Ambulatory movements, team dynamics and interactions during robot-assisted surgery

BJU International
Nabeeha AhmadKhurshid A Guru

Abstract

To analyse ambulatory movements and team dynamics during robot-assisted surgery (RAS), and to investigate whether congestion of the physical space associated with robotic technology led to workflow challenges or predisposed to errors and adverse events. With institutional review board approval, we retrospectively reviewed 10 recorded robot-assisted radical prostatectomies in a single operating room (OR). The OR was divided into eight zones, and all movements were tracked and described in terms of start and end zones, duration, personnel and purpose. Movements were further classified into avoidable (can be eliminated/improved) and unavoidable (necessary for completion of the procedure). The mean operating time was 166 min, of which ambulation constituted 27 min (16%). A total of 2 896 ambulatory movements were identified (mean: 290 ambulatory movements/procedure). Most of the movements were procedure-related (31%), and were performed by the circulating nurse. We identified 11 main pathways in the OR; the heaviest traffic was between the circulating nurse zone, transit zone and supply-1 zone. A total of 50% of ambulatory movements were found to be avoidable. More than half of the movements during RAS can be eliminated with an imp...Continue Reading

References

Dec 1, 1996·Human Factors·R I Cook, D D Woods
Mar 17, 2000·BMJ : British Medical Journal·J Reason
Mar 25, 2000·The Journal of Thoracic and Cardiovascular Surgery·M R de LevalJ T Reason
Jun 16, 2000·The Western Journal of Medicine·J Reason
Feb 26, 2004·Anesthesia and Analgesia·Mats K E B Wallin, Samson Wajntraub
Feb 4, 2006·Surgery·Caprice K ChristianMeghan M Dierks
Jan 27, 2010·Interactive Cardiovascular and Thoracic Surgery·Richard S Young, David J O'Regan
Jan 25, 2012·The Surgical Clinics of North America·Andrew W ElBardissi, Thoralf M Sundt
Dec 19, 2012·Archives of Surgery·Daniel ShouhedKen Catchpole

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Citations

Mar 12, 2016·Urology·Jenna C AllersKhurshid A Guru
Sep 25, 2016·The Journal of Surgical Research·Monica JainKen Catchpole
Mar 9, 2017·Ergonomics·Ken R CatchpoleJennifer T Anger
Apr 13, 2018·Minerva anestesiologica·Antonio CorcioneUNKNOWN Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI) and Società Italiana di Chirurgia (SIC)
Jul 3, 2020·Human Factors·Brigid M GillespieAnnette Erichsen-Andersson
Jan 29, 2017·The Journal of Urology
Jul 4, 2019·Revista brasileira de enfermagem·Raísha Costa MartinsRita Catalina Aquino Caregnato
Dec 4, 2020·The Journal of Hospital Infection·M F KingC J Noakes
Jan 21, 2021·Surgical Endoscopy·Lucy CofranKen Catchpole
Jan 8, 2021·Applied Ergonomics·Sara Bayramzadeh, Parsa Aghaei
Nov 9, 2020·British Journal of Anaesthesia·Katherina A JurewiczJames H Abernathy
Jun 6, 2018·Applied Ergonomics·Sara BayramzadehUNKNOWN RIPCHD.OR Study Group
Aug 8, 2021·International Journal of Environmental Research and Public Health·Falisha KanjiKen Catchpole
Mar 17, 2020·Journal of Patient Safety·Kevin TaaffeUNKNOWN RIPCHD.OR Study Group

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