The Value of Open Conversion Simulations During Robot-Assisted Radical Prostatectomy: Implications for Robotic Training Curricula

Zattoni, Fabio; Guttilla, Andrea; Crestani, Alessandro; Gobbi, Alberto De; Cattaneo, Francesca; Moschini, Marco; Vianello, Fábio; Valotto, Claudio; Moro, Fabrizio; Zattoni, Filiberto

doi:10.1089/end.2015.0435

Cited by 17 publications

(13 citation statements)

References 12 publications

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“…Given the level of input and organisation involved, this is perhaps worth dedicating a weekend or evening session to gain maximum benefit. Zattoni et al (2015) advocates repeated simulation scenarios which also promotes the dedication of a proper length of time to this.…”

Section: Discussionmentioning

confidence: 99%

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How can the presence of a surgical care practitioner improve training for staff who are learning how to scrub for robotics cases in a urology theatre?

Barry

2018

Journal of Perioperative Practice

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Aim This study examines how a surgical care practitioner can contribute to the learning needs of junior scrub staff learning to scrub for urological robotics cases. Key themes include education, technical training, non-technical skills, patient safety and the specialist practitioner as educator. Methods Data collection was via an online survey, distributed by a gatekeeper to 13 participants. These were junior scrub practitioners who had completed their robotic rotation. Results A 62% response rate was achieved. The majority of respondents indicated that there was a difference in interactions when a surgical care practitioner was assisting compared to a surgical trainee. Half of the respondents felt more confident when the surgical care practitioner was assisting. Conclusions A range of approaches were proposed for how the surgical care practitioner could enhance learning. Structured input is likely to be more appropriate to avoid the surgical care practitioner being distracted from their own duties whilst assisting. There is scope for further research.

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Section: Discussionmentioning

confidence: 99%

“…Zattoni et al (2015) examined the value of simulations in relation to the conversion from robotic to open procedures. Such events are rare and potentially complex so simulation can be used to improve technical and non-technical skills and reduce adverse patient outcomes.…”

Section: Literature Reviewmentioning

confidence: 99%

How can the presence of a surgical care practitioner improve training for staff who are learning how to scrub for robotics cases in a urology theatre?

Barry

2018

Journal of Perioperative Practice

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“…Do we need specialized teams, trained in open surgery to intervene in case of problems? 39 A dramatic situation that has to be managed is, if machines make fatal errors, e.g., system breakdowns, 35,40 operating crews could be completely blocked, and patients could be in great danger. In this case, all staff should be able to react by dedocking of robots and continue and finish the operation using conventional operating techniques, 23 • Is it promising to work with robotic systems as training partners or as educational tools 36 in a more controlled context?…”

Section: The Surgical Viewpointmentioning

confidence: 99%

Robotic Systems in Operating Theaters: New Forms of Team–Machine Interaction in Health Care

et al. 2019

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Background Health information systems have developed rapidly and considerably during the last decades, taking advantage of many new technologies. Robots used in operating theaters represent an exceptional example of this trend. Yet, the more these systems are designed to act autonomously and intelligently, the more complex and ethical questions arise about serious implications of how future hybrid clinical team–machine interactions ought to be envisioned, in situations where actions and their decision-making are continuously shared between humans and machines. Objectives To discuss the many different viewpoints—from surgery, robotics, medical informatics, law, and ethics—that the challenges of novel team–machine interactions raise, together with potential consequences for health information systems, in particular on how to adequately consider what hybrid actions can be specified, and in which sense these do imply a sharing of autonomous decisions between (teams of) humans and machines, with robotic systems in operating theaters as an example. Results Team–machine interaction and hybrid action of humans and intelligent machines, as is now becoming feasible, will lead to fundamental changes in a wide range of applications, not only in the context of robotic systems in surgical operating theaters. Collaboration of surgical teams in operating theaters as well as the roles, competencies, and responsibilities of humans (health care professionals) and machines (robotic systems) need to be reconsidered. Hospital information systems will in future not only have humans as users, but also provide the ground for actions of intelligent machines. Conclusions The expected significant changes in the relationship of humans and machines can only be appropriately analyzed and considered by inter- and multidisciplinary collaboration. Fundamentally new approaches are needed to construct the reasonable concepts surrounding hybrid action that will take into account the ascription of responsibility to the radically different types of human versus nonhuman intelligent agents involved.

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“…An important aspect mentioned (A8, A9 and A13) is the efficient flow inside the operating room, as this is crucial for patient safety (21,(25)(26) . Evidence-based studies are necessary to face modern challenges related to equipment that increase access, workflow efficiency and patient safety (26) .…”

Section: Transoperative/intraoperativementioning

confidence: 99%

“…The biggest mistakes during this process are in the conflict of space and in the lack of protocol with a sequence of tasks. To adequate these conversions, repeated simulations, increased leadership, delimitation of the roles of each member of the team and reorganization of the surgical room are necessary (25) . It is important that each staff member know their role for a possible emergency and the responsibility of each one in robotic surgeries (21).…”

Section: Transoperative/intraoperativementioning

confidence: 99%

Nursing performance in robotic surgeries: integrative review

et al. 2019

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Objective:To know the scientific production on the performance of the nursing staff in robotic surgeries, identifying the role of the nurse in the three perioperative periods. selected articles met the inclusion criteria. Results: Most articles were published in foreign journals in English, nine in the United States, classified with evidence level of 4 and 5. The role of nursing in the perioperative period was identified, related mainly to patient safety. The most mentioned perioperative period in the articles was the intraoperative, with greater concern in the positioning of the patient. Conclusion: The nursing performance and patient safety in robotic surgeries are similar to the ones in major surgeries, requiring from the patient a specific knowledge on the setting and preparation of the robot.

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The Value of Open Conversion Simulations During Robot-Assisted Radical Prostatectomy: Implications for Robotic Training Curricula

Cited by 17 publications

References 12 publications

How can the presence of a surgical care practitioner improve training for staff who are learning how to scrub for robotics cases in a urology theatre?

How can the presence of a surgical care practitioner improve training for staff who are learning how to scrub for robotics cases in a urology theatre?

Robotic Systems in Operating Theaters: New Forms of Team–Machine Interaction in Health Care

Nursing performance in robotic surgeries: integrative review

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