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A Novel Cognition-based Guidance System to Improve Surgical Safety

Award Number: R01HL126896
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/01/2016
PERIOD OF PERFORMANCE END DATE: 06/30/2025

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A Novel Cognition-based Guidance System to Improve Surgical Safety - Medical errors causing preventable adverse events are the third leading cause of death in the U.S. The role of human cognition in contributing to errors in complex healthcare environments is increasingly being recognized. Many studies have demonstrated a direct relationship between cognitive performance metrics and patient outcomes. Notwithstanding, the role of cognition in improving safety has not received enough attention. Cardiac surgical OR is a high-impact area to improve patient safety and save lives. High mental workload during complex cardiac surgery and associated reduction of spare attentional capacity is bound to have a detrimental effect on a team's ability to detect their own errors. In the proposed project, we will explore and evaluate novel approaches to using process and patient real-time data, and device status information dynamically and proactively to provide guidance forward from the current surgical state. The proposed Cognition-based Guidance System will be deployed intraoperatively. We believe that human errors in the cardiac OR can be reduced by supporting individual and team interactions via dynamically-updated electronic guidance that are responsive to the details of the on-going process (i.e., context-aware), to the patient's current medical condition (i.e., patient-aware), and to cognitive workload demands on the participating clinicians (i.e., workload-aware).


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	BOSTON VA RESEARCH INSTITUTE, INC.	2 AVENUE DE LAFAYETTE	BOSTON	MA	02111	SUFFOLK	USA	Cardiovascular Diseases Research	001	7	2/9/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$226,703
2024	2022	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	6	2/9/2024	NON-COMPETING CONTINUATION	-$226,703
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $609,907 )
2023	2023	BOSTON VA RESEARCH INSTITUTE, INC.	150 S HUNTINGTON AVE	BOSTON	MA	02130	SUFFOLK	USA	Cardiovascular Diseases Research	001	7	8/28/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$609,907
2023	2022	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	6	8/25/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $609,907

Issue Date FY: 2022 ( Subtotal = $592,895 )
2022	2022	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	6	6/17/2022	NON-COMPETING CONTINUATION	$592,895
														Subtotal = $592,895

Issue Date FY: 2021 ( Subtotal = $658,701 )
2021	2021	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	5	7/7/2021	NON-COMPETING CONTINUATION	$658,701
														Subtotal = $658,701

Issue Date FY: 2020 ( Subtotal = $674,741 )
2020	2020	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	002	4	8/21/2020	COMPETING CONTINUATION	$1,870
2020	2020	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	001	4	6/19/2020	COMPETING CONTINUATION	$672,871
2020	2018	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	3	5/14/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $674,741

Issue Date FY: 2018 ( Subtotal = $377,347 )
2018	2018	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	3	7/1/2018	NON-COMPETING CONTINUATION	$377,347
														Subtotal = $377,347

Issue Date FY: 2017 ( Subtotal = $377,450 )
2017	2017	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	2	7/13/2017	NON-COMPETING CONTINUATION	$377,450
														Subtotal = $377,450

Issue Date FY: 2016 ( Subtotal = $391,808 )
2016	2016	HARVARD UNIVERSITY MEDICAL SCHOOL	643 HUNTINGTON AVENUE	BOSTON	MA	02115	SUFFOLK	USA	Cardiovascular Diseases Research	000	1	8/22/2016	NEW	$391,808
														Subtotal = $391,808

Grand Total All Awards = $3,682,849

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A Novel Cognition-based Guidance System to Improve Surgical Safety

Award Number: R01HL126896

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/01/2016

PERIOD OF PERFORMANCE END DATE: 06/30/2025

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