1.4.3 Small: Capture Audio

Keep it small

The Value and Complexities of Audio in Video Review

Audio plays a crucial role in video review for healthcare. It enriches the learning experience by capturing elements that visuals alone cannot:

• Verbal Communication: Reveals nuances of team interactions, provider-patient dialogue, and decision-making processes.

• Patient Reactions: Captures subtle but important patient sounds like breathing patterns.

However, audio also raises significant privacy concerns:

• Identifiable Information: Voices and background conversations can easily reveal patient and provider identities.

• Sensitive Discussions: Recordings may capture confidential diagnoses, family dynamics, or ethically complex situations.

Balancing Benefits and Privacy

• Selective Audio Recording: Consider recording audio only when essential for learning objectives and delete it afterwards if not strictly necessary.

• De-identification: If possible, explore audio de-identification techniques (e.g., voice modulation) while preserving clinically relevant information.

• Strict Consent: Obtain explicit consent from providers for audio recording, especially when identifiable.

Strategic Implementation: Start Small, Scale Thoughtfully

As with any new technology, starting small with video review allows you to:

• Focus on Buy-In: Build trust among providers and patients by starting with less sensitive procedures and clear communication about audio usage.

• Refine Processes: Develop robust protocols for audio recording, storage, management, and deletion.

• Assess Value: Evaluate the added benefits of audio against logistical and ethical considerations.

Remember, a phased approach empowers you to make informed decisions about expanding your project while prioritizing patient and provider privacy alongside educational gains.

Keep in mind that when recording in a room with a lot of background noise (ventilators, monitoring etc) you might need an additional microphone to reduce background noise.