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Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS)

高技术手术中的人为因素和系统集成 (HF-SIgHTS)

基本信息

批准号：
10448248
负责人：
Jennifer Tash Anger
金额：
$ 40万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-30 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10448248
关键词：
Human Factors Systems Integration Technology

项目摘要

PROJECT SUMMARY Surgery remains a high-risk endeavor, with upwards of 4000 “never” events per year, and multiple additional opportunities for accidental injuries. Though new surgical technologies are intended to benefit patients, they can introduce unexpected new complexities and error modes for which operating room (OR) teams and host organizations may be unprepared. One of the most ubiquitous exemplars of high-technology surgery is robotic assisted surgery (RAS), which has demonstrated benefit, but also introduces a range of new challenges that place additional stresses on communication, technical and procedural knowledge within the team, and the available space in the operating room. We will evaluate multiple interventions to address these specific challenges, testing new approaches to teamwork training, task design, and workspace management both individually and in combination, at 4 different hospital sites. The effects will be evaluated at individual (use of intervention; workload), process (surgical durations and disruptions) and systems (complications and safety culture) levels. Qualitative interviews and observations will be used to understand the implementation and spread of the interventions. Finally, data from the 680 planned surgical observations – the largest direct observation study ever conducted – will be used to model accident causation by exploring the mechanism by which small innocuous process problems concatenate into more serious risks and eventual injuries. This will fundamentally improve our understanding of how innovative surgical technologies can be safely deployed and integrated within complex clinical work systems.

项目摘要手术仍然是一项高风险的奋进，每年有超过4000起“从不”事件，意外伤害的机会。虽然新的外科技术旨在使患者受益，可能会引入意想不到的新的复杂性和错误模式，组织可能没有准备。高科技手术最普遍的例子之一是机器人辅助手术（RAS），这已经证明了好处，但也引入了一系列新的挑战，在团队中额外强调沟通、技术和程序知识，手术室的可用空间。我们将评估多种干预措施，以解决这些具体问题，挑战，测试团队合作培训，任务设计和工作空间管理的新方法，在4个不同的医院地点单独和联合使用。将对个人进行效果评估（使用干预;工作量）、过程（手术持续时间和中断）和系统（并发症和安全性文化）水平。定性访谈和观察将用于了解执行情况，干预措施的传播。最后，来自680例计划手术观察的数据-最大的直接进行的观察研究-将用于通过探索机制来模拟事故原因，这些小的无害的过程问题会串联成更严重的风险和最终的伤害。这将从根本上提高我们对创新手术技术如何安全部署的理解，整合在复杂的临床工作系统中。

项目成果

期刊论文数量（13）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The Application of Human Factors Engineering to Reduce Operating Room Turnover in Robotic Surgery.

人因工程学在机器人手术中应用减少手术室周转率。

DOI：
10.1007/s00268-022-06487-z
发表时间：
2022
期刊：
World journal of surgery
影响因子：
2.6
作者：
Cohen,TaraN;Anger,JenniferT;Shamash,Kevin;Catchpole,KennethR;Avenido,Raymund;Ley,EricJ;Gewertz,BruceL;Shouhed,Daniel
通讯作者：
Shouhed,Daniel

Using Flow Disruptions to Examine System Safety in Robotic-Assisted Surgery: Protocol for a Stepped Wedge Crossover Design.

DOI：
10.2196/25284
发表时间：
2021-02-09
期刊：
JMIR research protocols
影响因子：
1.7
作者：
Alfred MC;Cohen TN;Cohen KA;Kanji FF;Choi E;Del Gaizo J;Nemeth LS;Alekseyenko AV;Shouhed D;Savage SJ;Anger JT;Catchpole K
通讯作者：
Catchpole K

Associations of flow disruptions with patient, staff, and process outcomes: a prospective observational study of robotic-assisted radical prostatectomies.