Presentation
Identifying and Assessing Nontechnical Skills in Robotic Surgery: A Task Analysis Approach
DescriptionNontechnical (cognitive or interpersonal) skills (NTS) of surgical team members are critical for patient safety, and NTS are traditionally assessed by observers utilizing checklist-based assessment tools. NTS requirements and evaluations are changing with the introduction of advanced technology in the operating room, especially in robotic-assisted surgery (RAS). Unique NTS challenges in RAS include degraded situation awareness and communication of the surgeon due to the closed surgeon console placed outside the sterile field and increased spatial distance to the rest of the surgical team. To explore how a team’s NTS demands change with RAS, and if additional NTS constructs should be included for all surgical team members, hierarchical and cognitive task analyses for each role (e.g., surgeon, assistant, technician, and nurse) were conducted to identify the critical NTS and technical skills required at each major step of surgery for ventral, inguinal, and paraoesophageal hernia repairs. A new NTS construct of ergonomics was identified and personal workload and stress management were reintroduced (which are not captured in current assessment tools) given the opportunity for measurement with data-driven, continuous measures. Evaluating these new and existing NTS constructs for all surgical team members can aid in enhancing teamwork and improving patient care during RAS.
Event Type
Lecture
TimeTuesday, October 14th4:50pm - 5:10pm CDT
LocationGrand C/D North
Health Care