School of Nursing & Midwifery & Menzies Institute of Health, Brisbane, QLD, Australia.
Gold Coast Hospital and Health Service, QLD, Australia.
Hum Factors. 2021 Dec;63(8):1352-1379. doi: 10.1177/0018720820928624. Epub 2020 Jul 2.
The aim of this study is to describe the impact of robotic-assisted surgery on team performance in the operating room.
The introduction of surgical robots has improved the technical performance of surgical procedures but has also contributed to unexpected interactions in surgical teams, leading to new types of errors.
A systematic literature search of Cumulative Index to Nursing and Allied Health Literature, PubMed, ProQuest, Cochrane, Web of Science, PsycINFO, and Scopus databases using key words and MeSH terms was conducted. Screening identified studies employing qualitative and quantitative methods published between January 2000 and September 2019. Two reviewers independently appraised the methodological quality of the articles using the (2018). Discussions were held among authors to examine quality scores of the studies and emergent themes, and agreement was reached through consensus. Themes were derived using inductive content analysis.
Combined searches identified 1,065 citations. Of these, 19 articles, 16 quantitative and 3 qualitative, were included. Robotic-assisted surgeries included urology, gynecology, cardiac, and general procedures involving surgeons, anesthetists, nurses, and technicians. Three themes emerged; and .
Inclusion of a robot as a team member adds further complexity to the work of surgery.
These review findings will inform training programs specifically designed to optimize teamwork, workflow efficiency, and learning needs.
本研究旨在描述机器人辅助手术对手术室团队绩效的影响。
外科机器人的引入提高了手术操作的技术性能，但也导致了手术团队中意想不到的相互作用，从而产生了新类型的错误。
使用关键词和 MeSH 术语对 Cumulative Index to Nursing and Allied Health Literature、PubMed、ProQuest、Cochrane、Web of Science、PsycINFO 和 Scopus 数据库进行了系统的文献检索。筛选出 2000 年 1 月至 2019 年 9 月期间发表的采用定性和定量方法的研究。两名评审员独立使用（2018 年）评估文章的方法学质量。作者之间进行了讨论，以检查研究的质量评分和新兴主题，并通过达成共识来达成一致。使用归纳内容分析得出主题。
联合搜索确定了 1065 条引文。其中，19 篇文章，16 篇定量和 3 篇定性，被纳入研究。机器人辅助手术包括泌尿科、妇产科、心脏科和一般手术，涉及外科医生、麻醉师、护士和技术人员。出现了三个主题；机器人辅助手术增加了手术团队工作的复杂性；机器人的引入需要重新设计手术流程和工作空间；机器人的使用需要对手术团队进行培训。
机器人作为团队成员的加入增加了手术工作的复杂性。
这些综述结果将为专门设计的培训计划提供信息，以优化团队合作、工作流程效率和学习需求。
