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Doc-watcher spots when physicians stop listening - tech - 05 February 2015 - New Scientist@import "/css/gridmain.css"; @import "/css/article.css";@import "/css/comlist.css";@import "/data/images/ns/haas/haas.css";/* specific to this article view */#maincol {border-top:solid #A7A7A7 1px; padding-top:15px;}/* Basic commenting CSS*/.combx {margin:10px 0 0 0;padding:10px 20px 10px 10px;}#compnl {border-top:solid #A7A7A7 1px;}/* comment styles for article page only *//* form styles */#comform {margin:20px 50px 20px 10px;}#comform label{width: 90px;text-align: right;}#comform div.userhelp {margin:0 0 2px 115px;}#comform input.textinput, #comform textarea {width:300px;}#comform div.floatclear, #comformlogin div.floatclear {margin-bottom:10px;}#comform input#comcancel{margin:0 10px 0 0;}#comform input#compreview{margin:0 10px 0 0;}#comform textarea {height:95px;}#comformlogin {margin:20px 100px 20px 100px;}#comformlogin label{width: 120px;}#comformlogin input.textinput {width:150px;}#snv_tech a {background: url('/img/bg/snv_tech.jpg') no-repeat; color:#fff;}/* article social media */#sharebtns {width:440px; margin-left:10px; margin-bottom:20px; padding:15px 10px 15px 10px; background:#F2F2F2;}#sharebtns div.floatleft {margin-right:10px;}#sharebtns .stumble {margin-top:1px;}.grpTools img {margin-right:8px; margin-top:9px;}#fblike {margin-top:41px;}
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Doc-watcher spots when physicians stop listening05 February 2015 byAviva RutkinMagazine issue 3007. Subscribe and saveAs screen use becomes ever more ubiquitous in healthcare, doctors may have a hard time focusing on patients during consultations. Lab-in-a-Box aims to help
THE doctor is in – but are they listening to you, or is that iPad on the desk absorbing all their attention? Electronic records, medical apps, iPads, and other devices and technologies offer numerous potential benefits for healthcare workers and have been widely adopted. But they also create more opportunities for distraction and might erode the quality of care someone receives. The Lab-in-a-Box aims to change that by analysing doctors as they work. It sits in the corner of their office, keeping tabs on every move, look and word. Nadir Weibel at the University of California at San Diego, who built the system with a team of colleagues, hopes it will shed light on what sidetracks doctors during consultations with patients. "It's not just what the patient is saying. It's their facial expression, it's the way they're interacting," says Weibel. "If the doctor is looking at a screen with the patient there, all of that is lost." Lab-in-a-Box uses several tools to paint a picture of activity in the office. A Microsoft Kinect depth camera records body and head movements, while an eye-tracker follows the doctor's gaze and a microphone keeps tabs on who is talking. Meanwhile, software separately installed on the computer captures activity like keyboard strokes, mouse movement and application pop-ups. The system analyses the various data streams and compares them to moments when the doctor's focus is drawn away from the patient. For example, high computer activity paired with rapid eye movement and pupil dilation might indicate that there are too many demands on their attention. Lots of head and eye movement would suggest that the doctor is multitasking between the patient and the computer. In an ongoing pilot study, Lab-in-a-Box has been set up in doctors' offices at the UCSD medical centre, the US Veteran's Affairs Medical Center in San Diego, and several nearby community clinics. Weibel's team will compare the data across different settings and medical specialities in search of patterns that indicate distraction is likely. The results could help highlight ways to design medical software that is less disruptive. A future version of Lab-in-a-Box could be permanently placed in a clinic and programmed to provide real-time prompts, warning physicians that they might not be paying enough attention to their patients. "It's something we're thinking to do as soon as we have some more understanding about when are the best opportunities to engage physicians," says Weibel. Many healthcare professionals don't realise how attached they are to their devices, says Peter Papadakos, an anaesthesiologist at the University of Rochester in New York. Papadakos has developed a questionnaire to help healthcare workers identify when their technology use has become problematic. A tool like Lab-in-a-Box could be the wake-up call that screen-addicted docs need, he says. "I think this is going to be a fascinating device. It will be yet another way to show people that they need to focus." This article appeared in print under the headline "Doc-watcher spots when physicians drift"
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