Resilience through interpretive practice – A study of robotic surgery

Wahlström, Mikael; Seppänen, Laura; Norros, Leena; Aaltonen, Iina; Riikonen, Jarno

doi:10.1016/j.ssci.2018.04.010

Cited by 19 publications

(27 citation statements)

References 25 publications

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“…This core‐task analysis and ethnography have been reported upon in full by us elsewhere . In summary, the key challenges in robotic prostatectomy pertain to (1) decision‐making : determining what is best for the patient during the operation involves uncertainty arising from the enormous complexity of the human body and the lack of full scientific consensus on certain issues (e.g., the location and importance of certain nerve bundles); (2) navigation : ‘travelling’ within the patient involves landscape‐making (that is, the way in which the route within the patient is initially ‘opened’ influences later stages of the operation); and (3) object recognition : differentiating organs and tissue types from one another requires various pulling, poking and pushing techniques, coupled with consideration of various colours and forms and of the dynamic response to palpation, in the absence of haptic feedback.…”

Section: Methodsmentioning

confidence: 99%

Envisioning robotic surgery: Surgeons' needs and views on interacting with future technologies and interfaces

Aaltonen

Wahlström

2018

Int J Med Robotics Comput Assist Surg

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Section: Methodsmentioning

confidence: 99%

Envisioning robotic surgery: Surgeons' needs and views on interacting with future technologies and interfaces

Aaltonen

Wahlström

2018

Int J Med Robotics Comput Assist Surg

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“…The methods used to study RHC varied in the studies: seven were qualitative [29,30,27,28,23,24,31], and four used mixed methods [22,21,25,26]. The methods used in the studies published in books, however, were mainly qualitative [32-34, 36, 37, 39-43, 45-47, 35] except two studies that used mixed methods [38,44].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Studies reported in peer-reviewed journals were mostly conducted in developed countries: the United Kingdom [27-29, 25, 24], the United States of America [21,23], Finland [31] and Israel [26]. Two studies were conducted in developing countries: Brazil [30] and South Africa [22].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Experienced health care professionals may teach novices how the health care system works and how to perform work. Managing different situations and cases will provide health care professionals with knowledge and experience that allows development of the resilient behaviours of anticipating, learning, monitoring and responding when facing similar situations [29,31,33,40,45]. Another example to build resilience is in-situ simulation training and debriefings, which provide opportunities for experts and novices to understand practice and adapt to routine and unexpected situations [24,40,41,47].…”

Section: Quasi Modelsmentioning

confidence: 99%

“…The researcher cannot "see" attitudes and memories, and so it can be difficult to create an accurate analysis from observation alone. One study used selfconfrontation video sessions in which the surgeons were encouraged to explain what took place while they were conducting surgery [31]. To understand in situ practices, describe the complexity of health care, model and test specific kinds of recommendations to improve safety and resilience, more innovative approaches should be used to explore WAD in situ from the perspective of frontline practitioners.…”

Section: Rhcmentioning

confidence: 99%

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Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

Iflaifel

Lim

Ryan

et al. 2019

Preprint

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Background Traditional approaches to safety management in health care have focused primarily on counting errors and understanding how things go wrong. Resilient Health Care (RHC) provides an alternative complementary perspective of learning from incidents and understanding how, most of the time, work is safe. The aim of this review was to identify how RHC was conceptualised, described and interpreted, to describe the methods used to study, and to identify factors that develop RHC. Methods Electronic searches of PubMed, Scopus and Cochrane databases were performed to identify relevant peer-reviewed studies, and a hand search for studies published in books that explained how RHC as a concept was interpreted, methods used to study, and factors to develop RHC. Studies were evaluated independently by two researchers. Data was synthesised using a deductive thematic approach. Results Twenty-seven studies were included; they shared similar descriptions of RHC which was the ability to adjust its functioning prior to, during, or following events and thereby sustain required operations under both expected and unexpected conditions. Qualitative methods such as observations and interviews were used to study RHC. Models for studying RHC currently exist and were in the early stages of implementation. Effective team relationships, trade-offs and healthcare ‘resilience’ training of health care professionals were factors used to develop RHC. Conclusions Although there was consistency in the conceptualisation of RHC, methods used to study and factors to develop RHC, further research should focus on operationalising RHC assessment methods and developing, testing and evaluating interventions for developing RHC.

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A Review on the Form and Complexity of Human–Robot Interaction in the Evolution of Autonomous Surgery

Liu,

Wang,

Wong

et al. 2024

Advanced Intelligent Systems

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As robotics and intelligence increasingly integrate into surgery, the pivotal role of human–robot interaction (HRI) in surgical procedures and outcomes becomes evident. However, debate rages over whether increasing robot autonomy will result in less human involvement. Some scholars assert that autonomy will reduce human participation, whereas others contend it will result in more complex interactions. To reveal the role of HRI in the evolution of autonomous surgery, this review systematically explores the HRI of robotic surgery with various levels of autonomy. The HRI is examined from both robotic science and clinical practice perspectives, incorporating relevant case studies. Two key components, intention detection and situation awareness, are especially concerned with a brief description of the interfaces and control strategies they rely on. Additional insights are drawn from analogous technologies in aviation, industrial robotics, and autonomous vehicles. The analysis suggests that HRI complexity tends to increase as the robot transitions from no autonomy to conditional autonomy and is predicted to subsequently decrease with a substantial shift in the interaction form when moving toward full autonomy. It is concluded by highlighting challenges from technical and clinical perspectives and delineating research trends in this rapidly evolving field.

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Resilience through interpretive practice – A study of robotic surgery

Cited by 19 publications

References 25 publications

Envisioning robotic surgery: Surgeons' needs and views on interacting with future technologies and interfaces

Envisioning robotic surgery: Surgeons' needs and views on interacting with future technologies and interfaces

Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience.

A Review on the Form and Complexity of Human–Robot Interaction in the Evolution of Autonomous Surgery

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