Evidence map›Paper›PMID 39227438›Full record

ArticleSurgical endoscopy2024

Consensus guidelines on the bedside assistant skills required in robotic surgery.

Riley Brian, Alyssa Murillo, Camilla Gomes, Hueylan Chern, Daniel Oh, Patricia S O'Sullivan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
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

6 authors.

Riley BrianDepartment of Surgery, University of California San Francisco, 513 Parnassus Avenue, S-321, San Francisco, CA, 94143, USA. riley.brian@ucsf.edu.ORCID 0000-0002-7462-3214
Alyssa MurilloDepartment of Surgery, University of California San Francisco, 513 Parnassus Avenue, S-321, San Francisco, CA, 94143, USA.
Camilla GomesDepartment of Surgery, University of California San Francisco, 513 Parnassus Avenue, S-321, San Francisco, CA, 94143, USA.
Hueylan ChernDepartment of Surgery, University of California San Francisco, 513 Parnassus Avenue, S-321, San Francisco, CA, 94143, USA.
Daniel OhDepartment of Surgery, University of Southern California, Los Angeles, CA, USA.
Patricia S O'SullivanDepartment of Surgery, University of California San Francisco, 513 Parnassus Avenue, S-321, San Francisco, CA, 94143, USA.

Funding

Society of American Gastrointestinal and Endoscopic Surgeons Robotic Surgery Research Grant
6 · The paper itself

Abstract

backgroundWhile bedside assistants play a critical role in many robotic operations, substantial heterogeneity remains in bedside assistant training pathways. As such, this study aimed to develop consensus guidelines for bedside assistant skills required for team members in robotic operations.

methodsWe designed a study using the Delphi process to develop consensus guidelines around bedside assistant skills. We generated an initial list of bedside assistant skills from the literature, training materials, and expert input. We selected experts for the Delphi process based on prior scholarship in the area of robotic bedside assistant education and experience facilitating robotic bedside assistant training. For each item, respondents specified which robotic team members should have the skill from a list of "basic" bedside assistants, "advanced" bedside assistants, surgeons, surgical technologists, and circulating nurses. We conducted two rounds of the Delphi process and defined 80% agreement as sufficient for consensus.

resultsFourteen experts participated in two rounds of the Delphi process. By the end of the second round, the group had reached consensus on 253 of 305 items (83%). The group determined that "basic" bedside assistants should have 52 skills and that "advanced" bedside assistants should have 60 skills. The group also determined that surgeons should have 54 skills, surgical technologists should have 25 skills, and circulating nurses should have 17 skills. Experts agreed that all participants should have certain communication skills and basic knowledge of aspects of the robotic system.

conclusionsWe developed consensus guidelines on the skills required during robotic surgery by bedside assistants and other team members using the Delphi process. These findings can be used to design training around bedside assistant skills and assess team members to ensure that each team member has the appropriate skills. Hospitals can also use these guidelines to standardize expectations for robotic team members.

Indexed as

Clinical CompetenceDelphi TechniqueRobotic Surgical ProceduresConsensusHumansPatient Care TeamPoint-of-Care SystemsBedside assistanceNon-technical skillsRobotic surgeryTechnical skills

Identifiers

PMID39227438
PMCPMC11525406

What OpenQuestion holds

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LicenceCC BY
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.