ReflectOR: an LLM-based Agent for Post-Operative Surgical Debriefing
Lorenzo Fumi, Marco Bombieri, Sara Allievi, Stefano Bonvini, Theodora Chaspari, Marco A. Zenati, Paolo Giorgini
Abstract
Ineffective teamwork and communication can generate medical errors in the high-pressure environment of surgery, making post-operative debriefings essential for enhancing team performance and patient safety. However, these sessions are frequently rushed or incomplete due to clinicians’ limited time. This paper introduces ReflectOR, an Agentic-AI architecture designed to support surgical debriefings by processing audio recordings from the operating room. The system employs specialized sub-agents that perform tasks such as generating summaries, constructing timelines of intraoperative events, identifying potential errors and counting the materials used. A qualitative evaluation indicates that the system effectively contextualizes transcripts, demonstrating its potential as a valuable tool for surgical debriefing. The paper also outlines key considerations for applying such an architecture in real-world clinical environments.- Anthology ID:
- 2026.iwsds-1.40
- Volume:
- Proceedings of the 16th International Workshop on Spoken Dialogue System Technology
- Month:
- February
- Year:
- 2026
- Address:
- Trento, Italy
- Editors:
- Giuseppe Riccardi, Seyed Mahed Mousavi, Maria Ines Torres, Koichiro Yoshino, Zoraida Callejas, Shammur Absar Chowdhury, Yun-Nung Chen, Frederic Bechet, Joakim Gustafson, Géraldine Damnati, Alex Papangelis, Luis Fernando D’Haro, John Mendonça, Raffaella Bernardi, Dilek Hakkani-Tur, Giuseppe "Pino" Di Fabbrizio, Tatsuya Kawahara, Firoj Alam, Gokhan Tur, Michael Johnston
- Venue:
- IWSDS
- SIG:
- Publisher:
- Association for Computational Linguistics
- Note:
- Pages:
- 418–427
- Language:
- URL:
- https://preview.aclanthology.org/dashboard-stats/2026.iwsds-1.40/
- DOI:
- Cite (ACL):
- Lorenzo Fumi, Marco Bombieri, Sara Allievi, Stefano Bonvini, Theodora Chaspari, Marco A. Zenati, and Paolo Giorgini. 2026. ReflectOR: an LLM-based Agent for Post-Operative Surgical Debriefing. In Proceedings of the 16th International Workshop on Spoken Dialogue System Technology, pages 418–427, Trento, Italy. Association for Computational Linguistics.
- Cite (Informal):
- ReflectOR: an LLM-based Agent for Post-Operative Surgical Debriefing (Fumi et al., IWSDS 2026)
- PDF:
- https://preview.aclanthology.org/dashboard-stats/2026.iwsds-1.40.pdf