Board 544 - Technology Innovations Abstract A Cost Effective, High Quality Video Recording and Real-Time Broadcasting System (Submission #124)

Introduction/Background Replaying recorded simulation sessions enhances the effectiveness of debriefing after simulation sessions by promoting self-reflection and stimulating active discussion among the participants. There is also great value to other trainees to observe simulation sessions remotely, in real-time, with the opportunity to discuss the decisions made and the actions performed by the training team. The experience required to design and install a system to facilitate video debriefing is often lacking within medical organizations and the proposals from third parties for turnkey solutions may be cost prohibitive, complex and often not useful. Frequently there is a lack of understanding by the third party audio/video (AV) designers as to what the users want and the resulting designs are much more complex than they need to be. The cost and complexity are barriers to entry in many academic institutions, limiting the effectiveness and potential of high quality simulation training within these institutions. Methods Our goal was to design a system that met our current needs, was reliable, secure and easy to operate. We present the components and blueprint of our AV system design which: 1) captures simulation and debriefing sessions via remotely controlled cameras; 2) simultaneously displays sessions without delays in sound and video in our control and debriefing rooms; 3) displays the vital sign monitor as picture-in-picture; 4) allows two-way communication between stage and control room; 5) allows the instructor to add comments to the recording; 6) securely stores audio and video of simulation and debriefing sessions; 7) replays recordings in our control and debriefing debriefing rooms; 8) securely streams live audio and video within the simulation center or to remote location via the Internet. We researched video and audio capture and recording equipment, as well as networking and transmission devices and methodologies to develop our solution. In addition to the technical design, we considered organizational barriers, including the requirements and limitations of corporate information systems, physical facilities guidelines and estimated time for approval and implementation when involving other departments within the institution. This design utilizes equipment that is commercially available, cost effective and can be implemented and operated with minimal technical experience and training. We kept the system design and implementation costs below $6,000, which was less than 15% of the cost of an equivalent commercial turnkey solution. We were able to avoid many of the organizational delays inherent to a project requiring multi-department involvement. Results: Conclusion We were successful in designing and implementing a robust AV system that incorporates remotely controlled cameras, two way audio communication between the control room and the high fidelity simulation stage, as well as the ability to store instructor comments attached directly to the recording for later discussion during debriefing. Additionally, our design allows for real-time video streaming to remote locations via secure wireless data transmission and for the storage and retrieval of video and audio of the simulation session. The design has performed well and has received positive feedback from both the trainers and trainees utilizing the video debriefing system. Disclosures None.