Key result
Aviation-adapted checklists and simulation help reduce human error and adverse events in robotic gynecological surgery.
Why the study?
Robotic surgery was identified as a top health hazard, prompting a review to assess how aviation-inspired checklists and training reduce errors and improve outcomes.
Do aviation model tools (checklists, training, and simulation) reduce errors in robotic gynecological surgery?
Do aviation model tools (checklists, training, and simulation) reduce errors in robotic gynecological surgery?
Implementing aviation-inspired tools like checklists and simulation in robotic gynecological surgery is essential for reducing human error and adverse medical events.
Supports aviation-derived checklists and simulation to reduce errors in robotic gynecologic surgery; leaves open need for prospective validation before practice change.
The operating room is the environment where harm to the patient is most likely. Robotic surgery was listed as one of the top 10 health hazards as late as 2020. Taking inspiration from other fields of application, such as aeronautics, checklists have been increasingly implemented in medical practice over the years, becoming essential components of the operating theatre. In addition to checklists, simulation has taken on a fundamental importance in reducing errors. This paper aims to provide a narrative review to assess the importance of checklists and training in robotic surgery and how they improve the outcome. A comprehensive literature search from January 2000 to September 2023 was conducted. A total of 97 articles were included in the initial search. Eleven studies were deemed relevant and were considered eligible for full-text reading. Among these, ten studies focused on the analysis of training effectiveness. An article in our review assessed the benefits of introducing checklists in the operating room. Innovations created in aviation, such as checklists and simulation, have entered the medical field to prevent human error. Developing dedicated checklist and surgical teams, through theoretical and practical training, has become essential in modern medicine. Tools such as checklists, training, and simulation are among the best methods to reduce adverse medical events.
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Restaino et al. (2024) conducted a review in Robotic Gynecological Surgery (n=11). Checklists, training, and simulation was evaluated on Reduction of errors and adverse medical events. Checklists, training, and simulation adapted from the aviation model are essential tools to reduce human error and adverse medical events in robotic gynecological surgery.
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