Clinicians’ gaze behaviour in simulated paediatric emergencies

AimDifferences 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.MethodsClinicians from four clinical areas undertook a simulat...

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Bibliographic Details
Published in:Archives of disease in childhood 2018-12, Vol.103 (12), p.1146-1149
Main Authors: McNaughten, Ben, Hart, Caroline, Gallagher, Stephen, Junk, Carol, Coulter, Patricia, Thompson, Andrew, Bourke, Thomas
Format: Article
Language:English
Subjects:
Algorithms
Consultants
Data analysis
Educational Strategies
Emergency medical care
Experts
Eye movements
Feasibility studies
Funding
Intensive care
Literature reviews
Pediatrics
Physicians
Respiratory tract
Simulation
Surgery
Ventilators
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Summary:AimDifferences 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.MethodsClinicians 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.ResultsPaediatric 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.ConclusionsThis 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.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2017-314119