Employing the Aviation Model to Reduce Errors in Robotic Gynecological Surgery: A Narrative Review

Stefano Restaino^{1

2}, Federico Paparcura³, Martina Arcieri¹, Giulia Pellecchia³, Alice Poli³, Valerio Gallotta⁴, Salvatore Gueli Alletti⁵, Stefano Cianci⁶, Vito Andrea Capozzi⁷, Giorgio Bogani^{8

9}, Alessandro Lucidi¹⁰, Marko Klarić¹¹, Lorenza Driul^{1

3}, Vito Chiantera^{12

13}, Fabrizio Dal Moro¹⁴, Giovanni Scambia^{4

15}, Giuseppe Vizzielli^{1

3}

Affiliations

¹ Department of Maternal and Child Health, Obstetrics and Gynecology Clinic, University Hospital of Udine, 33100 Udine, Italy.
² PhD School in Biomedical Sciences, Gender Medicine, Child and Women Health, University of Sassari, 07100 Sassari, Italy.
³ Department of Medicine (DMED), University of Udine, 33100 Udine, Italy.
⁴ Department of Woman, Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
⁵ Department of Obstetrics and Gynecology, Ospedale Buccheri La Ferla-Fatebenefratelli, 90123 Palermo, Italy.
⁶ Obstetrics and Gynecology Unit, Department of Human Pathology of Adult and Childhood "G. Barresi", University of Messina, 98125 Messina, Italy.
⁷ Department of Medicine and Surgery, University Hospital of Parma, 43126 Parma, Italy.
⁸ Gynecologic Oncology Unit, Department Oncologic Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milan, Italy.
⁹ Department of Gynecological, Obstetrical and Urological Sciences, "Sapienza" University of Rome, 00185 Rome, Italy.
¹⁰ Department of Obstetrics and Gynecology, University of Chieti, 66100 Chieti, Italy.
¹¹ Department of Obstetrics and Gynaecology, Clinical Hospital Center of Rijeka, 51000 Rijeka, Croatia.
¹² Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90133 Palermo, Italy.
¹³ Unit of Gynecologic Oncology, National Cancer Institute-IRCCS-Fondazione "G. Pascale", 80138 Naples, Italy.
¹⁴ Department of Surgery, Oncology, and Gastroenterology, Urology Clinic, University of Padua, 35124 Padova, Italy.
¹⁵ Universita' Cattolica del Sacro Cuore, 00168 Rome, Italy.

PMID: 39201172
PMCID: PMC11353387
DOI: 10.3390/healthcare12161614

Review

Employing the Aviation Model to Reduce Errors in Robotic Gynecological Surgery: A Narrative Review

Stefano Restaino et al. Healthcare (Basel). 2024.

. 2024 Aug 13;12(16):1614.

doi: 10.3390/healthcare12161614.

Authors

Affiliations

¹ Department of Maternal and Child Health, Obstetrics and Gynecology Clinic, University Hospital of Udine, 33100 Udine, Italy.
² PhD School in Biomedical Sciences, Gender Medicine, Child and Women Health, University of Sassari, 07100 Sassari, Italy.
³ Department of Medicine (DMED), University of Udine, 33100 Udine, Italy.
⁴ Department of Woman, Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
⁵ Department of Obstetrics and Gynecology, Ospedale Buccheri La Ferla-Fatebenefratelli, 90123 Palermo, Italy.
⁶ Obstetrics and Gynecology Unit, Department of Human Pathology of Adult and Childhood "G. Barresi", University of Messina, 98125 Messina, Italy.
⁷ Department of Medicine and Surgery, University Hospital of Parma, 43126 Parma, Italy.
⁸ Gynecologic Oncology Unit, Department Oncologic Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milan, Italy.
⁹ Department of Gynecological, Obstetrical and Urological Sciences, "Sapienza" University of Rome, 00185 Rome, Italy.
¹⁰ Department of Obstetrics and Gynecology, University of Chieti, 66100 Chieti, Italy.
¹¹ Department of Obstetrics and Gynaecology, Clinical Hospital Center of Rijeka, 51000 Rijeka, Croatia.
¹² Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90133 Palermo, Italy.
¹³ Unit of Gynecologic Oncology, National Cancer Institute-IRCCS-Fondazione "G. Pascale", 80138 Naples, Italy.
¹⁴ Department of Surgery, Oncology, and Gastroenterology, Urology Clinic, University of Padua, 35124 Padova, Italy.
¹⁵ Universita' Cattolica del Sacro Cuore, 00168 Rome, Italy.

PMID: 39201172
PMCID: PMC11353387
DOI: 10.3390/healthcare12161614

Abstract

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.

Keywords: aviation; checklist; robotic surgery; simulation; training.

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Conflict of interest statement

The authors declare no conflicts of interest.

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Employing the Aviation Model to Reduce Errors in Robotic Gynecological Surgery: A Narrative Review

Affiliations

Employing the Aviation Model to Reduce Errors in Robotic Gynecological Surgery: A Narrative Review

Authors

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Abstract

Conflict of interest statement

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