The Impact of Robotic-Assisted Surgery on Team Performance: A Systematic Mixed Studies Review

Loading...
Thumbnail Image
File version
Version of Record (VoR)
Author(s)
Gillespie, Brigid M
Gillespie, Joseph
Boorman, Rhonda J
Granqvist, Karin
Stranne, Johan
Erichsen-Andersson, Annette
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2020
Size
File type(s)
Location
License
Abstract

Objective: The aim of this study is to describe the impact of robotic-assisted surgery on team performance in the operating room. Background: The introduction of surgical robots has improved the technical performance of surgical procedures but has also contributed to unexpected interactions in surgical teams, leading to new types of errors. Method: A systematic literature search of Cumulative Index to Nursing and Allied Health Literature, PubMed, ProQuest, Cochrane, Web of Science, PsycINFO, and Scopus databases using key words and MeSH terms was conducted. Screening identified studies employing qualitative and quantitative methods published between January 2000 and September 2019. Two reviewers independently appraised the methodological quality of the articles using the Mixed Methods Appraisal Tool (2018). Discussions were held among authors to examine quality scores of the studies and emergent themes, and agreement was reached through consensus. Themes were derived using inductive content analysis. Results: Combined searches identified 1,065 citations. Of these, 19 articles, 16 quantitative and 3 qualitative, were included. Robotic-assisted surgeries included urology, gynecology, cardiac, and general procedures involving surgeons, anesthetists, nurses, and technicians. Three themes emerged: Negotiating the altered physical environs and adapting team communications to manage task and technology; managing the robotic system to optimize workflow efficiency; and technical proficiency depends on experience, team familiarity, and case complexity. Conclusion: Inclusion of a robot as a team member adds further complexity to the work of surgery. Application: These review findings will inform training programs specifically designed to optimize teamwork, workflow efficiency, and learning needs.

Journal Title
Human Factors
Conference Title
Book Title
Edition
Volume
Issue
Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Gillespie, BM; Gillespie, J; Boorman, RJ; Granqvist, K; Stranne, J; Erichsen-Andersson, A, The Impact of Robotic-Assisted Surgery on Team Performance: A Systematic Mixed Studies Review, Human Factors. Copyright 2020The Authors. Reprinted by permission of SAGE Publications.
Rights Statement
Item Access Status
Note
This publication has been entered in Griffith Research Online as an advanced online version.
Access the data
Related item(s)
Subject
Psychology
Cognitive and computational psychology
ergonomics
nontechnical skills
operating room
patient safety
workflow
Persistent link to this record
Citation
Gillespie, BM; Gillespie, J; Boorman, RJ; Granqvist, K; Stranne, J; Erichsen-Andersson, A, The Impact of Robotic-Assisted Surgery on Team Performance: A Systematic Mixed Studies Review, Human Factors, 2020
Collections