Dan
Ha Le

SURF Assessing and Improving Robotic Surgeon's Intraoperative Non-Technical Skills: A Mixed-Methods Study Innovative Technology / Entrepreneurship / Design

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Dan Ha Le

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Non-technical skills (NTS) are interpersonal and cognitive skills necessary to ensure patients' safety in surgeries. However, about 43% of surgical errors are attributed to a dearth of these skills. Consequently, the goals of this research are to (1) assess the effectiveness of personalized coaching at improving surgeons' NTS, and (2) determine factors challenging surgeon's NTS in the operating room (OR). Our team of experts used NOTSS (Non-Technical Skills for Surgeons) assessment tool to rate nine robotic surgeons' NTS, each across three surgeries (n=27). Each surgeon then received two personalized NTS coaching sessions, one between each surgery. All coaching sessions were conducted virtually and recorded. Using Cohen's d statistics, the effect size of the coaching intervention shows fairly strong improvement in surgeons situation awareness (d = 0.67) and leadership (0.65) after coaching. Thematic analyses of the coaching session transcripts revealed that robot integration, team coordination, and sociotechnical issues were core contributing factors challenging surgeons NTS. Through these, we recommend considerations for surgeons to optimize interactions with other team members. This study has implications for NTS assessment, coaching, and robot integration. Effectively assessing surgeons' NTS is critical in understanding the factors that challenge surgeons and ultimately affect patient safety. Keywords: [no keywords provided]

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Purdue University / 2024

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Dan Ha Le

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