Teamwork enables remote surgical control and a new model for a surgical system emerges

Cognition, Technology and Work

Volumn 11, Issue 4, 2009, Pages 255-265

  Healey, Andrew N ^a   Benn, Jonathan ^b  

^a Human Factors   (United Kingdom)

^b IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

Ergonomics, joint cognitive systems; Operating room theatre, mediation, teleoperation; Robotics; Surgery; Team; Teamwork

Indexed keywords

HUMAN MACHINE INTERFACE; INVASIVENESS; JOINT COGNITIVE SYSTEMS; NEW MODEL; OPERATING ROOM/THEATRE, MEDIATION, TELEOPERATION; ROBOT-ASSISTED SURGERY; SURGICAL INTERVENTIONS; SURGICAL OPERATION; SURGICAL SYSTEMS; SURGICAL TECHNIQUES; TEAM; TEAMWORK; VITAL SYSTEMS;

BRAIN; COGNITIVE SYSTEMS; ERGONOMICS; MAN MACHINE SYSTEMS; OPERATING ROOMS; REMOTE CONTROL; ROBOTICS; ROBOTS;

TRANSPLANTATION (SURGICAL);

EID: 70350583295     PISSN: 14355558     EISSN: 14355566     Source Type: Journal    
DOI: 10.1007/s10111-008-0125-0     Document Type: Article

References (73)

1. Aggarwal R, Undre S, Moorthy K, Vincent C, Darzi A (2004) The simulated operating room: comprehensive training for surgical teams. Qual Saf Health Care 13(Suppl 1):i27-i32.
2. Awad SS, Fagan SP, Bellows C, Albo D, Green-Rashad B, De la Garza M, Berger DH (2005) Bridging the communication gap in the operating room with medical team training. Am J Surg 190:770-774.
3. Alarcon A, Berguer R (1996) A comparison of operating room crowding between open and laparoscopic operations. Surg Endosc 10:916-919.
4. Archer SB, Brown DW, Smith CD, Branum GD, Hunter JG (2001) Bile duct injury during laparoscopic cholecystectomy: results of a national survey. Ann Surg 234(4):549-559.
5. Bann S, Khan M, Hernandez J, Munz Y, Moorthy K, Rockall T, Darzi A (2003) Robotics in surgery. J Am Coll Surg 196(5):784-795.
6. Berguer R, Smith WD, Chung YH (2001) Performing laparoscopic surgery is significantly more stressful for the surgeon than open surgery. Surg Endosc 15:1204-1207.
7. Cao CGL, Milgram P (2000) Disorientation in minimal access surgery: a case study. In: Proceedings of the IEA 2000/HFES 2000 Congress.
8. Cao CGL, Taylor H (2004) Effects of new technology on the operating room team. In: Khalid HM, Helander MG, Yeo AW (eds) Working with computing systems, pp 309-312.
9. Carthey J, de Leval MR, Reason JT (2001) The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Thorac Surg 72:300-305.
10. Carthey J, de Leval MR, Wright DJ, Farewell VT, Reason JT (2003) Behavioural markers of surgical excellence. Saf Sci 41:409-425.
11. Catchpole KR, Giddings AE, de Leval MR, Peek GJ, Godden PJ, Utley M, Gallivan S, Hirst G, Dale T (2006) Identification of systems failures in successful paediatric cardiac surgery. Ergonomics 49(5-6):567-588.
12. Christian C, Gustafson M, Roth E, Sheridan T, Gandhi T, Dwyer K, Zinner M, Dierks M (2006) A prospective study of patient safety in the operating room. Surgery 139(2):159-173.
13. Coiera E, Tombs V (1998) Communication behaviours in a hospital setting: an observational study. BMJ 316:673-676.
14. Cook RI, Woods DD (1996) Adapting to new technology in the operating room. Hum Factors 38(4):593-613.
15. de Leval M, Carthey J, Wright D, Farewell V, Reason J (2000) Human factors and cardiac surgery: a multicentre study. J Thorac Cardiovasc Surg 119:661-672.
16. den Hartog FTH, Schmidt JR, de Vries A (2006) On the potential of personal networks in hospitals. Int J Med Inform 7(5):658-663.
17. Dion YM, Gaillard F (1997) Visual integration of data and basic motor skills under laparoscopy: influence of 2-D and 3-D video-camera systems. Surg Endosc 11(10):995-1000.
18. Dismukes RK, Loukopoulos LD, Jobe KK (2001) The challenges of managing concurrent and deferred tasks. In: Jensen R (ed) Proceedings of the 11th international symposium on aviation psychology. Ohio State University, Columbus.
19. Dunn D, Nair R, Fowler S, AL ET (1994) Laparoscopic cholecystectomy in England and Wales: results of an audit by the Royal College of Surgeons of England. Ann R Coll Surg Engl 76:269-275.
20. Einstein GO, McDaniel MA, Williford CL, Pagan JL, Dismukes RK (2003) Forgetting of intentions in demanding situations is rapid. J Exp Psychol Appl 9(3):147-162.
21. Emam TA, Hanna G, Cuschieri A (2002) Comparison of orthodox versus off-optical axis endoscopic manipulations: importance of monitor display angles. Surg Endosc 16:401-405.
22. Etchells E, O'Neil C, Bernstein M (2003) Patient safety in surgery: error detection and prevention. World J Surg 27:936-942.
23. Greenberg CC, Roth EM, Sheridan TB, Gandh TK, Gustafson ML, Zinner MJ, Dierks MM (2006) Making the operating room of the future safer. Am Surg 72(11):1102-1108.
24. Guerlain S, Turrentine FE, Bauer DT, Calland JF, Adams R (2008) Crew resource management training for surgeons: feasibility and impact. Cogn Technol work: special issue on enhancing surgical systems. doi:10.1007/s10111-007-0091-y.
25. Hanna GB, Shimi SM, Cuschieri A (1998) Task performance in endoscopic surgery is influenced by location of the image display. Ann Surg 227(4):481-484.
26. Hazelhurst B, Mcmullen C, Gorman P (2004) Getting the right tools for the job; distributed planning in cardiac surgery. IEEE Trans Syst Man Cybern A Syst Hum 34:708-717.
27. Healey AN (2008) Speculation on the neuropsychology of teleoperation: implications for presence research and minimally invasive surgery. Presence: teleoperators and virtual environments, vol 17. MIT Press, cambridge, pp 199-211.
28. Healey AN, Vincent CA (2007) The systems of surgery. Theor Issues Ergon Sci 1:1-15.
29. Healey AN, Undre S, Vincent CA (2004) Developing observational measures of performance in surgical teams. Qual Saf Health Care 13(Suppl 1):i33-i40.
30. Healey AN, Sevdalis N, Vincent CA (2006a) Measuring intraoperative interference from distraction and interruption observed in the operating theatre. Ergonomics: special issue on patient safety 49:589-604.
31. Healey AN, Undre S, Vincent CA (2006b) Defining the technical skills of teamwork in surgery. Qual Saf Health care 15:231-234.
32. Healey AN, Primus CP, Koutantji M (2007) Quantifying distraction and interruption in urological surgery. Qual Saf Health Care 16:135-139.
33. Healey AN, Olsen S, Davies R, Vincent CA (2008a) A method for measuring work-interference in surgery. Cogn Technol Work, special issue: enhancing surgical systems. doi:10.1007/s10111-007-0088-6.
34. Healey AN, Catchpole K, Yule (2008b) Editorial: enhancing surgical systems. Cogn Technol Work, special issue: enhancing surgical systems. doi: 10.1007/s10111-007-0090-z (Online July 2007).
35. Hodge B, Thompson JF (1990) Noise pollution in the operating theatre. Lancet 335:891-894.
36. Holden JG, Flach JM, Donchin Y (1999) Perceptual-motor coordination in an endoscopic surgery simulation. Surg Endosc 13:127-132.
37. Hollnagel E, Woods DD (2005) Joint cognitive systems: foundations of cognitive systems engineering. CRC Press/Taylor & Francis, Boca Raton.
38. Huber JW, Taffinder N, Russell RCG, Darzi A (1993) The effects of different viewing conditions on performance in simulated minimal access surgery. Ergonomics 46(10):999-1016.
39. Jett QR, George JM (2003) Work interrupted. A closer-look at the role of interruptions in organisational life. Acad Manage 28(3):494-508.
40. Kimura T, Amerada Y, Matsumoto S (2000) Laparoscopic cholecystectomy performed by a single surgeon using a visual field tracking camera. Surg Endosc 14:825-829.
41. Lasome CEM, Xiao Y (2001) Large public display boards. A case study of an OR board and design implications. Proc AMIA Symp 349-352.
42. Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, Bohnen J, Orser B, Doran D, Grober E (2004) Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care 13:330-334.
43. Lingard L, Espin S, Rubin B, Whyte S, Colmenares M, Baker GR, Doran D, Grober E, Orser B, Bohnen J, Reznick R (2005) Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care 14(5):340-346.
44. Lingard L, Whyte S, Espin S, Baker GR, Orser B, Doran D (2006) Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefings. J Interprof Care 20(5):471-483.
45. Lu Y, Xiao Y, Sears A, Jacko JA (2005) A review and a framework of handheld computer adoption in healthcare. Int J Med Inform 74(5):409-422.
46. Mahawar KK (2003) Too much talk in theatre. Lancet 361(9368):1570.
47. Makary MA, Sexton JB, Freischlag JA et al (2006) Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Coll Surg 202(5):746-752.
48. Martin JA, Regehr G, Reznick R et al (1997) Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg 84:273-278.
49. Moorthy K, Munz Y, Sarker SK, Darzi A (2003) Objective assessment of technical skills in surgery. BMJ 327(7422):1032-1037.
50. Moorthy K, Munz Y, Adams S, Pandey V, Darzi A (2005) A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Ann Surg 242(5):631-639.
51. Nemeth CP (2008) Improving healthcare team communication. Ashgate Publishing, Aldershot.
52. Nyssen S (2004) Integrating cognitive and collective aspects of work in evaluating technology. IEEE Trans Syst Man Cybern Syst Human 34(6):743-748.
53. Pennel I, Ferrel C, Coello Y, Orliaguet JP (2002) Sensorimotor control in teleoperation: theoretical and ergonomic considerations. Travail Humain 65(1):29-58.
54. Perkins N, Starkes JL, Lee TD, Hutchison C (2002) Learning to use minimal access surgical tools and 2-D remote visual feedback: how difficult is it for novices? Adv Health Sci Educ 7:117-131.
55. Reinhardt-Rutland AH, Annett JM (1999) Depth perception and indirect viewing: reflections on minimally invasive surgery. Int J Cogn Ergonomics 3(2):77-90.
56. Roth EM, Christian CK, Gustafson M, Sheridan TB, Dwyer K, Ghandi TK, Zinner MJ, Dierks MM (2004) Using field observations as a tool for discovery: analysing cognitive and collaborative demands in the OT. Cogn Tech Work 6:148-157.
57. Ruurda JP, Draaisma WA, van Hillegersberg R et al (2005) Robot-assisted endoscopic surgery: a four-year single-center experience. Dig Surg 22(5):313-320.
58. Sinclair MA (2007) Ergonomic issues in future systems. Ergonomics 50(12): 1957-1986.
59. Slater K, Rw Strong, Wall Dr, Lynch SV (2002) Iatrogenic bile duct injury: the scourge of laparoscopic cholecystectomy. ANZ J Surg 72:83-88.
60. Stassen HG, Dankelman J, Grimbergen CA (1999) Open versus minimally invasive surgery: a man-machine system approach. Trans Inst Meas Control 21(4-5):151-162.
61. Stassen HG, Grimbergen CA, Dankelman J (2005) Introduction to minimally invasive surgery. In: Dankelman J, Grimbergen CA, Stassen HG (eds) Engineering for patient safety: issues in minimally invasive procedures. Lawrence Erlbaum Associates, London 2005.
62. Tendick F, Jennings R, Tharp G, Stark L (1993) Sensing and manipulation problems in endoscopic surgery: experiment, analysis and observation. Presence Teleoperators Virtual Environ 2(1):66-81.
63. Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA (2006) Teamwork in the operating theatre: cohesion or confusion. J Eval Clin Pract 12(2):182-189.
64. van Veelen M, Nederlof E, Goossens C, Schot C, Jakimwicz J (2003) Egonomic problems encountered by the medical team related to products used for minimally invasive surgery. Surg Endosc 17:1077-1081.
65. Vincent C, Moorthy K, Sarker SK, Chang A, Darzi AW (2004) Systems approach to surgical quality and safety: from concepts to measurements. Ann Surg 239:475-482.
66. Way LW, Stewart L, Gantert W, Liu K, Lee CM, Whang K, Hunter JG (2003) Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg 237(4):460-469.
67. Webster JL, Cao CGL (2006) Lowering communication barriers in operating room technology. Hum Factors 48(4):747-758.
68. Welty G, Schippers E, Grablowitz V, Lawong AG, Tittel A, Schumpelick V (2002) Is laparoscopic cholecystectomy a mature technique? Surg Endosc 16:820-827.
69. Whyte S, Lingard L, Espin S, Baker G, Bohnen J, Orser BA, Doran D, Reznick R, Regehr G (2008) Paradoxical effects of interprofessional briefings in OR team performance. Cogn Tech Work. doi:10.1007/s10111-007-0086-8.
70. Williams Reed G, Silverman RJD, Schwind C, Fortune JB, Sutyak J, van Horvath KD, Eaton EG, Azzie G, Potts JR, Boehler M, Dunnington GL (2007) Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg 245(2):159-169.
71. Xiao Y, Hu P, Moss J, Winter Jd, Venekamp D, Mackenzie CF, Seagull FJ, Perkins S (2008). Opportunities and challenges in improving surgical work flow. Cogn Technol Work: special issue on enhancing surgical systems. doi:10.1007/s10111-007-0087-7.
72. Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D (2006) Development of a rating system for surgeons' non-technical skills. Med Educ 40:1098-1104.
73. Zheng B, Swanstrom LL, MacKenzie CL (2007) A laboratory study on anticipatory movement in laparoscopic surgery: a behavioral indicator for team collaboration. Surg Endosc 21:935-940.