Evidence map›Paper›PMID 29478667›Full record

ReviewApplied ergonomics2019

Human factors in robotic assisted surgery: Lessons from studies 'in the Wild'.

Ken Catchpole, Ann Bisantz, M Susan Hallbeck, Matthias Weigl, Rebecca Randell, Merrick Kossack, Jennifer T Anger

Open access · greenAbstract readReview
In one paragraph

Review in Applied ergonomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Surgeon posture evaluation during simulated laparoscopic and robotic-assisted cholecystectomy.International journal of computer assisted radiology and surgery · 2026
    Article
  9. Review
  10. Observational
  11. Robotic-assisted hysterectomy using DEXTERFacts, views & vision in ObGyn · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 4 countries.

Ken CatchpoleDepartment of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 167 Ashley Avenue, Suite 301, MSC 912, Charleston, SC 29425, USA. Electronic address: Catchpol@MUSC.edu.
Ann BisantzDepartment of Industrial and Systems Engineering, University at Buffalo, 342 Bell Hall, Buffalo, NY 14260, USA. Electronic address: bisantz@buffalo.edu.
M Susan HallbeckDepartment of Health Sciences Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA. Electronic address: Hallbeck.Susan@mayo.edu.
Matthias WeiglInstitute for Occupational, Social, and Environmental Medicine, Ludwig-Maximilians-University Munich, Ziemssenstr, 1 80336 München, Germany. Electronic address: matthias.weigl@med.lmu.de.
Rebecca RandellSchool of Healthcare, Baines Wing, University of Leeds, Leeds, LS2 9JT, UK. Electronic address: r.randell@leeds.ac.uk.
Merrick KossackHuman Factors Engineering, UL Wiklund 300 Baker Avenue, Suite 200, Concord, MA 01742, USA. Electronic address: Merrick.Kossack@ul.com.
Jennifer T AngerDepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles, La Cienega Blvd., Beverly Hills, CA 90211, USA.
Cedars-Sinai Medical Center · USLudwig-Maximilians-Universität München · DEMayo Clinic in Arizona · USMedical University of South Carolina · USUniversidad La Concordia · MXUniversity at Buffalo, State University of New York · USUniversity of Leeds · GB

Funding

UCLA Summer Research Training in Aging for Medical Stud*T35AG026736 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Cathy Lee, John C Newman · 2005 to 2026
$3.0M
Improving the Delivery of Robotic SurgeryR03EB017447 · NIBIB · CEDARS-SINAI MEDICAL CENTER · PI ANGER, JENNIFER TASH, CATCHPOLE, KEN · 2014 to 2015
$167k
Department of Health 12/5005/04NIA NIH HHS T35 AG026736NIBIB NIH HHS R03 EB017447
6 · The paper itself

Abstract

This article reviews studies conducted "in the wild" that explore the "ironies of automation" in Robotic Assisted Surgery (RAS). Workload may be reduced for the surgeon, but increased for other team members, with postural stress relocated rather than reduced, and the introduction of a range of new challenges, for example, in the need to control multiple arms, with multiple instruments; and the increased demands of being physically separated from the team. Workflow disruptions were not compared with other surgeries; however, the prevalence of equipment and training disruptions differs from other types of surgeries. A consistent observation is that communication and coordination problems are relatively frequent, suggesting that the surgical team may need to be trained to use specific verbal and non-verbal cues during surgery. RAS also changes the necessary size of the operating room instrument cleaning processes. These studies demonstrate the value of clinically-based human factors engineers working alongside surgical teams to improve the delivery of RAS.

Indexed as

CommunicationRobotic Surgical ProceduresWorkflowErgonomicsGroup ProcessesHumansPatient Care TeamPostureWorkloadAutomationHuman factorsRoboticsSurgeryTeamworkWorkload

Identifiers

PMID29478667
PMCPMC6105731
OpenAlexW2788661210

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.