Effects of Flow Disruptions on Mental Workload and Surgical Performance in Robotic‐Assisted Surgery

Weber, Jeannette; Catchpole, Ken; Becker, Armin J.; Schlenker, Boris; Weigl, Matthias

doi:10.1007/s00268-018-4689-4

Cited by 39 publications

(61 citation statements)

References 62 publications

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“…Across observational studies, the number of robotic procedures ranged from 1 to 89 procedures. Fourteen studies (Ahmad et al, 2016;Almeras & Almeras, 2019;Cao & Taylor, 2004;Catchpole et al, 2018;Lai & Entin, 2005;Randell et al, 2015;Schiff et al, 2016;Sexton et al, 2018;Tiferes et al, 2019;Tiferes et al, 2016;Weber et al, 2018;Weigl et al, 2018) described the impact of robotic technologies on communication and teamwork performance in surgery, while 11 studies (Ahmad et al, 2016;Catchpole et al, 2016;Dru et al, 2017;Jain et al, 2016;Müller-Stich et al, 2007;Schiff et al, 2016;Sexton et al, 2018;Sorensen et al, 2010;Souders et al, 2019;Weber et al, 2018;Weigl et al, 2018) also described clinical efficiencies relative to set up and operative times, and workflow processes. Only three studies involved more than one type of surgery (Catchpole et al, 2018;Catchpole et al, 2016;Jain et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, team members had to learn how their tasks related to those of others, and how this relatedness affects overall team performance and efficiency (Almeras & Almeras, 2019;Cao & Taylor, 2004;Catchpole et al, 2016;Lai & Entin, 2005). Instrument changes, equipment-related problems and ambulatory movements over the four phases varied, reflected different procedural tasks undertaken over the course of the surgery (Ahmad et al, 2016;Allers et al, 2016;Catchpole et al, 2018;Catchpole et al, 2016;Dru et al, 2017;Souders et al, 2019;Weber et al, 2018;Weigl et al, 2018).…”

Section: Managing the Robotic System To Optimise Workflow Efficiencymentioning

confidence: 99%

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The Impact of Robotic-Assisted Surgery on Team Performance: A Systematic Mixed Studies Review

Gillespie

Boorman

et al. 2020

Hum Factors

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Objective The aim of this study is to describe the impact of robotic-assisted surgery on team performance in the operating room. Background The introduction of surgical robots has improved the technical performance of surgical procedures but has also contributed to unexpected interactions in surgical teams, leading to new types of errors. Method A systematic literature search of Cumulative Index to Nursing and Allied Health Literature, PubMed, ProQuest, Cochrane, Web of Science, PsycINFO, and Scopus databases using key words and MeSH terms was conducted. Screening identified studies employing qualitative and quantitative methods published between January 2000 and September 2019. Two reviewers independently appraised the methodological quality of the articles using the Mixed Methods Appraisal Tool (2018). Discussions were held among authors to examine quality scores of the studies and emergent themes, and agreement was reached through consensus. Themes were derived using inductive content analysis. Results Combined searches identified 1,065 citations. Of these, 19 articles, 16 quantitative and 3 qualitative, were included. Robotic-assisted surgeries included urology, gynecology, cardiac, and general procedures involving surgeons, anesthetists, nurses, and technicians. Three themes emerged : Negotiating the altered physical environs and adapting team communications to manage task and technology; managing the robotic system to optimize workflow efficiency; and technical proficiency depends on experience, team familiarity, and case complexity. Conclusion Inclusion of a robot as a team member adds further complexity to the work of surgery. Application These review findings will inform training programs specifically designed to optimize teamwork, workflow efficiency, and learning needs.

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Section: Resultsmentioning

confidence: 99%

Section: Managing the Robotic System To Optimise Workflow Efficiencymentioning

confidence: 99%

The Impact of Robotic-Assisted Surgery on Team Performance: A Systematic Mixed Studies Review

Gillespie

Boorman

et al. 2020

Hum Factors

View full text Add to dashboard Cite

show abstract

“…It is therefore essential for distractions and interruptions to be minimised 1,3-8 . Distractions and interruptions are defined slightly differently between authors. Generally distractions are events which potentially divert one's attention from the primary task and interruptions occur when distractions are responded to, rapidly interrupting and switching attention away from the primary task 1,4,6,7,9,10 . Psychology and neuroscience research shows shifting attention from a primary task to a secondary task can be detrimental as it increases cognitive load and forces one to perform a dual task, or multi-task 1,2, 10, 11 . This integrative review explores the impact of distractions and interruptions in the OR on patient safety and the OR team.…”

Section: Problem Identificationmentioning

confidence: 99%

“…Seven quantitative observational studies were included in this review 1,3,5,[7][8][9]11 . All had small samples, frequently from a single hospital and covering limited specialties yet all used statistical analyses 1,3,5,7-9, 11 .…”

Section: Observational Studiesmentioning

confidence: 99%

“…Amongst the studies conducted in ORs, seven focus on distractions and interruptions affecting the whole OR team 1,3,5,[7][8][9]11 , one on anaesthetists in the preoperative period 20 and another on nurses 6 . Due to the heterogeneity of the literature, it is difficult to determine the overall frequency of each type of distraction and interruption.…”

Section: Frequencymentioning

confidence: 99%

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The impact of distractions and interruptions in the operating room on patient safety and the operating room team: An integrative review

Mackenzie¹,

Foran²

2020

Journal of Perioperative Nursing

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Problem identification: In the operating room (OR), distractions and interruptions are frequent, impacting patient safety, coordination and efficiency and causing errors and patient harm. The OR team is impacted while attempting to perform critical work. This review explores the impact of distractions and interruptions in the OR on patient safety and the OR team. Literature search: Inclusion and exclusion criteria were determined. Six databases were searched with the search criteria for inclusion being in English, peer-reviewed and published between 2014 and 2019. In total 296 papers were identified. Data evaluation synthesis: Duplicates were removed, and 195 papers were screened using inclusion and exclusion criteria. Fourteen studies were included in the review: 12 were quantitative reviews and two were mixedmethod reviews. Methodological quality was assessed using the mixed methods appraisal tool (MMAT), with scores between 60 and 90 per cent. A thematic analysis revealed observational study themes of types, frequency and severity of distractions and interruptions, and impacts upon mental workload, patient safety and the OR team. Simulation study themes included types of distractions and interruptions, and impact on mental workload, clinical decision-making, surgical performance and nurses. Implications for practice or research: The heterogeneity of the literature and paucity of recent nursing and anaesthetic studies highlights that further research is necessary. Nurses can educate and develop policies and interventions to reduce distractions, enhancing patient safety and decreasing the negative impact upon their colleagues and teams.

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“Don’t Yell at Me!” Disruptive Behavior in the OR

Coleman,

Schulick

2024

Principles of Perioperative Safety and Efficiency

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Effects of Flow Disruptions on Mental Workload and Surgical Performance in Robotic‐Assisted Surgery

Abstract: Flow disruptions occur frequently and are associated with increased workload. Therefore, strategies are needed to manage disruptions to maintain OR teamwork and safety during robotic-assisted surgery.

Cited by 39 publications

References 62 publications

The Impact of Robotic-Assisted Surgery on Team Performance: A Systematic Mixed Studies Review

The Impact of Robotic-Assisted Surgery on Team Performance: A Systematic Mixed Studies Review

The impact of distractions and interruptions in the operating room on patient safety and the operating room team: An integrative review

“Don’t Yell at Me!” Disruptive Behavior in the OR

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