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Open AccessThe impact of resident training on robotic operative times: is there a July Effect?
It is unknown whether the July Effect (a theory that medical errors and organizational inefficiencies increase during the influx of new surgical residents) exists in urologic robotic-assisted surgery. The aim ...
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Article
Open AccessHealthcare team resilience during COVID-19: a qualitative study
Resilience, in the field of Resilience Engineering, has been identified as the ability to maintain the safety and the performance of healthcare systems and is aligned with the resilience potentials of anticipa...
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Article
Author Correction: The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring
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The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring
The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot’s development is challenging due...
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Article
Open AccessAssociations of flow disruptions with patient, staff, and process outcomes: a prospective observational study of robotic-assisted radical prostatectomies
Technological advancements in the operating room (OR) have sparked new challenges for surgical workflow, OR professionals, and patient safety. Disruptive events are frequent across all surgical specialties, bu...
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Article
Identifying Workflow Disruptions in Robotic-Assisted Bariatric Surgery: Elucidating Challenges Experienced by Surgical Teams
Bariatric surgery is an effective and durable treatment for weight loss for patients with extreme obesity. Although traditionally approached laparoscopically, robotic bariatric surgery (RBS) has unique benefi...
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Teamwork and Trust for Patient Safety
Teamwork is crucial for success in the high risk, complex and dynamic environment of acute care. A single patient’s care will involve various professionals of differing backgrounds, specialties, experience, an...
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Addressing misconceptions of flow disruption studies in “Is non-stop always better? Examining assumptions behind the concept of flow disruptions in studies of robot-assisted surgery”
This letter to the editor provides a response to “Is non-stop always better? Examining assumptions behind the concept of flow disruptions in studies of robot-assisted surgery.” The authors provide much needed ...
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Open AccessRAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings
Non-technical skills (NTS) are essential for safe surgical practice as they impact workflow and patient outcomes. Observational tools to measure operating room (OR) teams’ NTS have been introduced. However, th...
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Article
Barriers to safety and efficiency in robotic surgery docking
The introduction of new technology into the operating room (OR) can be beneficial for patients, but can also create new problems and complexities for physicians and staff. The observation of flow disruptions (...
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Work-system interventions in robotic-assisted surgery: a systematic review exploring the gap between challenges and solutions
The introduction of a robot into the surgical suite changes the dynamics of the work-system, creating new opportunities for both success and failure. An extensive amount of research has identified a range of b...
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Flow disruptions in robotic-assisted abdominal sacrocolpopexy: does robotic surgery introduce unforeseen challenges for gynecologic surgeons?
The purpose of this study was to apply a human factors research approach to identify flow disruptions, deviations in the optimal course of care, in robotic abdominal sacrocolpopexy procedures with the ultimate...
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Effects of Flow Disruptions on Mental Workload and Surgical Performance in Robotic-Assisted Surgery
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 ...
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Safety, efficiency and learning curves in robotic surgery: a human factors analysis
Expense, efficiency of use, learning curves, workflow integration and an increased prevalence of serious incidents can all be barriers to adoption. We explored an observational approach and initial diagnostics...
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Intra-operative disruptions, surgeon’s mental workload, and technical performance in a full-scale simulated procedure
Surgical flow disruptions occur frequently and jeopardize perioperative care and surgical performance. So far, insights into subjective and cognitive implications of intra-operative disruptions for surgeons an...
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Open AccessStrategies for conducting situated studies of technology use in hospitals
Ethnographic methods are widely used for understanding situated practices with technology. When authors present their data gathering methods, they almost invariably focus on the bare essentials. These enable t...
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Open AccessA three-dimensional model of error and safety in surgical health care microsystems. Rationale, development and initial testing
Research estimates of inadvertent harm to patients undergoing modern healthcare demonstrate a serious problem. Much attention has been paid to analysis of the causes of error and harm, but researchers have typ...
