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18-3 · Patient safety · 2026-11-14

Surgical Environment Error Prevention

Cohort and simulationSynthetic checks matchedEvaluation data partly established

Replay instrument labels and surgical phases to evaluate instrument state tracking and alert conditions.

Research question and target

Evaluate tracking within the visible field. Use fixed sequences with occlusion to test arrival and removal counts.

Internal target
Zero instrument count omissions on the fixed test
Programme
Patient safety
Evidence on this record
Common synthetic checks

Evaluation data

Evaluation registry · Labels and split definitions (KR)

Sources and eligibility

Boundary cases

Common synthetic checks

Expected and observed values for these cases

What the official call asks

Automatic counting of surgical instruments and patient identification before and after surgery are separate areas. Validation takes place in real operating rooms at three or more hospitals, with designated types of institution taking part.

Proposal requirements, printed pages 101–104 · All twelve requirements

Interpretation and next evaluation

In-frame presence and segmentation cover a different observation space from total instrument inventories. Report the synthetic missed-count denominator.

Next check
Lock visibility, occlusion and tracking ID criteria and define separate video and synthetic count metrics.
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