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DTSTAMP:20251016T135128Z
LOCATION:Riverside East
DTSTART;TZID=America/Chicago:20251015T173000
DTEND;TZID=America/Chicago:20251015T183000
UID:HFESAM_ASPIRE 2025_sess138_POST441@linklings.com
SUMMARY:Did We Get It All? An Exploratory Study of Goals, Information Need
 s, and System Requirements for Cancer Surgeons Assessing Breast Tumor Marg
 ins
DESCRIPTION:Kaitlin Skurnak, Chihab Nadri, Mojgan Zoaktafi, and Gavin Bour
 geois (University of Illinois Urbana-Champaign, Mayo Clinic); Hamid Norasi
  and M. Susan Hallbeck (Mayo Clinic); and Abigail R. Wooldridge (Universit
 y of Illinois Urbana-Champaign, Mayo Clinic)\n\nSurgery to excise cancerou
 s breast tumors is imperfect, and it is difficult to know that all cancero
 us tissue was removed successfully. A positive  margin, where cancer is on
  the surface of the excised tissue, indicates that cancer may remain in th
 e body and often requires a second operation. This study is part of a larg
 er project aiming to reduce re-excision rates by developing  a device to a
 ssess cancer margins intraoperatively, following tumor resection. The purp
 ose of this study is to explore the goals, decisions, information needs, a
 nd system requirements of the surgeon during breast cancer surgery. We con
 ducted semi-structured interviews using the Systems Engineering Initiative
  for Patient Safety (SEIPS) model with 11 breast surgeons to understand ho
 w they are currently performing resections and performed a qualitative the
 matic analysis. We found three main goals with a total of 13 sub-goals; th
 e three main goals are: treating cancer, meeting patient needs, and meetin
 g institutional needs. Surgeons made multiple decisions for each sub goal,
  and surgeons required multiple information elements to make these decisio
 ns. Our results will inform the design of a technology to support margin a
 ssessment, specifically the information displays, with sociotechnical syst
 ems-based analysis to ensure the technology fits in clinician workflow.\n\
 n
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