Observational studySurgical endoscopy2021
Non-technical skills in robotic surgery and impact on near-miss events: a multi-center study.
Observational study in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 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
17 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A systematic review of comprehensive Robotic-assisted surgical (RAS) curricula.Journal of robotic surgery · 2025Pooled it
- Impact of surgical non-technical skills on clinical outcomes: systematic review.The British journal of surgery · 2025Pooled it
- Training in robotic-assisted surgery: a systematic review of training modalities and objective and subjective assessment methods.Surgical endoscopy · 2024Pooled it
- Assessment and application of non-technical skills in robotic-assisted surgery: a systematic review.Surgical endoscopy · 2024Pooled it
- A Familiar Working Environment Influences Surgeon's Stress in the Operating Room: A Multi-Specialty Prospective Cohort Study.Annals of surgery · 2026Article
- Live, proctored robotic training for the novice robotic surgeon: outcomes and educational value of the Portsmouth Robotic Essentials Course.Journal of robotic surgery · 2026Article
- Team interactions in robotic-assisted surgery: a scoping review.Journal of robotic surgery · 2025Article
- Viewing patient safety in surgery through the lens of a theatrical performance: a narrative review.Patient safety in surgery · 2025Review
- Comparisons between aviation and robot-assisted surgery in gynaecology: lessons from safety practices in high-risk industries.Journal of robotic surgery · 2025Article
- Importance of anesthesiologists' non-technical skills in the management of a case of life-threatening cardiac tamponade during robot-assisted thoracic surgery.Nagoya journal of medical science · 2025Article
- Communication and Contextual Factors in Robotic-Assisted Surgical Teams: Protocol for Developing a Taxonomy.JMIR research protocols · 2024Article
- The importance of non-technical skills in robot-assisted surgery in gynaecology.Journal of robotic surgery · 2024Article
- Article
- Workflow disruptions in robot-assisted surgery.Journal of robotic surgery · 2023Review
- Impact of sleep deficiency on surgical performance: a prospective assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
- Factors affecting workflow in robot-assisted surgery: a scoping review.Surgical endoscopy · 2022Article
- RAS-NOTECHS: validity and reliability of a tool for measuring non-technical skills in robotic-assisted surgery settings.Surgical endoscopy · 2022Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic surgery requires a set of non-technical skills (NTS), because of the complex environment. We aim to study relationship between NTS and near-miss events in robotic surgery.
methodsThis is an observational study in five French centers. Three robotic procedures were observed and filmed by one of expert trainers in NTS. They established and scored a non-technical skills in robotic surgery (NTSRS) score, that included eight items, each scored from 1 to 5, to assess the whole surgical teams. The surgical teams also self-assessed their work. The number of near-miss events was recorded and classified as minor, or major but no harm incidents, independently by two surgeons. Correlations were Spearman coefficients.
resultsOf the 26 procedures included, 15 were prostatectomy (58%), 9 nephrectomy (35%), and 2 pyeloplasty (7.7%). Half of procedures (n = 13) were performed by surgeons with extensive RS experience (more than 150 procedures). Per procedure, there was a median (quartiles) of 9 (7; 11) near-miss events. There was 1 (0; 2) major near-miss events, with no harm. The median NTSRS score was 18 (14; 21), out of 40. The number of near-miss events was strongly correlated with the NTSRS score (r = - 0.92, p < 0.001) but was not correlated with the surgeon's experience. The surgeons for fifteen (58%) procedures, and the bed-side surgeons for 11 (42%) procedures, felt that there was no need for an improvement in the quality of their NTS. None of the surgeons gave a negative self-evaluation for any procedure; in three procedures (12%), the bed-side surgeons self-assessed negatively, on ergonomics.
conclusionOccurrence of near-miss events was reduced in teams managing NTS. Specific NTS surgical team training is essential for robotic surgery as it may have a significant impact on risk management.
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Identifiers
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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.