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Journal Article > Study
Cook RI, Woods DD. Hum Factors. 1996;38:593-613.
New technology continues to offer great advances and challenges. This article takes a detailed look at technology's impact on human performance by studying the implementation of a new physiological monitoring system for use in cardiac anesthesia. Discussion includes characteristics of the upgraded system, a process-tracing technique to examine the complex physician-computer interaction, and the problems that developed while in use. The authors introduce a number of new cognitive burdens that resulted and discuss how providers attempted to overcome these burdens within the framework of the new system. Though it represents one example, the rich discussion in this article applies to most new technology and the human factors that require it to function as technically designed.
Journal Article > Commentary
Schimpff SC. Surg Innov. 2007;14:127-135.
The author discusses approaches to improving safety in the operating room, such as the use of robotics and simulation.
Carreyrou J. Wall Street Journal. May 4, 2010:A1.
This newspaper article discusses complications associated with surgical robots, and explains that such errors may have been exacerbated by inadequate clinician training and production pressures.
Quintero F. Orlando Sentinel. June 16, 2010;A1.
This newspaper article reports how one hospital system introduced advanced training programs to ensure safe use of surgical robots.
Journal Article > Study
Alemzadeh H, Raman J, Leveson N, Kalbarczyk Z, Iyer RK. PLoS One. 2016;11:e0151470.
Using an automated natural language processing tool, this retrospective study evaluated adverse events related to robotic surgery reported between 2000 and 2013. Device malfunctions contributed to many incidents, thus understanding these technical difficulties will be important for avoiding future harms.
FDA Safety Communication: caution when using robotically-assisted surgical devices in women's health including mastectomy and other cancer-related surgeries.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2019.
This announcement seeks to raise awareness of the potential risks associated with the use of robotic-assisted surgical devices in mastectomies or cancer-related care. Recommendations for patients who may seek to have robotically assisted surgery include asking about their surgeon's experience with these procedures and discussing benefits, risks, and alternatives regarding available treatment options with their health care provider. Suggestions for health care providers include completing specialized training on procedures they perform. A WebM&M commentary described the challenges and benefits associated with robotic surgery.