{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T10:39:44Z","timestamp":1762252784909,"version":"3.41.0"},"reference-count":41,"publisher":"Association for Computing Machinery (ACM)","issue":"4","license":[{"start":{"date-parts":[[2018,7,23]],"date-time":"2018-07-23T00:00:00Z","timestamp":1532304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.acm.org\/publications\/policies\/copyright_policy#Background"}],"funder":[{"name":"Cyber-Physical Systems for the Hospital Operating Room","award":["1657550"],"award-info":[{"award-number":["1657550"]}]},{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["I\/UCRC"],"award-info":[{"award-number":["I\/UCRC"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":["ACM Trans. Cyber-Phys. Syst."],"published-print":{"date-parts":[[2018,10,31]]},"abstract":"<jats:p>Cyber-physical systems have been deployed with considerable success in many industries. However, the implementation of cyber-physical systems in hospitals has been limited. By nature, in clinical operations, patient safety and consideration for health outcomes are of the utmost importance, thus possibly slowing the implementation of innovative solutions with limited history. Revenues from operating room (OR) time and surgery account for about 50% of the income of major hospitals (Erdogan et al. 2011; Cuschieri 2006), but the efficiency of OR utilization is often reported to be relatively low. Therefore, improving OR management with a cyber-physical system should be a priority. In this article, we will report on our experience implementing a cyber-physical system at Houston Methodist Hospital and discuss some of the difficulties and potential drivers for success. Our pilot study was done in the context of the management of a large suite of ORs. It uses the agile codevelopment of a cyber-physical system through an intense collaboration of clinicians and computational scientists. While technology remains the foundation of a cyber-physical system, this experience reinforced that the human factor is an important driving force behind the design that promotes user acceptance.<\/jats:p>","DOI":"10.1145\/3140234","type":"journal-article","created":{"date-parts":[[2018,7,23]],"date-time":"2018-07-23T13:02:15Z","timestamp":1532350935000},"page":"1-24","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["A Cyber-Physical System to Improve the Management of a Large Suite of Operating Rooms"],"prefix":"10.1145","volume":"2","author":[{"given":"Guillaume","family":"Joerger","sequence":"first","affiliation":[{"name":"Center for Computational Surgery, Houston Methodist Hospital - Houston, USA"}]},{"given":"Juliette","family":"Rambourg","sequence":"additional","affiliation":[{"name":"ENAC French University of Civil Aviation - Toulouse, France, &amp; Center for Computational Surgery Houston Methodist Hospital - Houston, TX, USA"}]},{"given":"Helene","family":"Gaspard-Boulinc","sequence":"additional","affiliation":[{"name":"ENAC French University of Civil Aviation - Toulouse, France"}]},{"given":"Stephane","family":"Conversy","sequence":"additional","affiliation":[{"name":"ENAC French University of Civil Aviation - Toulouse, France"}]},{"given":"Barbara L.","family":"Bass","sequence":"additional","affiliation":[{"name":"Department of Surgery, Houston Methodist Hospital - Houston USA"}]},{"given":"Brian J.","family":"Dunkin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Houston Methodist Hospital - Houston USA"}]},{"given":"Marc","family":"Garbey","sequence":"additional","affiliation":[{"name":"Center for Computational Surgery, Houston Methodist Hospital - Houston, USA"}]}],"member":"320","published-online":{"date-parts":[[2018,7,23]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_1_1_1","DOI":"10.1016\/j.ajic.2011.09.015"},{"doi-asserted-by":"publisher","key":"e_1_2_1_2_1","DOI":"10.5555\/2835587.2835589"},{"doi-asserted-by":"publisher","key":"e_1_2_1_3_1","DOI":"10.1145\/1534903.1534907"},{"doi-asserted-by":"publisher","key":"e_1_2_1_4_1","DOI":"10.1145\/1099203.1099235"},{"doi-asserted-by":"publisher","key":"e_1_2_1_5_1","DOI":"10.1145\/1409635.1409672"},{"doi-asserted-by":"publisher","key":"e_1_2_1_6_1","DOI":"10.1145\/1753326.1753338"},{"doi-asserted-by":"publisher","key":"e_1_2_1_7_1","DOI":"10.1145\/2675133.2675243"},{"key":"e_1_2_1_8_1","first-page":"4","article-title":"SUS-A quick and dirty usability scale","volume":"189","author":"Brooke John","year":"1996","unstructured":"John Brooke . 1996 . SUS-A quick and dirty usability scale . Usability Evaluation in Industry 189 (1996), 4 -- 7 . John Brooke. 1996. SUS-A quick and dirty usability scale. Usability Evaluation in Industry 189 (1996), 4--7.","journal-title":"Usability Evaluation in Industry"},{"doi-asserted-by":"publisher","key":"e_1_2_1_9_1","DOI":"10.1097\/01.sla.0000243601.36582.18"},{"doi-asserted-by":"publisher","key":"e_1_2_1_10_1","DOI":"10.1186\/1472-6963-13-175"},{"volume-title":"Out of the crisis","author":"Deming William E.","unstructured":"William E. Deming . 1986. Out of the crisis , Massachusetts Institute of Technology. Center for Advanced Engineering Study , Cambridge, MA, 510. William E. Deming. 1986. Out of the crisis, Massachusetts Institute of Technology. Center for Advanced Engineering Study, Cambridge, MA, 510.","key":"e_1_2_1_11_1"},{"doi-asserted-by":"publisher","key":"e_1_2_1_12_1","DOI":"10.1007\/s10729-006-9005-4"},{"key":"e_1_2_1_13_1","volume-title":"Automated correction of room location errors in anesthesia information management systems. Anesthesia 8 Analgesia 107, 3","author":"Epstein Richard H.","year":"2008","unstructured":"Richard H. Epstein , Franklin Dexter , and Elizabeth Piotrowski . 2008. Automated correction of room location errors in anesthesia information management systems. Anesthesia 8 Analgesia 107, 3 ( 2008 ), 965--971. Richard H. Epstein, Franklin Dexter, and Elizabeth Piotrowski. 2008. Automated correction of room location errors in anesthesia information management systems. Anesthesia 8 Analgesia 107, 3 (2008), 965--971."},{"unstructured":"Ayca S. Erdogan Brian T. Denton J. J. Cochran L. A. Cox P. Keskinocak J. P. Kharoufeh and J. C. Smith. 2011. Surgery planning and scheduling. In Wiley Encyclopedia of Operations Research and Management Science.  Ayca S. Erdogan Brian T. Denton J. J. Cochran L. A. Cox P. Keskinocak J. P. Kharoufeh and J. C. Smith. 2011. Surgery planning and scheduling. In Wiley Encyclopedia of Operations Research and Management Science.","key":"e_1_2_1_14_1"},{"doi-asserted-by":"publisher","key":"e_1_2_1_15_1","DOI":"10.1007\/s10606-012-9168-0"},{"doi-asserted-by":"publisher","key":"e_1_2_1_16_1","DOI":"10.1016\/j.surg.2011.07.076"},{"doi-asserted-by":"publisher","key":"e_1_2_1_17_1","DOI":"10.1186\/s40244-015-0016-7"},{"doi-asserted-by":"crossref","unstructured":"Marc Garbey Guillaume Joerger Juliette Rambourg Brian Dunkin and Barbara Bass. 2017. Multiscale modeling of surgical flow in a large operating room suite: Understanding the mechanism of accumulation of delays in clinical practice. In Procedia Computer Science.  Marc Garbey Guillaume Joerger Juliette Rambourg Brian Dunkin and Barbara Bass. 2017. Multiscale modeling of surgical flow in a large operating room suite: Understanding the mechanism of accumulation of delays in clinical practice. In Procedia Computer Science.","key":"e_1_2_1_18_1","DOI":"10.1016\/j.procs.2017.05.228"},{"doi-asserted-by":"publisher","key":"e_1_2_1_19_1","DOI":"10.1007\/s10729-010-9143-6"},{"key":"e_1_2_1_20_1","volume-title":"Workshop Summary Report.","author":"Hamins Anthony P.","year":"2014","unstructured":"Anthony P. Hamins . 2014 . Smart firefighting . In Workshop Summary Report. Anthony P. Hamins. 2014. Smart firefighting. In Workshop Summary Report."},{"doi-asserted-by":"publisher","key":"e_1_2_1_21_1","DOI":"10.1007\/s00464-016-5390-z"},{"doi-asserted-by":"publisher","key":"e_1_2_1_22_1","DOI":"10.1007\/s00464-015-4610-2"},{"doi-asserted-by":"publisher","key":"e_1_2_1_23_1","DOI":"10.1145\/642611.642616"},{"doi-asserted-by":"publisher","key":"e_1_2_1_24_1","DOI":"10.1109\/BHI.2017.7897241"},{"doi-asserted-by":"publisher","key":"e_1_2_1_25_1","DOI":"10.1109\/BIBE.2017.00-28"},{"doi-asserted-by":"publisher","key":"e_1_2_1_26_1","DOI":"10.1109\/INDIN.2011.6034829"},{"key":"e_1_2_1_27_1","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1136\/amiajnl-2014-003023","article-title":"Implications of an emerging EHR monoculture for hospitals and healthcare systems","volume":"22","author":"Koppel R.","year":"2014","unstructured":"R. Koppel and C. U. Lehmann . 2014 . Implications of an emerging EHR monoculture for hospitals and healthcare systems . Journal of the American Medical Informatics Association 22 , 2 (2014), 465 -- 471 . R. Koppel and C. U. Lehmann. 2014. Implications of an emerging EHR monoculture for hospitals and healthcare systems. Journal of the American Medical Informatics Association 22, 2 (2014), 465--471.","journal-title":"Journal of the American Medical Informatics Association"},{"doi-asserted-by":"publisher","key":"e_1_2_1_28_1","DOI":"10.1023\/A:1019059022128"},{"doi-asserted-by":"publisher","key":"e_1_2_1_29_1","DOI":"10.1109\/JPROC.2011.2165270"},{"doi-asserted-by":"publisher","key":"e_1_2_1_30_1","DOI":"10.1080\/23335777.2014.972686"},{"doi-asserted-by":"publisher","key":"e_1_2_1_31_1","DOI":"10.1016\/j.cmpb.2010.08.017"},{"doi-asserted-by":"publisher","key":"e_1_2_1_32_1","DOI":"10.1016\/j.jclinane.2010.02.003"},{"key":"e_1_2_1_33_1","volume-title":"Traub","author":"Macario Alex","year":"2001","unstructured":"Alex Macario , Franklin Dexter , and Rodney D . Traub . 2001 . Hospital profitability per hour of operating room time can vary among surgeons. Anesthesia 8 Analgesia 93, 3 (2001), 669--675. Alex Macario, Franklin Dexter, and Rodney D. Traub. 2001. Hospital profitability per hour of operating room time can vary among surgeons. Anesthesia 8 Analgesia 93, 3 (2001), 669--675."},{"key":"e_1_2_1_34_1","first-page":"69","article-title":"Benchmark study on patient privacy and data security","volume":"27","author":"Ponemon Institute Research Report.","year":"2011","unstructured":"Ponemon Institute Research Report. 2011 . Benchmark study on patient privacy and data security . Journal of Healthcare Protection Management: Publication of the International Association for Hospital Security 27 , 1 (2011), 69 . Ponemon Institute Research Report. 2011. Benchmark study on patient privacy and data security. Journal of Healthcare Protection Management: Publication of the International Association for Hospital Security 27, 1 (2011), 69.","journal-title":"Journal of Healthcare Protection Management: Publication of the International Association for Hospital Security"},{"key":"e_1_2_1_35_1","first-page":"1011","article-title":"RFID-based hospital real time patient management system","volume":"3","author":"Prasad Nellipudi S. R. K.","year":"2012","unstructured":"Nellipudi S. R. K. Prasad and Arepalli Rajesh . 2012 . RFID-based hospital real time patient management system . International Journal of Computer Trends and Technology 3 , 3 (2012), 1011 -- 1016 . Nellipudi S. R. K. Prasad and Arepalli Rajesh. 2012. RFID-based hospital real time patient management system. International Journal of Computer Trends and Technology 3, 3 (2012), 1011--1016.","journal-title":"International Journal of Computer Trends and Technology"},{"doi-asserted-by":"publisher","key":"e_1_2_1_36_1","DOI":"10.1109\/JPROC.2012.2235131"},{"doi-asserted-by":"publisher","key":"e_1_2_1_37_1","DOI":"10.1145\/1753326.1753593"},{"doi-asserted-by":"publisher","key":"e_1_2_1_38_1","DOI":"10.1145\/1531674.1531697"},{"doi-asserted-by":"publisher","key":"e_1_2_1_39_1","DOI":"10.1177\/1553350614531659"},{"key":"e_1_2_1_40_1","series-title":"AAAI Fall Symposium Series","volume-title":"Emotional and Intelligent--The Tangled Knot of Social Cognition","author":"Urban Christoph","year":"2001","unstructured":"Christoph Urban and Bernd Schmidt . 2001. PECS--agent-based modelling of human behaviour . In Emotional and Intelligent--The Tangled Knot of Social Cognition . AAAI Fall Symposium Series , North Falmouth, MA . Retrieved from http:\/\/www.aaai.org\/Papers\/Symposia\/Fall\/ 2001 \/FS-01-02\/FS01-02-027.pdf. Christoph Urban and Bernd Schmidt. 2001. PECS--agent-based modelling of human behaviour. In Emotional and Intelligent--The Tangled Knot of Social Cognition. AAAI Fall Symposium Series, North Falmouth, MA. Retrieved from http:\/\/www.aaai.org\/Papers\/Symposia\/Fall\/2001\/FS-01-02\/FS01-02-027.pdf."},{"key":"e_1_2_1_41_1","volume-title":"Dutton","author":"Xiao Yan","year":"2005","unstructured":"Yan Xiao , Peter Hu , Hao Hu , Danny Ho , Franklin Dexter , Colin F. Mackenzie , F. Jacob Seagull , and Richard P . Dutton . 2005 . An algorithm for processing vital sign monitoring data to remotely identify operating room occupancy in real-time. Anesthesia 8 Analgesia 101, 3 (2005), 823--829. Yan Xiao, Peter Hu, Hao Hu, Danny Ho, Franklin Dexter, Colin F. Mackenzie, F. Jacob Seagull, and Richard P. Dutton. 2005. An algorithm for processing vital sign monitoring data to remotely identify operating room occupancy in real-time. Anesthesia 8 Analgesia 101, 3 (2005), 823--829."}],"container-title":["ACM Transactions on Cyber-Physical Systems"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3140234","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/3140234","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/3140234","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T02:11:20Z","timestamp":1750212680000},"score":1,"resource":{"primary":{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3140234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,23]]},"references-count":41,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,10,31]]}},"alternative-id":["10.1145\/3140234"],"URL":"https:\/\/doi.org\/10.1145\/3140234","relation":{},"ISSN":["2378-962X","2378-9638"],"issn-type":[{"type":"print","value":"2378-962X"},{"type":"electronic","value":"2378-9638"}],"subject":[],"published":{"date-parts":[[2018,7,23]]},"assertion":[{"value":"2016-08-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}