4.1 Article

A Novel Approach for Engagement in Team Training in High-Technology Surgery: The Robotic-Assisted Surgery Olympics

Journal

JOURNAL OF PATIENT SAFETY
Volume 18, Issue 6, Pages 570-577

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PTS.0000000000001056

Keywords

human factors; patient safety; team training; teamwork; surgery

Funding

  1. Agency for Healthcare Research and Quality, U.S. Department of Health, and Human Services [HS026491-01]

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The RAS Olympics was successfully implemented as a game-based educational competition to improve skills in robotic-assisted surgery. Participants positively responded to the activity, finding it relevant to their work and effective in learning new techniques to enhance their practice. The interactive learning environment of the RAS Olympics was preferred over traditional training methods.
Introduction There is ongoing interest in the development of technical and nontechnical skills in healthcare to improve safety and efficiency; however, barriers to developing and delivering related training programs make them difficult to implement. Unique approaches to training such as serious games may offer ways to motivate teams, reinforce skill acquisition, and promote teamwork. Given increased challenges to teamwork in robotic-assisted surgery (RAS), researchers aimed to develop the RAS Olympics, a game-based educational competition to improve skills needed to successfully perform RAS. Methods This pilot study was conducted at an academic medical center in Southern California. Robotic-assisted surgery staff were invited to participate in the RAS Olympics to develop their skills and identify opportunities to improve processes. Impact of the activity was assessed using surveys and debriefs. Results Sixteen operating room team members participated and reacted favorably toward the RAS-Olympics (average score, 4.5/5). They enjoyed the activity, would recommend all staff participate, felt that it was relevant to their work, and believed that they practiced and learned new techniques that would improve their practice. Confidence in skills remained unchanged. Participants preferred the RAS Olympics to traditional training because it provided an interactive learning environment. Conclusions The successful implementation of the RAS Olympics provided insight into new opportunities to engage surgical staff members while also training technical and nontechnical skills. Furthermore, this shared experience allowed surgical staff members to gain a greater appreciation for their teammates and an understanding of the current challenges and methods to improve teamwork and communication while promoting safety and efficiency in RAS.

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