The operative report (surgery report) is a vital document that captures essential details of surgical interventions, including the type, course, achieved goals, and any encountered challenges. It serves the comprehensible transmission of information to medically knowledgeable third parties such as the attending medical staff and thus ensures therapy safety, accountability and proof of service provision for billing. However, creating a complete and accurate operative report demands considerable time from surgeons, taking them away from patient care. To address this challenge and optimize clinical processes, the KIARA system (KI-basierte Erfassung von Arbeitsprozessen im Operationssaal zur automatisierten Erstellung des OPBerichts / AI-based recording of work processes in the operating room for automated generation of the OR report) proposes an AI-based interactive approach for automatic documentation, reducing paperwork while enhancing medical, organizational, and administrative efficiencies. The time freed up can be used by surgeons to treat patients.

The underlying AI for situation recognition in a robust documentation system is a necessary and essential first step for the automation and optimization of further clinical processes. The KIARA system aims to assist here and significantly simplify the process by collecting as much report-relevant information as possible from the operating room via sensors installed in OR lamps and distributed in the room, evaluating it, and compiling it into a report that only needs to be checked and approved.

The benefits of this system will be demonstrated using the example of procedures in visceral surgery (kidney transplantation) and in oral and maxillofacial surgery (lower jaw reconstruction with autologous bone transplant), in order to cover a wide range and the specific features of surgical disciplines.

• Karl Leibinger Medizintechnik GmbH & Co. KG, Mühlheim an der Donau
• Gebrüder Martin GmbH & Co. KG, Tuttlingen
• Charité - Universitätsmedizin Berlin, Chirurgische Klinik, CCM|CVK & Mund-, Kiefer-, Gesichtschirugie
• HFC Human-Factors-Consult GmbH, Berlin
• Fraunhofer HHI, Berlin

The project is sponsored by