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Improving Care Through the Neoflix Approach

Improving Care Through the Neoflix Approach

Capturing high-quality footage during an intervention is important for effective video review. We'll explore how positioning your recording device, minimizing disruption to patient care, and understanding camera settings can make all the difference. You'll also learn how to manage communication and unexpected situations during recording.

Positioning

Positioning: Optimal camera angles and placement for different procedures.

  • Overhead: Ceiling or wall-mounted fixed cameras provide a wide view for team dynamics and room layout analysis (e.g., trauma resuscitation).

  • Close-up: Mobile or wearable cameras offer detailed views for skill analysis (e.g., suturing techniques, intubation).

  • Multiple Angles: Consider combining perspectives to achieve a comprehensive understanding of the procedure.

Minimize Disruption

Minimize Disruption: Balancing recording needs with maintaining a natural workflow.

  • Pre-procedure setup: Prepare equipment in advance whenever possible.

  • Dedicated Operator: If possible, assign a team member to manage the camera, freeing others to focus on patient care.

  • Streamlined Workflow: Integrate recording into existing procedures where feasible.

Auto-Focus and Zoom

Auto-focus and Zoom: When and how to use these features effectively.

  • Auto-focus: Useful for maintaining focus on moving subjects, but be aware of potential distraction if it hunts significantly.

  • Zoom: Best for planned close-ups – pre-set or have a dedicated operator make adjustments. Avoid excessive zooming during a procedure, as it can disorient viewers.

Settings

Settings: Key camera settings for optimal video quality in medical settings

  • Resolution: Choose the highest your storage and workflow allow (at minimum 720p, ideally 1080p).

  • Frame Rate: A minimum of 30 frames per second is necessary for smooth motion; consider 60fps if fast movement analysis is important.

  • Lighting: If possible, manually adjust white balance and exposure to match the lighting conditions of the room.

Communication During recording

Communication During Recording: How to acknowledge recording without impacting the patient experience.

  • Pre-procedure Announcement: A brief, clear statement before the procedure informs everyone (including patients if conscious) that recording is in progress.

  • Minimize Verbal Cues: Avoid unnecessary commentary during recording; focus on essential communication related to patient care.Patient-Centered Approach:

  • Prioritize patient comfort and privacy. If the patient expresses concern, address it sensitively or potentially stop recording if appropriate.

  • Documentation Goal: Remember, recordings capture real-world care, including complications. This data is valuable for analysis and improvement. Complications have to be reported regardless of wheter a video has been made.

  • Don't Stop Prematurely or start too late: Unless necessary for patient safety, continue recording to document the response and management of the event, including the preparation and time-out.

  • Post-Event Review: Use unforeseen events as especially rich learning opportunities in video review sessions.

Capturing Patient Interactions

Capturing Patient Interactions: Recording consent processes and elements relevant to patient-provider dynamics.

  • Sensitivity: Prioritize patient privacy – tailor camera angles and audio settings to respect confidentiality while still capturing essential interactions.

  • Consent Documentation: If verbal consent is obtained, ensure the recording clearly captures the process.

  • Valuable Insights: Observing patient-provider communication can reveal areas for improvement in fostering trust and shared decision-making.

The KNAW Van Walree Fund supported the development of this website.

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