Journal ArticleDOI
Systematic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery.
TLDR
The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no Laparoscopic experience.Abstract:
Background: Surgical training has traditionally been one of apprenticeship. The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no laparoscopic experience. Methods: Randomized clinical trials addressing this issue were identified from The Cochrane Library trials register, Medline, Embase, Science Citation Index Expanded, grey literature and reference lists. Standardized mean difference was calculated with 95 per cent confidence intervals based on available case analysis. Results: Twenty-three trials (mostly with a high risk of bias) involving 622 participants were included in this review. In trainees without surgical experience, VR training decreased the time taken to complete a task, increased accuracy and decreased errors compared with no training. In the same participants, VR training was more accurate than video trainer (VT) training. In participants with limited laparoscopic experience, VR training resulted in a greater reduction in operating time, error and unnecessary movements than standard laparoscopic training. In these participants, the composite performance score was better in the VR group than the VT group. Conclusion: VR training can supplement standard laparoscopic surgical training. It is at least as effective as video training in supplementing standard laparoscopic training.read more
Citations
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Technology-enhanced simulation for health professions education: a systematic review and meta-analysis
David A. Cook,Rose Hatala,Ryan Brydges,Benjamin Zendejas,Jason H. Szostek,Amy T. Wang,Patricia J. Erwin,Stanley J. Hamstra +7 more
TL;DR: In comparison with no intervention, technology-enhanced simulation training in health professions education is consistently associated with large effects for outcomes of knowledge, skills, and behaviors and moderate effects for patient-related outcomes.
Journal ArticleDOI
Effect of a comprehensive surgical safety system on patient outcomes
Eefje N. de Vries,Hubert A. Prins,Adriaan J. den Outer,George van Andel,Sven H. van Helden,Wolfgang Schlack,M. Agnès van Putten,Dirk J. Gouma,Susanne M. Smorenburg,Marja A. Boermeester +9 more
TL;DR: In this paper, the authors implemented a comprehensive checklist for surgical complications and mortality in hospitals with a high standard of care, which was associated with a reduction in surgical complications in hospitals.
Journal ArticleDOI
Comparative effectiveness of instructional design features in simulation-based education: Systematic review and meta-analysis
David A. Cook,Stanley J. Hamstra,Ryan Brydges,Benjamin Zendejas,Jason H. Szostek,Amy T. Wang,Patricia J. Erwin,Rose Hatala +7 more
TL;DR: A systematic review of studies comparing different simulation-based interventions confirmed quantitatively the effectiveness of several instructional design features in simulation- based education.
Journal ArticleDOI
Computerized virtual patients in health professions education: a systematic review and meta-analysis.
TL;DR: Comparisons of different virtual patient designs suggest that repetition until demonstration of mastery, advance organizers, enhanced feedback, and explicitly contrasting cases can improve learning outcomes.
Journal ArticleDOI
Virtual reality training for surgical trainees in laparoscopic surgery
Myura Nagendran,Kurinchi Selvan Gurusamy,Rajesh Aggarwal,Marilena Loizidou,Brian R. Davidson +4 more
TL;DR: The results showed that the operative performance in the virtual reality group was significantly better than the control group and the results became non-significant when the random-effects model was used, and two trials that could not be included in the meta-analysis showed a reduction in operating time.
References
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Journal ArticleDOI
Virtual reality training improves operating room performance: results of a randomized, double-blinded study.
Neal E. Seymour,Anthony G. Gallagher,Sanziana A. Roman,Michael K. O'Brien,Vipin K. Bansal,Dana K. Andersen,Richard M. Satava +6 more
TL;DR: In this article, the use of VR surgical simulation to train skills and reduce error risk in the operating room (OR) has been demonstrated in a prospective, randomized, blinded stud.
Journal ArticleDOI
Reported Methodologic Quality and Discrepancies between Large and Small Randomized Trials in Meta-Analyses
TL;DR: The potential association between reported methodologic quality and intervention effects was studied to assess whether methodologicquality may explain discrepancies between the results of large and small randomized trials in meta-analyses.
Journal ArticleDOI
The future vision of simulation in health care
TL;DR: Using simulation to improve safety will require full integration of its applications into the routine structures and practices of health care, including professional societies, liability insurers, health care payers, and ultimately the public.
Journal Article
Reported methodologic quality and discrepancies between large and small randomized trials in meta-analyses (Annals of Internal Medicine (2008) 149, (219))
Lise Lotte Gluud,Kristian Thorlund,Christian Gluud,Lesley Woods,Ross J Harris,Jonathan A C Sterne +5 more
TL;DR: In this article, the authors studied the potential association between reported methodologic quality and intervention effects to assess whether discrepancies between the results of large and small randomized trials in meta-analyses.
Journal ArticleDOI
Randomized clinical trial of virtual reality simulation for laparoscopic skills training.
Teodor P. Grantcharov,Teodor P. Grantcharov,Viggo B. Kristiansen,J Bendix,Linda Bardram,Jacob Rosenberg,Peter Funch-Jensen +6 more
TL;DR: The impact of virtual reality (VR) surgical simulation on improvement of psychomotor skills relevant to the performance of laparoscopic cholecystectomy is examined.