Manzey Dietrich, Röttger Stefan, Bahner-Heyne J Elin, Schulze-Kissing Dirk, Dietz Andreas, Meixensberger Jürgen, Strauss Gero
Department of Work, Engineering and Organizational Psychology, Institute of Psychology and Ergonomics, Technische Universität Berlin (TUB), Germany.
Int J Med Robot. 2009 Sep;5(3):297-308. doi: 10.1002/rcs.261.
Image-guided navigation (IGN) represents a first step in the automation of surgical functions. The use of IGN can involve several human factors issues that must be taken into account when evaluating their impact on surgical performance and patient safety.
A nationwide survey was conducted among 213 surgeons from 112 German hospitals in order to assess the perceived performance consequences and human factors issues of IGN, including changes of situation awareness, performance and workload, as well as issues of overreliance, skill degradation and usability.
Generally, surgeons report improved performance and patient safety related to the use of IGN. However, issues of increased time pressure and mental demands were reported by inexperienced users. Furthermore, overreliance on IGN represents a risk, albeit only in a minority of respondents.
IGN is evaluated as a helpful tool for surgeons. However, special care should be taken to provide surgeons with sufficient time and training during familiarization with an IGN system.
图像引导导航（IGN）是手术功能自动化的第一步。在评估IGN对手术操作和患者安全的影响时，其使用可能涉及若干人为因素问题，必须加以考虑。
对来自112家德国医院的213名外科医生进行了一项全国性调查，以评估IGN的感知性能后果和人为因素问题，包括态势感知、操作和工作量的变化，以及过度依赖、技能退化和可用性问题。
总体而言，外科医生报告称与使用IGN相关的操作表现和患者安全有所改善。然而，经验不足的用户报告了时间压力和心理需求增加的问题。此外，尽管只有少数受访者表示，但过度依赖IGN仍是一种风险。
IGN被评估为对外科医生有帮助的工具。然而，在让外科医生熟悉IGN系统的过程中，应特别注意为他们提供足够的时间和培训。
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