PD04-11 DEVELOPMENT OF AN INTERACTION TAXONOMY FOR ROBOT-ASSISTED SURGERY: PRELIMINARY FINDINGS

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology I (PD04)1 Apr 2019PD04-11 DEVELOPMENT OF AN INTERACTION TAXONOMY FOR ROBOT-ASSISTED SURGERY: PRELIMINARY FINDINGS Ann Bisantz, Jeff Higginbotham*, Antara Satchidanand, Gina Aldrich, Ellen Bossert, Taylor Kunkes, Mary Walters, Philippa Doherty, Lora A. Cavuoto, and Khurshid A. Guru Ann BisantzAnn Bisantz More articles by this author , Jeff Higginbotham*Jeff Higginbotham* More articles by this author , Antara SatchidanandAntara Satchidanand More articles by this author , Gina AldrichGina Aldrich More articles by this author , Ellen BossertEllen Bossert More articles by this author , Taylor KunkesTaylor Kunkes More articles by this author , Mary WaltersMary Walters More articles by this author , Philippa DohertyPhilippa Doherty More articles by this author , Lora A. CavuotoLora A. Cavuoto More articles by this author , and Khurshid A. GuruKhurshid A. Guru More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000555059.58598.97AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: This study examines how the surgical team accomplishes surgical communication at the micro-analytic-level. It documents how verbal, behavioral, and robotic console movements serve to move forward, delay, disrupt, and/or repair communication and activities related to surgical procedures. This taxonomy allows us to identify specific sources, repairs, and outcomes for each communication breakdown, permitting quantitative comparison of breakdown types across team members and their roles, tasks, interaction modes. METHODS: 10 robot-assisted radical prostatectomies (35 hours of recordings) were transcribed and coded by a trained research assistant and 100 interaction exchanges were randomly selected for analysis. Topic-focused interactions were measured for structure, communication grounding, pragmatic function, interaction mode (e.g., voice, pointing), proximity, trouble sources breakdown level, and communication repair strategies. Outcome variables include the type, number, and duration of communication breakdowns. RESULTS: The number of speaking participants in a given surgery ranged from 2 - 13, with an average of 4.2 ( sd = 1.9). The 100 exchanges were comprised of 3840 utterances, whose frequency varied considerably across surgical roles (Table 1). The Surgeon produced most utterances (33%), meanwhile, others produced utterances which ranged between 10-15%. Questions were asked for 22% of all utterances, and repair-oriented questions occurred for 1/3 of all questions. The core surgical team (Surgeon, Assistant Surgeon, Bedside Assistant) produced most of the questions.The proportion of both overall and repair-oriented questions were distributed equally across participants (chi-square df=6 = 4.03 (p= 0.67)). CONCLUSIONS: The expression of communication problems in Robot-Assisted Surgery are not authority-based, but situation-based. Results from this study will have implications for the design of better surgical communication protocols and will impact training, technology design, and ultimately safety. Source of Funding: Bisantz & Higginbotham (Co- PIs). Communication in Robotic Assisted Surgery: Detailed Analysis to understand communication success, repair, and the consequences of miscommunication. 2016 IMPACT research grant (University at Buffalo). Buffalo, NY; Getzville, NY; Buffalo, NY© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e78-e79 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ann Bisantz More articles by this author Jeff Higginbotham* More articles by this author Antara Satchidanand More articles by this author Gina Aldrich More articles by this author Ellen Bossert More articles by this author Taylor Kunkes More articles by this author Mary Walters More articles by this author Philippa Doherty More articles by this author Lora A. Cavuoto More articles by this author Khurshid A. Guru More articles by this author Expand All Advertisement PDF downloadLoading ...