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

World Journal of Surgery
Jeannette WeberMatthias Weigl

Abstract

Robotic systems introduced new surgical and technical demands. Surgical flow disruptions are critical for maintaining operating room (OR) teamwork and patient safety. Specifically for robotic surgery, effects of intra-operative disruptive events for OR professionals' workload, stress, and performance have not been investigated yet. This study aimed to identify flow disruptions and assess their association with mental workload and performance during robotic-assisted surgery. Structured expert-observations to identify different disruption types during 40 robotic-assisted radical prostatectomies were conducted. Additionally, 216 postoperative reports on mental workload (mental demands, situational stress, and distractions) and performance of all OR professionals were collected. On average 15.8 flow disruptions per hour were observed with the highest rate after abdominal insufflation and before console time. People entering the OR caused most flow disruptions. Disruptions due to equipment showed the highest severity of interruption. Workload significantly correlated with severity of disruptions due to coordination and communication. Flow disruptions occur frequently and are associated with increased workload. Therefore, strategies ...Continue Reading

References

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Citations

Jul 3, 2020·Human Factors·Brigid M GillespieAnnette Erichsen-Andersson
Jan 21, 2021·Surgical Endoscopy·Lucy CofranKen Catchpole
Mar 21, 2020·Resuscitation·Heidi M HerrickElizabeth E Foglia
Feb 23, 2021·The Journal of Surgical Research·Wiem AouichaManel Mallouli
Apr 16, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ryan D McmullanJohanna I Westbrook
Nov 11, 2019·The Journal of Surgical Research·Maxime BretonnierLaurent Riffaud

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