Operating room communication in robotic surgery: Place, modalities and evolution of a safe system of interaction

Alméras, Christophe

doi:10.1016/j.jviscsurg.2019.02.004

Cited by 18 publications

(29 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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%

“…This theme, supported by five categories, described environmental factors associated with ergonomics, increased cognitive load, and noise and distractions, imposed by the presence of the robotic system. The room layout, including positioning of furniture, screens and equipment altered workflow (Ahmad et al, 2016;Allers et al, 2016), with team members having to adapt to the separation of the operating surgeon, who was physically "immersed" in the surgery (Almeras & Almeras, 2019;Randell et al, 2015), isolated from the team, away from the patient's side and seated at a console (Almeras & Almeras, 2019;Cao & Taylor, 2004;Lai & Entin, 2005;Randell et al, 2015). Circulating and instrument nurses relied on the deliberate and purposeful procedure-specific communications between the console surgeon and their assistant who was positioned at the operating table (Cao & Taylor, 2004;Catchpole et al, 2018;Lai & Entin, 2005;Tiferes et al, 2019).…”

Section: Task and Technologymentioning

confidence: 99%

“…Coordination of team activities associated with task, technology and teamwork processes requires 'the right people, the right equipment, at the right place and the right time' (Catchpole et al, 2018). 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%

See 2 more Smart Citations

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

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Task and Technologymentioning

confidence: 99%

Section: Managing the Robotic System To Optimise Workflow Efficiencymentioning

confidence: 99%

See 1 more Smart Citation

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

“…All were published between 2004 and 2020 (median: 2017). Eleven studies were conducted in the US, [15,17,[27][28][29][30][31][32][33][34][35], six in the UK [18,[36][37][38][39][40], and four in Western/Northern European countries [22,[41][42][43]. Studies either examined one [18,22,28,32,41] or several OR professions [15, 17, 27, 29-31, 33-40, 42, 43].…”

Section: Characteristics Of Included Articlesmentioning

confidence: 99%

“…The majority investigated only one surgical specialty [17, 18, 27-30, 33-35, 38]. Eight studies focused on da Vinci surgical systems (Intuitive Inc., CA) [18,27,36,37,[40][41][42][43], one examined Brock Rogers Surgical Laprotek System [29].…”

Section: Characteristics Of Included Articlesmentioning

confidence: 99%

RAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings

et al. 2021

View full text Add to dashboard Cite

Background Non-technical skills (NTS) are essential for safe surgical practice as they impact workflow and patient outcomes. Observational tools to measure operating room (OR) teams’ NTS have been introduced. However, there are none that account for the specific teamwork challenges introduced by robotic-assisted surgery (RAS). We set out to develop and content-validate a tool to assess multidisciplinary NTS in RAS. Methodology Stepwise, multi-method procedure. Observations in different surgical departments and a scoping literature review were first used to compile a set of RAS-specific teamwork behaviours. This list was refined and expert validated using a Delphi consensus approach consisting of qualitative interviews and a quantitative survey. Then, RAS-specific behaviours were merged with a well-established assessment tool on OR teamwork (NOTECHS II). Finally, the new tool—RAS-NOTECHS—was applied in standardized observations of real-world procedures to test its reliability (inter-rater agreement via intra-class correlations). Results Our scoping review revealed 5242 articles, of which 21 were included based on pre-established inclusion criteria. We elicited 16 RAS-specific behaviours from the literature base. These were synthesized with further 18 behavioural markers (obtained from 12 OR-observations) into a list of 26 behavioural markers. This list was reviewed by seven RAS experts and condensed to 15 expert-validated RAS-specific behavioural markers which were then merged into NOTECHS II. For five observations of urologic RAS procedures (duration: 13 h and 41 min), inter-rater agreement for identification of behavioural markers was strong. Agreement of RAS-NOTECHS scores indicated moderate to strong agreement. Conclusions RAS-NOTECHS is the first observational tool for multidisciplinary NTS in RAS. In preliminary application, it has been shown to be reliable. Since RAS is rapidly increasing and challenges for effective and safe teamwork remain at the forefront of quality and safety of surgical care, RAS-NOTECHS may contribute to training and improvement efforts in technology-facilitated surgeries.

show abstract

Clinical Issues — October 2023

Wright

2023

AORN Journal

View full text Add to dashboard Cite

THIS MONTH Pregnant personnel in the magnetic resonance environment Key words: magnetic resonance (MR), pregnant personnel, zone IV, exposure, scanner. Patients with tattoos in the magnetic resonance environment Key words: tattoo ink, permanent cosmetic tattoo, magnetic resonance (MR), scanning, burns. Robotic procedure emergency preparedness Key words: emergency readiness, conversion to open, robotic surgery, checklists, undocking. Communication during robotic procedures Key words: communication, teamwork, robotic procedures, familiarity, perioperative team.

show abstract

Operating room communication in robotic surgery: Place, modalities and evolution of a safe system of interaction

Cited by 18 publications

References 6 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

RAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings

Clinical Issues — October 2023

Contact Info

Product

Resources

About