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Mixed-reality technology for clinical communication: objective assessment of the HoloLens 2 as a clinical communication device in a simulated on-call scenario

Published online by Cambridge University Press:  30 March 2023

L Orchard Open the ORCID record for L Orchard [Opens in a new window] ,
M Van ,
J Abbas ,
R Malik ,
J Stevenson  and
N Tolley
L Orchard*
Affiliation:
Department of ENT Surgery, St Mary's Hospital, Praed St, London, UK
M Van
Affiliation:
Department of ENT Surgery, St Mary's Hospital, Praed St, London, UK
J Abbas
Affiliation:
Human Factors Academy, Manchester University NHS Trust, University of Manchester, Manchester, UK
R Malik
Affiliation:
Medical School, Imperial College London, London, UK
J Stevenson
Affiliation:
Infomation Technology, Imperial College Healthcare NHS Trust, London, UK
N Tolley
Affiliation:
Department of ENT Surgery, St Mary's Hospital, Praed St, London, UK
*
Corresponding author: L Orchard; Email: laurence.orchard@nhs.net
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Abstract

Objective

Specialty on-call clinicians cover large areas and complex workloads. This study aimed to assess clinical communication using the mixed-reality HoloLens 2 device within a simulated on-call scenario.

Method

This study was structured as a randomised, within-participant, controlled study. Thirty ENT trainees used either the HoloLens 2 or a traditional telephone to communicate a clinical case to a consultant. The quality of the clinical communication was scored objectively and subjectively.

Results

Clinical communication using the HoloLens 2 scored statistically higher than telephone (n = 30) (11.9 of 15 vs 10.2 of 15; p = 0.001). Subjectively, consultants judged more communication episodes to be inadequate when using the telephone (7 of 30) versus the HoloLens 2 (0 of 30) (p = 0.01). Qualitative feedback indicates that the HoloLens 2 was easy to use and would add value during an on-call scenario with remote consultant supervision.

Conclusion

This study demonstrated the benefit that mixed-reality devices, such as the HoloLens 2 can bring to clinical communication through increasing the accuracy of communication and confidence of the users.

Keywords

Augmented realitycommunicationsimulation training
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 10 , October 2023 , pp. 1165 - 1169
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr Laurence Orchard takes responsibility for the integrity of the content of the paper

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