Evidence map›Paper›PMID 39565070›Full record

ArticleJournal of patient safety2024

Rethinking Surgical Safety: Investigating the Impact of Gamified Training on Severe Flow Disruptions in Surgery.

Tara Cohen, Falisha Kanji, Jennifer Zamudio, Catherine Breese, Ray Avenido, Christine Yoshizawa, Stephanie Bartkowicz, Kenneth Catchpole, Jennifer Anger

Abstract readEvaluation Study
In one paragraph

Article in Journal of patient safety, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Observational
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

9 authors.

Tara CohenFrom the Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.ORCID 0000-0003-2137-6093
Falisha KanjiFrom the Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Jennifer ZamudioDepartment of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan.
Catherine BreeseCore Manger, Biostatistics Shared Resources, Cedars-Sinai Medical Center, Los Angeles, California.
Ray AvenidoFrom the Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Christine YoshizawaFrom the Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Stephanie BartkowiczFrom the Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Kenneth CatchpoleDepartment of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina.
Jennifer AngerDepartment of Urology, University of California San Diego, La Jolla, California.

Funding

Improving the Delivery of Robotic SurgeryR03EB017447 · NIBIB · CEDARS-SINAI MEDICAL CENTER · PI ANGER, JENNIFER TASH, CATCHPOLE, KEN · 2014 to 2015
$167k
AHRQ HHS R01 HS026491NIBIB NIH HHS R03 EB017447
6 · The paper itself

Abstract

objectivesThere is a need for effective and engaging training methods to enhance technical and nontechnical skills in robotic-assisted surgery (RAS), where deficiencies can compromise safety and efficiency. This study aims to evaluate the impact of a gamified team training intervention, the "RAS Olympics," on the safety and efficiency of RAS procedures.

methodsThe study was conducted at a 958-bed tertiary care academic medical center in with a robust robotic surgery program. A total of 56 RAS procedures (general, urology, and gynecology) were included in the analysis, with a mix of procedure types representative of the surgical caseload at the medical center. A pretest posttest experimental design was employed, comparing the frequency and severity of flow disruptions (FD) between preintervention, postintervention without "RAS Olympics" participants, and postintervention with "RAS Olympics" participants. The "RAS Olympics" involved safety hazard identification, troubleshooting, workspace navigation, instrument retrieval, and turnover optimization.

resultsPostintervention cases with "RAS Olympics" participants exhibited significantly lower overall FDs compared to the postintervention control group. The reduction was particularly notable during phase 3 (surgeon on console) and in cases involving more severe FDs.

conclusionsGamified team training interventions may improve the safety and efficiency of RAS procedures. The positive outcomes underscore the potential of innovative and engaging training methods to address the evolving challenges in surgical practice, emphasizing the relevance of gamification in healthcare education. As the healthcare landscape continues to advance, incorporating such interventions may be crucial in ensuring the adaptability and competence of surgical teams.

Indexed as

GamificationRobotic Surgical ProceduresAcademic Medical CentersHumans

Identifiers

PMID39565070
PMCPMC13274389

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Registered trials

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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.