Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17913
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dc.contributor.authorAl-Hakim, Latif-
dc.contributor.authorXiao, Jiaquan-
dc.contributor.authorSengupta, Shomik-
dc.date2017-04-28-
dc.date.accessioned2018-06-19T06:24:19Z-
dc.date.available2018-06-19T06:24:19Z-
dc.date.issued2017-12-
dc.identifier.citationSurgical endoscopy 2017; 31(12): 5043-5056-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17913-
dc.description.abstractThe aim of this study is to examine operative flow disruption that occurs inside the surgical field, (internal operative flow disruption (OFD)), during urological laparoscopies, and to relate those events to external ergonomics environment in terms of monitor location, level of instruments' handles, and location of surgical team members. According to the our best knowledge, this is the first study of its kind. A combination of real and video-aided observational study was conducted in the operating rooms at hospitals in Australia and China. Brain storming sessions were first conducted to identify the main internal OFD events, and the observable reasons, potential external, and latent ergonomic factors were listed. A prospective observational study was then conducted. The observer's records and the related video records of internal surgical fields were analysed. Procedures were categorised into groups based on similarity in ergonomics environment. The mapping process revealed 39 types of internal OFD events resulted from six reasons. A total of 24 procedures were selected and arranged into two groups, each with twelve procedures. Group A was carried out under satisfactory ergonomics environment, while Group B was conducted under unsatisfactory ergonomics environment. A total of 1178 OFD events were detected delaying the total observed operative times (2966 min) by 220 min (7.43%). Average OFD/h in group A was less than 15, while in group B about 29 OFD/h. There are two main latent ergonomics factors affecting the surgeon's performance; non-physiological posture and long-period static posture. The delays and number of internal OFD were nearly doubled where procedures were conducted under unsatisfactory external ergonomics environment. Some events such as stopping operation and irrelevant conversations during long procedures may have a positive influence on the surgeon's performance.-
dc.language.isoeng-
dc.subjectErgonomics environment-
dc.subjectInternal disruption-
dc.subjectLaparoscopy-
dc.subjectObservation-
dc.subjectOperational flow-
dc.subjectUrology-
dc.titleErgonomics perspective for identifying and reducing internal operative flow disruption for laparoscopic urological surgery.-
dc.typeJournal Article-
dc.identifier.journaltitleSurgical endoscopy-
dc.identifier.affiliationDivision of Information Technology and Mathematical Sciences, University of South Australia, Adelaide, Australia-
dc.identifier.affiliationService Science and Operations Management, Zhejiang University, Hangzhou, China-
dc.identifier.affiliationDepartment of Urology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China-
dc.identifier.affiliationDepartment of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia-
dc.identifier.doi10.1007/s00464-017-5568-z-
dc.identifier.orcid0000-0002-4399-7862-
dc.identifier.pubmedid28455772-
dc.type.austinJournal Article-
dc.type.austinObservational Study-
local.name.researcherSengupta, Shomik
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptUrology-
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