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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedKoch A, Quartucci C, Buchner A
Associations of flow disruptions with patient, staff, and process outcomes: a prospective observational study of robotic-assisted radical prostatectomies.
The purpose of this study was to examine the relationships between intraoperative flow disruptions (FDs) and patient outcomes, staff workload, and surgery duration. Sixty-one robotic-assisted radical prostatectomy procedures were captured (with 61 patients and 243 staff reports). The study found that high rates of FDs were observed; however, there were no significant associations with the rates of patient complications. Equipment- and patient-related FDs were associated with higher staff workload. No relationship was found between greater rates of FDs and duration of procedure.
AHRQ-funded; HS026491.
Citation: Koch A, Quartucci C, Buchner A .
Associations of flow disruptions with patient, staff, and process outcomes: a prospective observational study of robotic-assisted radical prostatectomies.
Surg Endosc 2023 Sep; 37(9):6964-74. doi: 10.1007/s00464-023-10162-2..
Keywords: Surgery, Workflow
Zamudio J, Kanji FF, Lusk C
Identifying workflow disruptions in robotic-assisted bariatric surgery: elucidating challenges experienced by surgical teams.
The goal of this observational study was to investigate the impact of robotic bariatric surgery (RBS) on the surgical work system via the study of flow disruptions (FDs), or deviations from the natural workflow progression. Twenty-nine RBS procedures were observed at three sites; FDs were recorded in real time and subsequently classified into one of nine work system categories. FDs occurred approximately every 2.4 minutes and happened most frequently during the final patient transfer and robot docking phases of RBS. The coordination challenges that contributed most to these disruptions were associated with waiting for staff/instruments and readjusting equipment.
AHRQ-funded; HS026491.
Citation: Zamudio J, Kanji FF, Lusk C .
Identifying workflow disruptions in robotic-assisted bariatric surgery: elucidating challenges experienced by surgical teams.
Obes Surg 2023 Jul; 33(7):2083-89. doi: 10.1007/s11695-023-06620-4..
Keywords: Obesity: Weight Management, Surgery, Workflow, Obesity