Journal article
Exploring the Impact of the Physical Environment on Robotic-Assisted Surgery Outcomes and Processes: A Scoping Review
Human factors, Vol.67(10), pp.1011-1045
10/2025
DOI: 10.1177/00187208251333907
PMID: 40267990
Abstract
Objective
The purpose of this scoping review is to identify physical environmental facilitators and barriers related to performing robotic-assisted surgery (RAS) in operating rooms (ORs).
Background
As new robotic surgery technology is developed and brought to market, there is a need to understand how existing and future operating rooms are adapted and designed to support patient safety, surgical workflow, and teamwork. This review will focus on literature related to physical environment factors that impact workflow and communication, as well as the adoption of RAS technology.
Method
The scoping review search was conducted during November 2022, following the PRISMA guidelines. An independent reviewer screened articles for inclusion and exclusion and two independent reviewers completed a quality appraisal was on the included articles.
Results
Of the 9325 texts screened, 28 articles were included for analysis. The primary physical environment and outcome variables were extracted and synthesized under the following categories: RAS process or task-related, environmental features, environmental qualities, and staff or patient outcomes.
Conclusion
The physical environment of the OR, such as OR layout, OR size, environmental noise, and dedicated robotic ORs played a significant role in efficiency and workflow outcomes for RAS, as well as workload measures, staff and patient safety, and surgical performance.
Application
Since there are minimal evidence-based resources available for the application of RAS, this review provides distinct connections between RAS outcomes and specific environmental features for considerations among design researchers, architects, human factors professionals, hospital administrators, and practitioners to aid in decision making during and after implementation of RAS technology.
Details
- Title: Subtitle
- Exploring the Impact of the Physical Environment on Robotic-Assisted Surgery Outcomes and Processes: A Scoping Review
- Creators
- Sara Kennedy - Clemson UniversityPatrick Fuller - Clemson UniversityJackie S Cha - Clemson UniversityAlfredo M Carbonell - University of South CarolinaQi Luo - University of IowaAnjali Joseph - Clemson University
- Resource Type
- Journal article
- Publication Details
- Human factors, Vol.67(10), pp.1011-1045
- DOI
- 10.1177/00187208251333907
- PMID
- 40267990
- NLM abbreviation
- Hum Factors
- ISSN
- 1547-8181
- eISSN
- 1547-8181
- Publisher
- Sage
- Grant note
- National Science Foundation (NSF): BCS-2222806, IIS-2340184
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publicationof this article: This project was funded by the National Science Foundation (NSF) Future of Work at the Human-Technology Frontier program (FW-HTF) (BCS-2222806, IIS-2340184).
- Language
- English
- Electronic publication date
- 04/23/2025
- Date published
- 10/2025
- Academic Unit
- Business Analytics
- Record Identifier
- 9984813168202771
Metrics
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