesthesia Providers’ Perspective on the Real-Life Implementation of the Philips Visual Patient Avatar: A Qualitative Study. Children 2023, 10, 1841, doi:10.3390/children10121841.

Abstract

Philips Visual Patient Avatar represents an alternative method of patient monitoring that, according to computer-based simulation studies, enhances diagnostic accuracy, confidence and reduces workload. After its clinical integration, we assessed pediatric anesthesia providers' perspectives on this technology. This is a single-center qualitative study, conducted at the University Hospital Zurich using in-depth individual interviews. We aimed to identify the advantages and limitations of Visual Patient Avatar in pediatric anesthesia and to assess children and parents' reactions from caregivers' perspective. Thematic analysis was used to identify the dominant themes. Fourteen members of the institution's pediatric anesthesia team were interviewed. The most prevalent themes were: children's positive reactions towards the Visual Patient Avatar (92.9%) and enhanced speed in problem identification (71.4%). Additionally, 50% of participants reported finding the Visual Patient Avatar useful for diverting children's attention during anesthesia induction, and 50% suggested that its vital sign thresholds should be adaptable for different age groups. The study revealed that the Visual Patient Avatar was recognized as a valuable tool in pediatric anesthesia, enabling prompt identification of underlying issues and receiving positive feedback from both children and parents. The most commonly voiced wish for improvement in the study was the ability to customize the Visual Patient Avatar's thresholds for different age groups.

Keywords

Pediatric anesthesia; situation awareness; user-centered design; patient monitoring; Visual Patient Avatar; qualitative research.

Subject

Medicine and Pharmacology, Anesthesiology and Pain Medicine

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