Marco Zenati, M.D.
|Title||Professor of Surgery|
|Institution||Veterans Affairs Boston Healthcare System|
|Address||BHS Department of Cardiothoracic Surgery|
Chief of Cardiothoracic Surgery, (112)
1400 VFW Pkwy
West Roxbury MA 02132
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|1989 - 1990||Alexis Carrel Inernational Young Investigator Award|
|1990 - 1991||Philip K. Caves International Award|
|1990 - 1991||De Gasperis-Donatelli Research Award|
|2007 - 2010||Pitt Innovators Award|
|2009 - 2010||Chancellor's Honors Convocation|
Available: 08/19/16, Expires: 08/31/19
The rates of preventable harm to patients in the U.S. are at concerning levels. The operating room is the most common site for adverse events in the hospital. To enhance surgical patient safety we introduce a novel
approach that leverages advances in information technology. We propose to develop and analyze innovative surgical process models to facilitate standardization of critical procedural steps in cardiac surgery (“smart checklists”). We have assembled an experienced multidisciplinary team and we anticipate that our novel approach will contribute to a transformational redesign toward a health system that is waste-free, harm-free and highly reliable
Available: 07/17/17, Expires: 06/28/19
Collaborate with cardiac surgeons, human factor engineers and computer scientists to improve safety of cardiac surgery by developing novel intraoperative process models integrating cognitive load to support human performance and enhance patient safety.
We are focusing on three specific aims:
Specific Aim #1: Develop standardized surgical process models for two common procedures in cardiac surgery (aortic valve replacement and coronary artery bypass surgery) using the Little-JIL software platform.
Specific Aim #2: Evaluate these process models by applying static analyses and discrete event simulations to detect where coordination and task sequence errors might occur as well as to identify and quantify vulnerabilities that are created when humans or devices perform tasks incorrectly.
Specific Aim #3: Perform discrete event simulations of these processes performed in a realistic simulated cardiovascular operating room environment. Use evaluation results to iteratively improve the process models by addressing vulnerabilities and improved support for non-nominal situations, and enhance the clinicians’ understanding of an on-going surgical process by providing a user-interface, or view, of the current state of that process.
If our approach is successful, we believe that it may significantly contribute to reduction of the current high rate of Preventable Adverse Events (PAEs) and become the basis for surgical community participation in continuously improving standards of care. Standardized process models in cardiac surgery may reduce variability and may ultimately translate into the application of evidence-based best practice to every patient and every time.
The research activities and funding listed below are automatically derived from
NIH ExPORTER and other sources, which might result in incorrect or missing items.
to make corrections and additions.
R01HL126896 (ZENATI, MARCO A.)Sep 1, 2016 - Jun 30, 2019NIH/NHLBI
Developing Standardized Intraoperative Process Models to Enhance Surgical Safety
Role: Principal Investigator
R01HL079940 (ZENATI, MARCO A.)Jul 1, 2006 - May 31, 2012NIH/NHLBI
Articulated Robot for Epicardial Interventions
Role: Principal Investigator
R01HL078839 (RIVIERE, CAMERON N)Jul 1, 2005 - May 31, 2014NIH/NHLBI
Robotic Crawler for Epicardial Interventions
Role: Co-Principal Investigator
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