Anne van Dalen

242 I Chapter 9 Artificial intelligence (AI) and machine learning are used to facilitate efficient analysis of the multisource big data achieved from the operating environment based on validated rating scales. 19,20 The Operating RoomBlack Box system our research group uses, creates a video-assisted outcome report that pro- vides comprehensive, detailed, and objective feedback including annotated video segments of interest while pro- tecting user privacy (i.e. faces are blurred, voices are altered). 10,21 A report such as this can be used to apply the Six Sigma strategy (DMAIC) to improve perioperative team performance and processes, for example by team debriefing, coaching, and simulation training. 8,11,17,21 Figure 1. How to use a data monitoring system in the operating theatre following the Six Sigma Strategy. *Non-Technical Skills for Surgeons (NOTSS), Anaesthetists’ Non- Technical Skills (ANTS), Scrub Practitioners’ List of Intraoperative Non-Technical Skills (SPLINTS).