Trial reportSurgical endoscopy2016
Intra-operative disruptions, surgeon's mental workload, and technical performance in a full-scale simulated procedure.
Trial report in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Transfer of technical skills from virtual reality robotic simulation to non-virtual surgical performance: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Intraoperative workload of the surgeon in robot-assisted radical prostatectomy: a systematic review.Journal of robotic surgery · 2024Pooled it
- Systematic review of measurement tools to assess surgeons' intraoperative cognitive workload.The British journal of surgery · 2018Pooled it
- Effect of cold environments on technical performance and perceived workload and stress during advanced medical procedures: a randomized controlled simulation study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Trial
- Automated intracorporeal tool exchange with the Symphera multi-tool prototype: a crossover evaluation of efficiency and surgeon workload in a porcine laparoscopic model.Surgical endoscopy · 2026Article
- An Integrated Electroencephalography and Eye-Tracking Analysis Using eXtreme Gradient Boosting for Mental Workload Evaluation in Surgery.Human factors · 2025Article
- An Adaptive Human-Robotic Interaction Architecture for Augmenting Surgery Performance Using Real-Time Workload Sensing-Demonstration of a Semi-autonomous Suction Tool.Human factors · 2024Article
- Examining workload variations among different surgical team roles, specialties, and techniques: a multicenter cross-sectional descriptive study.Perioperative medicine (London, England) · 2024Article
- Broad Responses and Attitudes to Having Music in Surgery (The BRAHMS Study): An Australia and Aotearoa New Zealand Perspective.Surgery open science · 2024Article
- Effectiveness of a vision-based handle trajectory monitoring system in studying robotic suture operation.Journal of robotic surgery · 2023Article
- Article
- Identifying Workflow Disruptions in Robotic-Assisted Bariatric Surgery: Elucidating Challenges Experienced by Surgical Teams.Obesity surgery · 2023Observational
- Article
- Advances in artificial intelligence, robotics, augmented and virtual reality in neurosurgery.Frontiers in surgery · 2023Review
- Computer-assisted simulated workplace-based assessment in surgery: application of the universal framework of intraoperative performance within a mixed-reality simulation.BMJ surgery, interventions, & health technologies · 2023Article
- Unpacking the Broad Landscape of Intraoperative Stressors for Clinical Personnel: A Mixed-Methods Systematic Review.Journal of multidisciplinary healthcare · 2023Review
- Decreased postoperative complications, neuropathic pain and epidural anesthesia-free effect of uniportal video-assisted thoracoscopic anatomical lung resection: a single-center initial experience of 100 cases.Journal of thoracic disease · 2022Article
- Association Between Operating Room Noise and Team Cognitive Workload in Cardiac Surgery.IEEE Conference on Cognitive and Computational Aspects of Situation Management (CogSIMA) · 2022Article
- Intraoperative dynamics of workflow disruptions and surgeons' technical performance failures: insights from a simulated operating room.Surgical endoscopy · 2022Article
- Effect of phone call distraction on the performance of medical students in an OSCE.BMC medical education · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimSurgical flow disruptions occur frequently and jeopardize perioperative care and surgical performance. So far, insights into subjective and cognitive implications of intra-operative disruptions for surgeons and inherent consequences for performance are inconsistent. This study aimed to investigate the effect of surgical flow disruption on surgeon's intra-operative workload and technical performance.
methodsIn a full-scale OR simulation, 19 surgeons were randomly allocated to either of the two disruption scenarios (telephone call vs. patient discomfort). Using a mixed virtual reality simulator with a computerized, high-fidelity mannequin, all surgeons were trained in performing a vertebroplasty procedure and subsequently performed such a procedure under experimental conditions. Standardized measures on subjective workload and technical performance (trocar positioning deviation from expert-defined standard, number, and duration of X-ray acquisitions) were collected.
resultsIntra-operative workload during simulated disruption scenarios was significantly higher compared to training sessions (p < .01). Surgeons in the telephone call scenario experienced significantly more distraction compared to their colleagues in the patient discomfort scenario (p < .05). However, workload tended to be increased in surgeons who coped with distractions due to patient discomfort. Technical performance was not significantly different between both disruption scenarios. We found a significant association between surgeons' intra-operative workload and technical performance such that surgeons with increased mental workload tended to perform worse (β = .55, p = .04).
conclusionsSurgical flow disruptions affect surgeons' intra-operative workload. Increased mental workload was associated with inferior technical performance. Our simulation-based findings emphasize the need to establish smooth surgical flow which is characterized by a low level of process deviations and disruptions.
Indexed as
Identifiers
26091986What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.