Evaluation and Impact of Workflow Interruptions During Robot-assisted Surgery
Evaluation and Impact of Workflow Interruptions During Robot-assisted Surgery
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DOI：
10.1016/j.urology.2016.02.040
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发表时间：
2016-06-01
期刊：
影响因子：
2.1
通讯作者：
Guru, Khurshid A.
中科院分区：
文献类型：
--
作者：
Allers, Jenna C.;Hussein, Ahmed A.;Guru, Khurshid A.
目的 对机器人辅助手术过程中中断的原因进行分析和分类。方法我们分析了 2014 年 10 月至 2015 年 6 月期间由 3 名外科医生进行的 10 例机器人辅助前列腺切除术。手术中断的定义包括持续时间、手术阶段、涉及人员、原因以及中断对手术流程的影响。结果中断的主要原因包括：控制台外科医生更换（29%）；准备手术设备，例如清洁或更换相机（29%）或器械（27%）；或者需要缝合线、订书机或夹子时（12%）。最常见的中断时间为 10-29 秒（47.6%），最不常见的中断时间为 90 秒以上（3.6%）。此外，大约 14% 的中断被认为是可以避免的，而其余 86% 的中断是手术所必需的。 结论 通过识别和分析中断，我们可以制定基于证据的策略来提高手术室效率、降低成本并提高患者安全。 (C) 2016 爱思唯尔公司
OBJECTIVE To analyze and categorize causes for interruptions during robot-assisted surgery.METHODS We analyzed 10 robot-assisted prostatectomies that were performed by 3 surgeons from October 2014 to June 2015. Interruptions to surgery were defined in terms of duration, stage of surgery, personnel involved, reasons, and impact of the interruption on the surgical workflow.RESULTS The main reasons for interruptions included the following: console surgeons switching (29%); preparation of the surgical equipment, such as cleaning or changing the camera (29%) or an instrument (27%); or when a suture, stapler, or clip was needed (12%). The most common interruption duration was 10-29 seconds (47.6%), and the least common interruption duration was greater than 90 seconds (3.6%). Additionally, about 14% of the interruptions were considered avoidable, whereas the remaining 86% of interruptions were necessary for surgery.CONCLUSION By identifying and analyzing interruptions, we can develop evidence-based strategies to improve operating room efficiency, lower costs, and advance patient safety. (C) 2016 Elsevier Inc.