{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T09:26:02Z","timestamp":1778145962161,"version":"3.51.4"},"reference-count":58,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute for Nursing Research","doi-asserted-by":"crossref","award":["R01 NR017916"],"award-info":[{"award-number":["R01 NR017916"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The Anesthesiology Control Tower (ACT) for operating rooms (ORs) remotely assesses the progress of surgeries and provides real-time perioperative risk alerts, communicating risk mitigation recommendations to bedside clinicians. We aim to identify and map ACT-OR nonroutine events (NREs)\u2014risk-inducing or risk-mitigating workflow deviations\u2014and ascertain ACT\u2019s impact on clinical workflow and patient safety.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We used ethnographic methods including shadowing ACT and OR clinicians during 83 surgeries, artifact collection, chart reviews for decision alerts sent to the OR, and 10 clinician interviews. We used hybrid thematic analysis informed by a human-factors systems-oriented approach to assess ACT\u2019s role and impact on safety, conducting content analysis to assess NREs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Across 83 cases, 469 risk alerts were triggered, and the ACT sent 280 care recommendations to the OR. 135 NREs were observed. Critical factors facilitating ACT\u2019s role in supporting patient safety included providing backup support and offering a fresh-eye perspective on OR decisions. Factors impeding ACT included message timing and ACT and OR clinician cognitive lapses. Suggestions for improvement included tailoring ACT message content (structure, timing, presentation) and incorporating predictive analytics for advanced planning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>ACT served as a safety net with remote surveillance features and as a learning healthcare system with feedback\/auditing features. Supporting strategies include adaptive coordination and harnessing clinician\/patient support to improve ACT\u2019s sustainability. Study insights inform future intraoperative telemedicine design considerations to mitigate safety risks.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Incorporating similar remote technology enhancement into routine perioperative care could markedly improve safety and quality for millions of surgical patients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocac138","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T22:17:52Z","timestamp":1660947472000},"page":"1919-1930","source":"Crossref","is-referenced-by-count":8,"title":["An ethnographic study on the impact of a novel telemedicine-based support system in the operating room"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0235-1632","authenticated-orcid":false,"given":"Joanna","family":"Abraham","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"},{"name":"Institute for Informatics, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"},{"name":"Division of Biology and Biomedical Sciences, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arianna","family":"Montes de Oca","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Politi","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Troy","family":"Wildes","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Gregory","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadette","family":"Henrichs","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"},{"name":"Goldfarb School of Nursing, Barnes-Jewish College , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4119-4836","authenticated-orcid":false,"given":"Thomas","family":"Kannampallil","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"},{"name":"Institute for Informatics, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"},{"name":"Division of Biology and Biomedical Sciences, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"},{"name":"Department of Computer Science & Engineering, McKelvey School of Engineering, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S","family":"Avidan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, School of Medicine, Washington University in St. Louis , St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"issue":"10170","key":"2023050511264343300_ocac138-B1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0140-6736(18)33139-8","article-title":"Global burden of postoperative death","volume":"393","author":"Nepogodiev","year":"2019","journal-title":"Lancet"},{"key":"2023050511264343300_ocac138-B2","author":"National Quality Forum","year":", :"},{"key":"2023050511264343300_ocac138-B3","author":"Melby"},{"issue":"9","key":"2023050511264343300_ocac138-B4","doi-asserted-by":"crossref","first-page":"1961","DOI":"10.1007\/s00268-011-1141-4","article-title":"Development and validation of a surgical workload measure: the surgery task load index (SURG-TLX)","volume":"35","author":"Wilson","year":"2011","journal-title":"World J Surg"},{"issue":"6","key":"2023050511264343300_ocac138-B5","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1016\/j.jpeds.2013.06.031","article-title":"A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality","volume":"163","author":"Brilli","year":"2013","journal-title":"J Pediatr"},{"issue":"6","key":"2023050511264343300_ocac138-B6","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1016\/j.jamcollsurg.2007.02.065","article-title":"Multivariable predictors of postoperative cardiac adverse events after general and vascular surgery: results from the patient safety in surgery study","volume":"204","author":"Davenport","year":"2007","journal-title":"J Am Coll Surg"},{"issue":"20","key":"2023050511264343300_ocac138-B7","doi-asserted-by":"crossref","first-page":"1928","DOI":"10.1056\/NEJMsa0911535","article-title":"Effect of a comprehensive surgical safety system on patient outcomes","volume":"363","author":"de Vries","year":"2010","journal-title":"N Engl J Med"},{"issue":"6","key":"2023050511264343300_ocac138-B8","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1080\/716100415","article-title":"Transcending intractable conflict in health care: an exploratory study of communication and conflict management among anesthesia providers","volume":"8","author":"Jameson","year":"2003","journal-title":"J Health Commun"},{"issue":"8","key":"2023050511264343300_ocac138-B9","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1111\/j.1365-2044.2004.03801.x","article-title":"An American tale \u2013 professional conflicts in anaesthesia in the United States: implications for the United Kingdom","volume":"59","author":"Kane","year":"2004","journal-title":"Anaesthesia"},{"issue":"3","key":"2023050511264343300_ocac138-B10","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1097\/01.CCM.0000056183.89175.76","article-title":"Discrepant attitudes about teamwork among critical care nurses and physicians","volume":"31","author":"Thomas","year":"2003","journal-title":"Crit Care Med"},{"issue":"1","key":"2023050511264343300_ocac138-B11","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s12913-020-05192-8","article-title":"Managing complexity in the operating room: a group interview study","volume":"20","author":"G\u00f6ras","year":"2020","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"2023050511264343300_ocac138-B12","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/jonm.12522","article-title":"Factors related to teamwork performance and stress of operating room nurses","volume":"26","author":"Sonoda","year":"2018","journal-title":"J Nurs Manag"},{"issue":"6","key":"2023050511264343300_ocac138-B13","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1097\/SLA.0000000000001051","article-title":"The impact of operating room distractions on stress, workload, and teamwork","volume":"261","author":"Wheelock","year":"2015","journal-title":"Ann Surg"},{"key":"2023050511264343300_ocac138-B14","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.ijsu.2019.07.006","article-title":"The WHO safer surgery checklist time out procedure revisited: strategies to optimise compliance and safety","volume":"69","author":"Papadakis","year":"2019","journal-title":"Int J Surg"},{"issue":"3","key":"2023050511264343300_ocac138-B15","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/BF02596149","article-title":"Systematic errors in medical decision making","volume":"2","author":"Dawson","year":"1987","journal-title":"J Gen Intern Med"},{"issue":"6","key":"2023050511264343300_ocac138-B16","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1097\/ACO.0b013e328359307a","article-title":"Decision-making and safety in anesthesiology","volume":"25","author":"Stiegler","year":"2012","journal-title":"Curr Opin Anaesthesiol"},{"issue":"1","key":"2023050511264343300_ocac138-B17","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/ALN.0000000000000073","article-title":"Cognitive processes in anesthesiology decision making","volume":"120","author":"Stiegler","year":"2014","journal-title":"Anesthesiology"},{"issue":"2","key":"2023050511264343300_ocac138-B18","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.surg.2005.07.037","article-title":"A prospective study of patient safety in the operating room","volume":"139","author":"Christian","year":"2006","journal-title":"Surgery"},{"issue":"4","key":"2023050511264343300_ocac138-B19","doi-asserted-by":"crossref","first-page":"299","DOI":"10.21037\/tp.2018.09.09","article-title":"Improving transitions of care between the operating room and intensive care unit","volume":"7","author":"Wheeler","year":"2018","journal-title":"Transl Pediatr"},{"issue":"3","key":"2023050511264343300_ocac138-B20","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1007\/s00268-006-0305-0","article-title":"Postoperative complications in obese and nonobese patients","volume":"31","author":"Bamgbade","year":"2007","journal-title":"World J Surg"},{"issue":"3","key":"2023050511264343300_ocac138-B21","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1097\/01.sla.0000179621.33268.83","article-title":"Determinants of long-term survival after major surgery and the adverse effect of postoperative complications","volume":"242","author":"Khuri","year":"2005","journal-title":"Ann Surg"},{"issue":"3","key":"2023050511264343300_ocac138-B22","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1213\/01.ane.0000255040.71600.41","article-title":"Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence","volume":"104","author":"Liu","year":"2007","journal-title":"Anesth Analg"},{"issue":"2","key":"2023050511264343300_ocac138-B23","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.acpain.2006.05.002","article-title":"Chronic post-surgical pain: epidemiology and clinical implications for acute pain management","volume":"8","author":"Visser","year":"2006","journal-title":"Acute Pain"},{"key":"2023050511264343300_ocac138-B24","author":"Weiser","year":"2015"},{"issue":"2","key":"2023050511264343300_ocac138-B25","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1213\/ANE.0000000000001636","article-title":"Intraoperative clinical decision support for anesthesia: a narrative review of available systems","volume":"124","author":"Nair","year":"2017","journal-title":"Anesth Analg"},{"issue":"1","key":"2023050511264343300_ocac138-B26","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1213\/ANE.0000000000000027","article-title":"Anesthesia information management system-based near real-time decision support to manage intraoperative hypotension and hypertension","volume":"118","author":"Nair","year":"2014","journal-title":"Anesth Analg"},{"key":"2023050511264343300_ocac138-B27","doi-asserted-by":"crossref","first-page":"623","DOI":"10.12688\/f1000research.14897.1","article-title":"Study protocol for the Anesthesiology Control Tower-Feedback Alerts to Supplement Treatments (ACTFAST-3) trial: a pilot randomized controlled trial in intraoperative telemedicine [version 1; referees: 2 approved]","volume":"7","author":"Gregory","year":"2018","journal-title":"F1000Research"},{"issue":"2","key":"2023050511264343300_ocac138-B28","doi-asserted-by":"crossref","first-page":"e12155","DOI":"10.2196\/12155","article-title":"Anesthesiology Control Tower\u2014Feasibility Assessment to Support Translation (ACTFAST): mixed-methods study of a novel telemedicine-based support system for the operating room","volume":"6","author":"Murray-Torres","year":"2019","journal-title":"JMIR Hum Factors"},{"issue":"1","key":"2023050511264343300_ocac138-B29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40814-018-0233-4","article-title":"Anesthesiology Control Tower: Feasibility Assessment to Support Translation (ACT-FAST)\u2014a feasibility study protocol","volume":"4","author":"Murray-Torres","year":"2018","journal-title":"Pilot Feasibility Stud"},{"issue":"90061","key":"2023050511264343300_ocac138-B30","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.1197\/jamia.M1229","article-title":"Human factors research in anesthesia patient safety: techniques to elucidate factors affecting clinical task performance and decision making","volume":"9","author":"Weinger","year":"2002","journal-title":"J Am Med Inform Assoc"},{"key":"2023050511264343300_ocac138-B31","doi-asserted-by":"crossref","first-page":"2032","DOI":"10.12688\/f1000research.21016.1","article-title":"Protocol for the effectiveness of an anesthesiology control tower system in improving perioperative quality metrics and clinical outcomes: the TECTONICS randomized, pragmatic trial","volume":"8","author":"King","year":"2019","journal-title":"F1000Research"},{"issue":"1","key":"2023050511264343300_ocac138-B32","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/ALN.0000000000003336","article-title":"Incidence and classification of nonroutine events during anesthesia care","volume":"133","author":"Liberman","year":"2020","journal-title":"Anesthesiology"},{"issue":"3","key":"2023050511264343300_ocac138-B33","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1111\/j.1945-1474.2011.00142.x","article-title":"Operating room team members\u2019 views of workload, case difficulty, and nonroutine events","volume":"34","author":"Minnick","year":"2012","journal-title":"J Healthc Qual"},{"issue":"1","key":"2023050511264343300_ocac138-B34","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/ALN.0000000000001915","article-title":"Prevalence of potentially distracting noncare activities and their effects on vigilance, workload, and nonroutine events during anesthesia care","volume":"128","author":"Slagle","year":"2018","journal-title":"Anesthesiology"},{"issue":"2","key":"2023050511264343300_ocac138-B35","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1136\/bmjqs-2013-002335","article-title":"Applying ethnography to the study of context in healthcare quality and safety","volume":"23","author":"Leslie","year":"2014","journal-title":"BMJ Qual Saf"},{"issue":"5","key":"2023050511264343300_ocac138-B36","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1177\/1744987106068297","article-title":"Ethnographic evidence: the value of applied ethnography in healthcare","volume":"11","author":"Savage","year":"2006","journal-title":"J Res Nurs"},{"issue":"21","key":"2023050511264343300_ocac138-B37","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.12968\/bjon.2008.17.21.31732","article-title":"Interruptions during drug rounds: an observational study","volume":"17","author":"Kreckler","year":"2008","journal-title":"Br J Nurs"},{"issue":"4","key":"2023050511264343300_ocac138-B38","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1177\/1468794105056923","article-title":"Studying actions in context: a qualitative shadowing method for organizational research","volume":"5","author":"McDonald","year":"2005","journal-title":"Qual Res"},{"issue":"15","key":"2023050511264343300_ocac138-B39","first-page":"4548","article-title":"Time-motion analysis of clinical nursing documentation during implementation of an electronic operating room management system for ophthalmic surgery","volume":"54","author":"Read-Brown","year":"2013","journal-title":"Invest Ophthalmol Vis Sci"},{"issue":"6","key":"2023050511264343300_ocac138-B40","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1136\/bmjqs.2010.043281","article-title":"Hospital doctors\u2019 workflow interruptions and activities: an observation study","volume":"20","author":"Weigl","year":"2011","journal-title":"BMJ Qual Saf"},{"issue":"4","key":"2023050511264343300_ocac138-B41","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1111\/j.1365-2929.2006.02418.x","article-title":"The qualitative research interview","volume":"40","author":"DiCicco Bloom","year":"2006","journal-title":"Med Educ"},{"issue":"4","key":"2023050511264343300_ocac138-B42","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1111\/scs.12308","article-title":"Healthcare professionals\u2019 descriptions of care experiences and actions when assessing postoperative pain \u2013 a critical incident technique analysis","volume":"30","author":"Wikstr\u00f6m","year":"2016","journal-title":"Scand J Caring Sci"},{"issue":"Suppl 1","key":"2023050511264343300_ocac138-B43","doi-asserted-by":"crossref","first-page":"i50","DOI":"10.1136\/qshc.2005.015842","article-title":"Work system design for patient safety: the SEIPS model","volume":"15","author":"Carayon","year":"2006","journal-title":"Qual Saf Health Care"},{"issue":"4","key":"2023050511264343300_ocac138-B44","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1136\/bmjqs-2011-000421","article-title":"Time to accelerate integration of human factors and ergonomics in patient safety","volume":"21","author":"Gurses","year":"2012","journal-title":"BMJ Qual Saf"},{"issue":"2","key":"2023050511264343300_ocac138-B45","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.ppedcard.2011.10.005","article-title":"Task, team and technology integration in the paediatric cardiac operating room","volume":"32","author":"Catchpole","year":"2011","journal-title":"Progr Pediatr Cardiol"},{"issue":"Suppl 1","key":"2023050511264343300_ocac138-B46","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.3233\/WOR-2012-0388-1801","article-title":"Using human factors engineering to improve patient safety in the cardiovascular operating room","volume":"41","author":"Gurses","year":"2012","journal-title":"Work"},{"issue":"2","key":"2023050511264343300_ocac138-B47","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1177\/1525822X19838237","article-title":"A team-based approach to open coding: considerations for creating intercoder consensus","volume":"31","author":"Cascio","year":"2019","journal-title":"Field Methods"},{"key":"2023050511264343300_ocac138-B48","volume-title":"Thematic Analysis","author":"Fugard","year":"2020"},{"issue":"9","key":"2023050511264343300_ocac138-B49","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1177\/1049732315588501","article-title":"Critical analysis of strategies for determining rigor in qualitative inquiry","volume":"25","author":"Morse","year":"2015","journal-title":"Qual Health Res"},{"issue":"9","key":"2023050511264343300_ocac138-B50","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for reporting qualitative research: a synthesis of recommendations","volume":"89","author":"O\u2019Brien","year":"2014","journal-title":"Acad Med"},{"issue":"4","key":"2023050511264343300_ocac138-B51","doi-asserted-by":"crossref","DOI":"10.7812\/TPP\/18.294","article-title":"Legal perspectives on telemedicine part 2: telemedicine in the intensive care unit and medicolegal risk","volume":"23","author":"Becker","year":"2019","journal-title":"Perm J"},{"issue":"3","key":"2023050511264343300_ocac138-B52","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.jpedsurg.2018.04.038","article-title":"Telemedicine in pediatric surgery","volume":"54","author":"Harting","year":"2019","journal-title":"J Pediatr Surg"},{"key":"2023050511264343300_ocac138-B53","doi-asserted-by":"crossref","first-page":"104165","DOI":"10.1016\/j.ijmedinf.2020.104165","article-title":"Evaluation of clinician interaction with alerts to enhance performance of the tele-critical care medical environment","volume":"139","author":"Kaur","year":"2020","journal-title":"Int J Med Inform"},{"issue":"9","key":"2023050511264343300_ocac138-B54","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1097\/CIN.0000000000000355","article-title":"Telehealth intensive care unit nurse surveillance of sepsis","volume":"35","author":"Rincon","year":"2017","journal-title":"Comput Inform Nurs"},{"issue":"1","key":"2023050511264343300_ocac138-B55","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13063-019-3329-0","article-title":"Hypotension Prediction Index software for management of hypotension during moderate-to high-risk noncardiac surgery: protocol for a randomized trial","volume":"20","author":"Maheshwari","year":"2019","journal-title":"Trials"},{"issue":"2","key":"2023050511264343300_ocac138-B56","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.ygyno.2018.11.035","article-title":"A pilot study of non-routine events in gynecological surgery: type, impact, and effect","volume":"152","author":"Law","year":"2019","journal-title":"Gynecol Oncol"},{"key":"2023050511264343300_ocac138-B57","doi-asserted-by":"crossref","first-page":"104595","DOI":"10.1016\/j.ijmedinf.2021.104595","article-title":"Exploring patient perspectives on telemedicine monitoring within the operating room","volume":"156","author":"Abraham","year":"2021","journal-title":"Int J Med Inform"},{"key":"2023050511264343300_ocac138-B58","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.12688\/f1000research.26794.1","article-title":"Protocol for a proof-of-concept observational study evaluating the potential utility and acceptability of a telemedicine solution for the post-anesthesia care unit","volume":"9","author":"Budelier","year":"2020","journal-title":"F1000Res"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/29\/11\/1919\/50211768\/ocac138.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamia\/article-pdf\/29\/11\/1919\/50211768\/ocac138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T11:27:35Z","timestamp":1683286055000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/29\/11\/1919\/6672571"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,19]]},"references-count":58,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,8,19]]},"published-print":{"date-parts":[[2022,10,7]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocac138","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,11,1]]},"published":{"date-parts":[[2022,8,19]]}}}