SynthesisSurgical endoscopy2021
Work-system interventions in robotic-assisted surgery: a systematic review exploring the gap between challenges and solutions.
Synthesis in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled 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.
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
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Assessment and application of non-technical skills in robotic-assisted surgery: a systematic review.Surgical endoscopy · 2024Pooled it
- Perception of robotic-assisted surgery (RAS) among medical students: a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Robotic surgery in emergency setting: 2021 WSES position paper.World journal of emergency surgery : WJES · 2022Pooled it
- The robotic PIANO: a critical narrative review of surgeon-controlled operative polyphony, human factors, and robotic training.Journal of robotic surgery · 2026Review
- Reported device problems and patient outcomes in da Vinci robotic robotic gastric and upper-gastrointestinal procedures: an FDA MAUDE database analysis.Journal of robotic surgery · 2026Article
- Robotic-Assisted Total Hip Arthroplasty: Implications for Surgical Practice and Operating Theatre Design.Medicina (Kaunas, Lithuania) · 2026Review
- Medicolegal aspects of robotic-assisted surgery: litigation trends, complication risks, and human factors interventions.Journal of robotic surgery · 2026Review
- Device-related malfunctions and associated patient harm in robotic-assisted hysterectomy: a 17-year review of the FDA MAUDE database.Journal of robotic surgery · 2026Article
- Experiential learning in urologic single-port robotic surgery transition training: a qualitative descriptive study.Journal of robotic surgery · 2026Article
- Specialized foundation models for intelligent operating rooms.NPJ digital medicine · 2026Article
- Team interactions in robotic-assisted surgery: a scoping review.Journal of robotic surgery · 2025Article
- Comparisons between aviation and robot-assisted surgery in gynaecology: lessons from safety practices in high-risk industries.Journal of robotic surgery · 2025Article
- Maximizing Surgical Success by Aligning Interventions to Outcomes: A Systematic Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Review
- Current status analysis of the prevalence and regional disparities of robot-assisted laparoscopic prostatectomy in Japan using diagnosis procedure combination data.Scientific reports · 2024Observational
- Smart Operating Room in Digestive Surgery: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Human Factors Integration in Robotic Surgery.Human factors · 2024Review
- Workflow disruptions in robot-assisted surgery.Journal of robotic surgery · 2023Review
- Opportunities and Barriers to Rural Telerobotic Surgical Health Care in 2021: Report and Research Agenda from a Stakeholder Workshop.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe introduction of a robot into the surgical suite changes the dynamics of the work-system, creating new opportunities for both success and failure. An extensive amount of research has identified a range of barriers to safety and efficiency in Robotic Assisted Surgery (RAS), such as communication breakdowns, coordination failures, equipment issues, and technological malfunctions. However, there exists very few solutions to these barriers. The purpose of this review was to identify the gap between identified RAS work-system barriers and interventions developed to address those barriers.
methodsA search from three databases (PubMed, Web of Science, and Ovid Medline) was conducted for literature discussing system-level interventions for RAS that were published between January 1, 1985 to March 17, 2020. Articles describing interventions for systems-level issues that did not involve technical skills in RAS were eligible for inclusion.
resultsA total of 30 articles were included in the review. Only seven articles (23.33%) implemented and evaluated interventions, while the remaining 23 articles (76.67%) provided suggested interventions for issues in RAS. Major barriers identified included disruptions, ergonomic issues, safety and efficiency, communication, and non-technical skills. Common solutions involved team training, checklist development, and workspace redesign.
conclusionThe review identified a significant gap between issues and solutions in RAS. While it is important to continue identifying how the complexities of RAS affect operating room (OR) and team dynamics, future work will need to address existing issues with interventions that have been tested and evaluated. In particular, improving RAS-associated non-technical skills, task management, and technology management may lead to improved OR dynamics associated with greater efficiency, reduced costs, and better systems-level outcomes.
Indexed as
Identifiers
What 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.