The impact of a wireless audio system on communication in robotic-assisted laparoscopic surgery: A prospective controlled trial.

Autor: Tsafrir Z; Minimally Invasive Gynecologic Surgery, Women's Health Services, Henry Ford Hospital, Detroit, Michigan.; Department of Obstetrics and Gynecology, Kaplan medical Center, Rehovot, Affiliated to the Faculty of Medicine, the Hebrew University, Jerusalem, Israel., Janosek-Albright K; Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan., Aoun J; Minimally Invasive Gynecologic Surgery, Women's Health Services, Henry Ford Hospital, Detroit, Michigan., Diaz-Insua M; Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan., Abd-El-Barr AE; Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan., Schiff L; Minimally Invasive Gynecologic Surgery, Women's Health Services, Henry Ford Hospital, Detroit, Michigan., Talukdar S; Minimally Invasive Gynecologic Surgery, Women's Health Services, Henry Ford Hospital, Detroit, Michigan., Menon M; Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan., Munkarah A; Minimally Invasive Gynecologic Surgery, Women's Health Services, Henry Ford Hospital, Detroit, Michigan., Theoharis E; Minimally Invasive Gynecologic Surgery, Women's Health Services, Henry Ford Hospital, Detroit, Michigan., Eisenstein D; Minimally Invasive Gynecologic Surgery, Women's Health Services, Henry Ford Hospital, Detroit, Michigan.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2020 Jan 10; Vol. 15 (1), pp. e0220214. Date of Electronic Publication: 2020 Jan 10 (Print Publication: 2020).
DOI: 10.1371/journal.pone.0220214
Abstrakt: Background: Robotic surgery presents a challenge to effective teamwork and communication in the operating theatre (OR). Our objective was to evaluate the effect of using a wireless audio headset device on communication, efficiency and patient outcome in robotic surgery.
Methods and Findings: A prospective controlled trial of team members participating in gynecologic and urologic robotic procedures between January and March 2015. In the first phase, all surgeries were performed without headsets (control), followed by the intervention phase where all team members used the wireless headsets. Noise levels were measured during both phases. After each case, all team members evaluated the quality of communication, performance, teamwork and mental load using a validated 14-point questionnaire graded on a 1-10 scale. Higher overall scores indicated better communication and efficiency. Clinical and surgical data of all patients in the study were retrieved, analyzed and correlated with the survey results. The study included 137 procedures, yielding 843 questionnaires with an overall response rate of 89% (843/943). Self-reported communication quality was better in cases where headsets were used (113.0 ± 1.6 vs. 101.4 ± 1.6; p < .001). Use of headsets reduced the percentage of time with a noise level above 70 dB at the console (8.2% ± 0.6 vs. 5.3% ± 0.6, p < .001), but had no significant effect on length of surgery nor postoperative complications.
Conclusions: The use of wireless headset devices improved quality of communication between team members and reduced the peak noise level in the robotic OR.
Competing Interests: The wireless headsets were supplied by Quail Digital; Blue Cross Blue Shield Michigan Foundation supported this study; grant number 2174. PIRAP ($10000 grant); and the Graduate Medical Education Research Committee of the Henry Ford Health System supported this study; grant number 1407 ($5000 grant). Drs. Tsafrir, Janosek-Albright, Aoun, Diaz-Insua, Abd-El-Barr, Schiff, Talukdar, Menon, Munkarah, Theoharis and Eisenstein have no other conflicts of interest or financial ties to disclose except of what is disclosed above. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Specifically, Quail Digital had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. This statement does not alter our adherence to PLOS ONE policies on sharing data and materials.
Databáze: MEDLINE
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