title: Impact of Robotic Surgery on Decision Making: Perspectives of Surgical Teams.
abstract: There has been rapid growth in the purchase of surgical robots in both North America and Europe in recent years. Whilst this technology promises many benefits for patients, the introduction of such a complex interactive system into healthcare practice often results in unintended consequences that are difficult to predict. Decision making by surgeons during an operation is affected by variables including tactile perception, visual perception, motor skill, and instrument complexity, all of which are changed by robotic surgery, yet the impact of robotic surgery on decision making has not been previously studied. Drawing on the approach of realist evaluation, we conducted a multi-site interview study across nine hospitals, interviewing 44 operating room personnel with experience of robotic surgery to gather their perspectives on how robotic surgery impacts surgeon decision making. The findings reveal both potential benefits and challenges of robotic surgery for decision making.
authors.affiliation: University of Leeds, Leeds, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Randell
authors.affiliation: Newcastle University, Newcastle, UK.
authors.forename: Natasha
authors.initials: N
authors.lastname: Alvarado
authors.affiliation: University of Leeds, Leeds, UK.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Honey
authors.affiliation: University of Leeds, Leeds, UK.
authors.forename: Joanne
authors.initials: J
authors.lastname: Greenhalgh
authors.affiliation: University of Leeds, Leeds, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Gardner
authors.affiliation: Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: Arron
authors.initials: A
authors.lastname: Gill
authors.affiliation: University of Leeds, Leeds, UK.
authors.forename: David
authors.initials: D
authors.lastname: Jayne
authors.affiliation: Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: Alwyn
authors.initials: A
authors.lastname: Kotze
authors.affiliation: University of Leeds, Leeds, UK.
authors.forename: Alan
authors.initials: A
authors.lastname: Pearman
authors.affiliation: Columbia University School of Nursing, New York, USA; Center for Home Care Policy and Research, Visiting Nursing Service of New York, New York, USA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Dowding
mesh_terms: D003657:Decision Making; D005060:Europe; D006801:Humans; D009873:Operating Rooms; D065287:Robotic Surgical Procedures; D012371:Robotics