دورية أكاديمية
Crew Autonomy During Simulated Medical Event Management on Long Duration Space Exploration Missions.
| العنوان: | Crew Autonomy During Simulated Medical Event Management on Long Duration Space Exploration Missions. |
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| المؤلفون: | Yule S; STRATUS Center for Medical Simulation, Brigham and Women's Hospital, Boston, MA, USA; Center for Surgery & Public Health, Brigham & Women's Hospital, Boston, MA, USA; Department of Surgery, Brigham & Women's Hospital/ Harvard Medical School, Boston, MA, USA; Department of Clinical Surgery, The University of Edinburgh, Edinburgh, UK., Robertson JM; Department of Surgery, Brigham & Women's Hospital/ Harvard Medical School, Boston, MA, USA., Mormann B; Department of Emergency Medicine, Harvard Medical School, Boston, MA, USA., Smink DS; Center for Surgery & Public Health, Brigham & Women's Hospital, Boston, MA, USA; Department of Surgery, Brigham & Women's Hospital/ Harvard Medical School, Boston, MA, USA., Lipsitz S; Center for Surgery & Public Health, Brigham & Women's Hospital, Boston, MA, USA., Abahuje E; STRATUS Center for Medical Simulation, Brigham and Women's Hospital, Boston, MA, USA; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Kennedy-Metz L; Department of Surgery, Brigham & Women's Hospital/ Harvard Medical School, Boston, MA, USA; Medical Robotics and Computer Assisted Surgery Laboratory, Division of Cardiac Surgery, U.S. Veterans Affairs Boston Healthcare System, Boston, MA, USA., Park S; STRATUS Center for Medical Simulation, Brigham and Women's Hospital, Boston, MA, USA., Miccile C; STRATUS Center for Medical Simulation, Brigham and Women's Hospital, Boston, MA, USA., Pozner CN; STRATUS Center for Medical Simulation, Brigham and Women's Hospital, Boston, MA, USA; Department of Emergency Medicine, Harvard Medical School, Boston, MA, USA., Doyle T; Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON, Canada., Musson D; Faculty of Health Science, Northern Ontario School of Medicine, Thunder Bay, ON, Canada., Dias RD; STRATUS Center for Medical Simulation, Brigham and Women's Hospital, Boston, MA, USA; Department of Emergency Medicine, Harvard Medical School, Boston, MA, USA. |
| المصدر: | Human factors [Hum Factors] 2023 Sep; Vol. 65 (6), pp. 1221-1234. Date of Electronic Publication: 2022 Apr 16. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Human Factors and Ergonomics Society Country of Publication: United States NLM ID: 0374660 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1547-8181 (Electronic) Linking ISSN: 00187208 NLM ISO Abbreviation: Hum Factors Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Santa Monica, Ca : Human Factors and Ergonomics Society Original Publication: New York, N.Y. : Pergamon Press, 1958-4 |
| مواضيع طبية MeSH: | Aerospace Medicine*/methods , Space Flight*, Humans ; Astronauts/psychology ; Time Factors ; Simulation Training ; Space Simulation ; Random Allocation ; Emergencies |
| مستخلص: | Objective: Our primary aim was to investigate crew performance during medical emergencies with and without ground-support from a flight surgeon located at mission control. Background: There are gaps in knowledge regarding the potential for unanticipated in-flight medical events to affect crew health and capacity, and potentially compromise mission success. Additionally, ground support may be impaired or periodically absent during long duration missions. Method: We reviewed video recordings of 16 three-person flight crews each managing four unique medical events in a fully immersive spacecraft simulator. Crews were randomized to two conditions: with and without telemedical flight surgeon (FS) support. We assessed differences in technical performance, behavioral skills, and cognitive load between groups. Results: Crews with FS support performed better clinically, were rated higher on technical skills, and completed more clinical tasks from the medical checklists than crews without FS support. Crews with FS support also had better behavioral/non-technical skills (information exchange) and reported significantly lower cognitive demand during the medical event scenarios on the NASA-TLX scale, particularly in mental demand and temporal demand. There was no significant difference between groups in time to treat or in objective measures of cognitive demand derived from heart rate variability and electroencephalography. Conclusion: Medical checklists are necessary but not sufficient to support high levels of autonomous crew performance in the absence of real-time flight surgeon support. Application: Potential applications of this research include developing ground-based and in-flight training countermeasures; informing policy regarding autonomous spaceflight, and design of autonomous clinical decision support systems. |
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| فهرسة مساهمة: | Keywords: aerospace medicine, long-term missions, pilot, crew behavior, mental workload, medical simulation/training and assessment, simulation and training |
| تواريخ الأحداث: | Date Created: 20220418 Date Completed: 20230828 Latest Revision: 20240321 |
| رمز التحديث: | 20240322 |
| مُعرف محوري في PubMed: | PMC10466940 |
| DOI: | 10.1177/00187208211067575 |
| PMID: | 35430922 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1547-8181 |
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| DOI: | 10.1177/00187208211067575 |