Diagnosing barriers to safety and efficiency in robotic surgery

References

• Abboudi, H., M. S. Khan, O. Aboumarzouk, K. A. Guru, B. Challacombe, P. Dasgupta, and K. Ahmed. 2013. “Current Status of Validation for Robotic Surgery Simulators: A Systematic Review.” BJU International 111 (2): 194–205. doi:10.1111/j.1464-410X.2012.11270.x.
   PubMed Web of Science ®Google Scholar
• Adams, A., P. Lunt, and P. Cairns. 2008. “A Qualitative Approach to HCI Research.” In Research Methods for Human-Computer Interaction, edited by P. Cairns and A. Cox, 138–157. Cambridge, UK: Cambridge University Press.
   Google Scholar
• Ahmad, N., A. A. Hussein, L. Cavuoto, M. Sharif, J. C. Allers, N. Hinata, and K. A. Guru. 2016. Ambulatory Movements, Team Dynamics and Interactions during Robot-assisted Surgery. BJU International 118 (1): 132–9. doi:10.1111/bju.13426.
   Google Scholar
• Allers, J. C., A. A. Hussein, N. Ahmad, L. Cavuoto, J. F. Wing, R. M. Hayes, and K. A. Guru. 2016. “Evaluation and Impact of Workflow Interruptions during Robot-assisted Surgery.” Urology 92 : 33–7. doi:10.1016/j.urology.2016.02.040.
   PubMed Web of Science ®Google Scholar
• Blandford, A., E. Berndt, K. Catchpole, D. Furniss, A. Mayer, H. Mentis, and R. Randell. 2015. “Strategies for Conducting Situated Studies of Technology Use in Hospitals.” Cognition Technology & Work 17 (4): 489–502. doi:10.1007/s10111-014-0318-7.
   Web of Science ®Google Scholar
• Catchpole, K., and S. Russ. 2015. “The Problem with Checklists.” BMJ Quality & Safety 24 (9): 545–549. doi:10.1136/bmjqs-2015-004431.
   PubMed Web of Science ®Google Scholar
• Catchpole, K. R., A. E. Giddings, M. R. de Leval, G. J. Peek, P. J. Godden, M. Utley, and T. Dale. 2006. “Identification of Systems Failures in Successful Paediatric Cardiac Surgery.” Ergonomics 49 (5–6): 567–588.10.1080/00140130600568865
   PubMed Web of Science ®Google Scholar
• Catchpole, K. R., A. E. Giddings, M. Wilkinson, G. Hirst, T. Dale, and M. R. de Leval. 2007. “Improving Patient Safety by Identifying Latent Failures in Successful Operations.” Surgery 142 (1): 102–110.10.1016/j.surg.2007.01.033
   PubMed Web of Science ®Google Scholar
• Catchpole, K., E. Ley, D. Wiegmann, J. Blaha, D. Shouhed, A. Gangi, and B. Gewertz. 2014. “A Human Factors Subsystems Approach to Trauma Care.” JAMA Surgery 149 (9): 962–968. doi:10.1001/jamasurg.2014.1208.
   PubMed Web of Science ®Google Scholar
• Catchpole, K., C. Perkins, C. Bresee, M. J. Solnik, B. Sherman, J. Fritch, and J. T. Anger. 2015. “Safety, Efficiency and Learning Curves in Robotic Surgery: A Human Factors Analysis.” Surgical Endoscopy 30 (9): 3749–61. doi:10.1007/s00464-015-4671-2.
   PubMed Web of Science ®Google Scholar
• Deutsch, G. B., S. A. Sathyanarayana, V. Gunabushanam, N. Mishra, E. Rubach, H. Zemon, and G. DeNoto, III. 2012. “Robotic Vs. Laparoscopic Colorectal Surgery: An Institutional Experience.” Surgical Endoscopy and Other Interventional Techniques 26 (4): 956–963. doi:10.1007/s00464-011-1977-6.
   PubMed Web of Science ®Google Scholar
• Dixon-Woods, M., S. McNicol, and G. Martin. 2012. “Ten Challenges in Improving Quality in Healthcare: Lessons from the Health Foundation’s Programme Evaluations and Relevant Literature.” BMJ Quality & Safety 21 (10): 876–884. doi:10.1136/bmjqs-2011-000760.
   PubMed Web of Science ®Google Scholar
• Guerlain, S., R. B. Adams, F. B. Turrentine, T. Shin, H. Guo, S. R. Collins, and J. F. Calland. 2005. “Assessing Team Performance in the Operating Room: Development and Use of a ‘Black-box’ Recorder and Other Tools for the Intraoperative Environment.” The Journal of the American College of Surgeons 200 (1): 29–37.
   PubMed Web of Science ®Google Scholar
• Gurses, A. P., G. Kim, E. A. Martinez, J. Marsteller, L. Bauer, L. H. Lubomski, and D. Thompson. 2012. “Identifying and Categorising Patient Safety Hazards in Cardiovascular Operating Rooms Using an Interdisciplinary Approach: A Multisite Study.” BMJ Quality & Safety 21 (10): 810–818. doi:10.1136/bmjqs-2011-000625.
   PubMed Web of Science ®Google Scholar
• Henrickson, S. E., R. K. Wadhera, A. W. ElBardissi, D. A. Wiegmann, and T. M. Sundt. 2009. “Development and Pilot Evaluation of a Preoperative Briefing Protocol for Cardiovascular Surgery.” Journal of the American College of Surgeons 208 (6): 1115–1123.10.1016/j.jamcollsurg.2009.01.037
   PubMed Web of Science ®Google Scholar
• Hignett, S., E. L. Jones, D. Miller, L. Wolf, C. Modi, M. W. Shahzad, and K. Catchpole. 2015. “Human Factors and Ergonomics and Quality Improvement Science: Integrating Approaches for Safety in Healthcare.” BMJ Quality & Safety 24 (4): 250–254. doi:10.1136/bmjqs-2014-003623.
   PubMed Web of Science ®Google Scholar
• Jain, M., B. T. Fry, L. W. Hess, J. T. Anger, B. L. Gewertz, and K. Catchpole. 2016. “Barriers to Efficiency in Robotic Surgery: The Resident Effect.” Journal of Surgical Research 205 (2): 296–304. doi:10.1016/j.jss.2016.06.092.
   PubMed Web of Science ®Google Scholar
• Kapur, N., A. Parand, T. Soukup, T. Reader, and N. Sevdalis. 2016. “Aviation and Healthcare: A Comparative Review with Implications for Patient Safety.” JRSM Open 7 (1): 2054270415616548. doi:10.1177/2054270415616548.
   Google Scholar
• Kelly, D. C., A. C. Margules, C. R. Kundavaram, H. Narins, L. G. Gomella, E. J. Trabulsi, and C. D. Lallas. 2012. “Face, Content, and Construct Validation of the Da Vinci Skills Simulator.” Urology 79 (5): 1068–1072. doi:10.1016/j.urology.2012.01.028.
   PubMed Web of Science ®Google Scholar
• de Leval, M. R., J. Carthey, D. J. Wright, and J. T. Reason. 2000. “Human Factors and Cardiac Surgery: A Multicenter Study.” Journal of Thoracic and Cardiovascular Surgery 119 (4): 661–672.10.1016/S0022-5223(00)70006-7
   PubMed Web of Science ®Google Scholar
• Lucas, S. M., E. A. Pattison, and C. P. Sundaram. 2012. “Global Robotic Experience and the Type of Surgical System Impact the Types of Robotic Malfunctions and Their Clinical Consequences: An FDA MAUDE Review.” BJU International 109 (8): 1222–1227. discussion 1227. doi:10.1111/j.1464-410X.2011.10692.x.
   PubMed Web of Science ®Google Scholar
• McCulloch, P., L. Morgan, S. New, K. Catchpole, E. Roberston, M. Hadi, and D. Griffin. 2017. “Combining Systems and Teamwork Approaches to Enhance the Effectiveness of Safety Improvement Interventions in Surgery: The Safer Delivery of Surgical Services (S3) Program.” The Annals of Surgery 265 (1): 90–96. doi:10.1097/SLA.0000000000001589.
   PubMed Web of Science ®Google Scholar
• Mishra, A., K. Catchpole, T. Dale, and P. McCulloch. 2008. “The Influence of Non-Technical Performance on Technical Outcome in Laparoscopic Cholecystectomy.” Surgical Endoscopy and Other Interventional Techniques 22 (1): 68–73. doi:10.1007/s00464-007-9346-1.
   PubMed Web of Science ®Google Scholar
• Morgan, L., M. Hadi, S. Pickering, E. Robertson, D. Griffin, G. Collins, and S. New. 2015a. “The Effect of Teamwork Training on Team Performance and Clinical Outcome in Elective Orthopaedic Surgery: A Controlled Interrupted Time Series Study.” BMJ Open 5 (4): e006216. doi:10.1136/bmjopen-2014-006216.
   PubMed Web of Science ®Google Scholar
• Morgan, L., S. P. Pickering, M. Hadi, E. Robertson, S. New, D. Griffin, and P. McCulloch. 2015b. “A Combined Teamwork Training and Work Standardisation Intervention in Operating Theatres: Controlled Interrupted Time Series Study.” BMJ Quality & Safety 24 (2): 111–119. doi:10.1136/bmjqs-2014-003204.
   PubMed Web of Science ®Google Scholar
• Nyssen, A.-S., and A. Blavier. 2015. “Investigating Expertise, Flexibility and Resilience in Socio-technical Environments: A Case Study in Robotic Surgery.” In Resilient Health Care, edited by E. Hollnagel, J. Braithwaite, and R. L. Wears, 97–100. Farnham: Ashgate.
   Google Scholar
• Paraiso, M. F. R., J. E. Jelovsek, A. Frick, C. C. G. Chen, and M. D. Barber. 2011. “Laparoscopic Compared with Robotic Sacrocolpopexy for Vaginal Prolapse: A Randomized Controlled Trial.” Obstetrics & Gynecology 118 (5): 1005–1013. doi:10.1097/AOG.0b013e318231537c.
   PubMed Web of Science ®Google Scholar
• Randell, R., S. Honey, N. Alvarado, A. Pearman, J. Greenhalgh, A. Long, and D. Dowding. 2016. “Embedding Robotic Surgery into Routine Practice and Impacts on Communication and Decision Making: A Review of the Experience of Surgical Teams.” Cognition, Technology & Work 18 (2): 423–437. doi:10.1007/s10111-016-0368-0.
   Web of Science ®Google Scholar
• Robertson, E. R., M. Hadi, L. J. Morgan, S. P. Pickering, G. Collins, S. New, and K. C. Catchpole. 2014. “Oxford NOTECHS II: A Modified Theatre Team Non-technical Skills Scoring System.” Plos One 9 (3): e90320. doi:10.1371/journal.pone.0090320.
   Web of Science ®Google Scholar
• Shouhed, D., K. Catchpole, E. J. Ley, J. Blaha, R. C. Blocker, S. Duff, and D. Wiegmann. 2012. “Flow Disruptions during Trauma Care.” Journal of the American College of Surgeons 215 (3): S99–S100.10.1016/j.jamcollsurg.2012.06.265
   Web of Science ®Google Scholar
• Tang, B., G. B. Hanna, N. M. Bax, and A. Cuschieri. 2004. “Analysis of Technical Surgical Errors during Initial Experience of Laparoscopic Pyloromyotomy by a Group of Dutch Pediatric Surgeons.” Surgical Endoscopy 18 (12): 1716–1720.10.1007/s00464-004-8100-1
   PubMed Web of Science ®Google Scholar
• Tiferes, J., A. A. Hussein, A. Bisantz, J. D. Kozlowski, M. A. Sharif, N. M. Winder, and K. A. Guru. 2016. “The Loud Surgeon behind the Console: Understanding Team Activities during Robot-Assisted Surgery.” Journal of Surgical Education 73 (3): 504–512. doi:10.1016/j.jsurg.2015.12.009.
   PubMed Web of Science ®Google Scholar
• Wiegmann, D. A., A. W. ElBardissi, J. A. Dearani, R. C. Daly, and T. M. Sundt. 2007. “Disruptions in Surgical Flow and Their Relationship to Surgical Errors: An Exploratory Investigation.” Surgery 142 (5): 658–665.10.1016/j.surg.2007.07.034
   PubMed Web of Science ®Google Scholar
• Xiao, T., P. Sanderson, S. Clayton, and B. Venkatesh. 2010. “The ETTO Principle and Organisational Strategies: A Field Study of ICU Bed and Staff Management.” Cognition Technology & Work 12 (2): 143–152. doi:10.1007/s10111-010-0147-2.
   Web of Science ®Google Scholar