Robotic-assisted surgery: focus on training and credentialing
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Author(s):
- Dubeck, Deborah, author
- Contributor(s):
- Pennsylvania. Patient Safety Authority, issuing body. ECRI (Organization), issuing body. Institute for Safe Medication Practices, issuing body.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2014
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Credentialing Robotics -- standards Surgical Procedures, Operative -- adverse effects Surgical Procedures, Operative -- education Surgical Procedures, Operative -- standards Education, Medical, Continuing Forecasting Foreign Bodies Informed Consent Intraoperative Complications -- epidemiology Medical Errors -- statistics & numerical data Medical Errors -- trends Patient Positioning Postoperative Hemorrhage Surgical Wound Infection Humans United States
- Genre(s):
- Technical Report
- Abstract:
- Since 2005, healthcare facilities have reported 722 safety events involving robotic-assisted surgery (RAS) to the Pennsylvania Patient Safety Authority. Five hundred forty-five (75.5%) were categorized as Incidents that did not result in patient harm. Of the 545 Incidents reported, 344 (63.1%) of the events were categorized as complications of a procedure/treatment/test or errors related to a procedure/treatment/test. One hundred seventy-seven (24.5%) were reported as Serious Events that resulted in patient injury, including 10 events that resulted in patient fatality. Complications of a procedure/treatment/test (n = 131) and errors related to a procedure/treatment/test (n = 44) comprised 98.9% of the Serious Events. Further review of these cases showed that the event type subcategories of unintended laceration/puncture, bleeding/hemorrhage, other events related to patient positioning complications, retained foreign body, and infection made up 75.1% of the Serious Events. The rapid growth of RAS has presented new challenges as this technology has emerged as an alternative treatment option to many laparoscopic and open procedures. Current literature supports that a steep learning curve exists as surgeons develop skills to perform robotic procedures. As professional organizations discuss developing and defining standards for training and credentialing, the responsibility falls on the individual hospital to develop programs to ensure that both the physician and the entire surgical team are proficient and competent to safely perform robotic procedures and that patient outcomes are monitored to ensure ongoing staff competency.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (93-101))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101641557 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101641557