| Title |
Effects of Flow Disruptions on Mental Workload and Surgical Performance in Robotic‐Assisted Surgery
|
|---|---|
| Published in |
World Journal of Surgery, May 2018
|
| DOI | 10.1007/s00268-018-4689-4 |
| Pubmed ID | |
| Authors |
Jeannette Weber, Ken Catchpole, Armin J. Becker, Boris Schlenker, Matthias Weigl |
| Abstract |
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 of intra-operative disruptive events for OR professionals' workload, stress, and performance have not been investigated yet. This study aimed to identify flow disruptions and assess their association with mental workload and performance during robotic-assisted surgery. Structured expert-observations to identify different disruption types during 40 robotic-assisted radical prostatectomies were conducted. Additionally, 216 postoperative reports on mental workload (mental demands, situational stress, and distractions) and performance of all OR professionals were collected. On average 15.8 flow disruptions per hour were observed with the highest rate after abdominal insufflation and before console time. People entering the OR caused most flow disruptions. Disruptions due to equipment showed the highest severity of interruption. Workload significantly correlated with severity of disruptions due to coordination and communication. Flow disruptions occur frequently and are associated with increased workload. Therefore, strategies are needed to manage disruptions to maintain OR teamwork and safety during robotic-assisted surgery. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 67 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 67 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 11 | 16% |
| Researcher | 10 | 15% |
| Student > Master | 6 | 9% |
| Student > Ph. D. Student | 3 | 4% |
| Student > Postgraduate | 2 | 3% |
| Other | 9 | 13% |
| Unknown | 26 | 39% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 16 | 24% |
| Engineering | 5 | 7% |
| Nursing and Health Professions | 5 | 7% |
| Biochemistry, Genetics and Molecular Biology | 3 | 4% |
| Business, Management and Accounting | 2 | 3% |
| Other | 6 | 9% |
| Unknown | 30 | 45% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 June 2018.
All research outputs
#14,878,205
of 23,085,832 outputs
Outputs from World Journal of Surgery
#2,923
of 4,272 outputs
Outputs of similar age
#197,359
of 331,249 outputs
Outputs of similar age from World Journal of Surgery
#37
of 57 outputs
Altmetric has tracked 23,085,832 research outputs across all sources so far. This one is in the 34th percentile – i.e., 34% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,272 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.6. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
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We're also able to compare this research output to 57 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.