Restaino Stefano, Paparcura Federico, Arcieri Martina, Pellecchia Giulia, Poli Alice, Gallotta Valerio, Gueli Alletti Salvatore, Cianci Stefano, Capozzi Vito Andrea, Bogani Giorgio, Lucidi Alessandro, Klarić Marko, Driul Lorenza, Chiantera Vito, Dal Moro Fabrizio, Scambia Giovanni, Vizzielli Giuseppe
Department of Maternal and Child Health, Obstetrics and Gynecology Clinic, University Hospital of Udine, 33100 Udine, Italy.
PhD School in Biomedical Sciences, Gender Medicine, Child and Women Health, University of Sassari, 07100 Sassari, Italy.
Healthcare (Basel). 2024 Aug 13;12(16):1614. doi: 10.3390/healthcare12161614.
The operating room is the environment where harm to the patient is most likely. Robotic surgery was listed as one of the top 10 health hazards as late as 2020. Taking inspiration from other fields of application, such as aeronautics, checklists have been increasingly implemented in medical practice over the years, becoming essential components of the operating theatre. In addition to checklists, simulation has taken on a fundamental importance in reducing errors. This paper aims to provide a narrative review to assess the importance of checklists and training in robotic surgery and how they improve the outcome. A comprehensive literature search from January 2000 to September 2023 was conducted. A total of 97 articles were included in the initial search. Eleven studies were deemed relevant and were considered eligible for full-text reading. Among these, ten studies focused on the analysis of training effectiveness. An article in our review assessed the benefits of introducing checklists in the operating room. Innovations created in aviation, such as checklists and simulation, have entered the medical field to prevent human error. Developing dedicated checklist and surgical teams, through theoretical and practical training, has become essential in modern medicine. Tools such as checklists, training, and simulation are among the best methods to reduce adverse medical events.
手术室是对患者造成伤害可能性最大的环境。直到2020年，机器人手术还被列为十大健康危害之一。多年来，从航空等其他应用领域获得灵感，检查表在医疗实践中得到越来越广泛的应用，成为手术室的重要组成部分。除了检查表，模拟在减少错误方面也具有至关重要的意义。本文旨在进行叙述性综述，以评估检查表和培训在机器人手术中的重要性以及它们如何改善手术结果。我们对2000年1月至2023年9月的文献进行了全面检索。初步检索共纳入97篇文章。其中11项研究被认为相关且符合全文阅读标准。在这些研究中，有10项研究聚焦于培训效果分析。我们综述中的一篇文章评估了在手术室引入检查表的益处。航空领域所创造的创新，如检查表和模拟，已进入医疗领域以防止人为错误。通过理论和实践培训来组建专门的检查表和手术团队，已成为现代医学的关键。检查表、培训和模拟等工具是减少不良医疗事件的最佳方法之一。
