Effects of Experience and Workplace Culture in Human-Robot Team Interaction in Robotic Surgery: A Case Study

Robots are being used in the operating room to aid in surgery, prompting changes to workflow and adaptive behavior by the users. This case study presents a methodology for examining human-robot team interaction in a complex environment, along with the results of its application in a study of the effects of experience and workplace culture, for human-robot team interaction in the operating room. The analysis of verbal and non-verbal events in robotic surgery in two different surgical teams (one in the US and one in France) revealed differences in workflow, timeline, roles, and communication patterns as a function of experience and workplace culture. Longer preparation times and more verbal exchanges related to uncertainty in use of the robotic equipment were found for the French team, who also happened to be less experienced. This study offers an effective method for studying human-robot team interaction and has implications for the future design and training of teamwork with robotic systems in other complex work environments.

[1]  Lorelei Lingard,et al.  Team Communications in the Operating Room: Talk Patterns, Sites of Tension, and Implications for Novices , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[2]  Jerry B. Weinberg,et al.  Interfacing the Public and Technology : A Web Controlled Mobile Robot , 2004 .

[3]  Jacques Marescaux,et al.  Transatlantic robot-assisted telesurgery , 2001, Nature.

[4]  Nancy J. Cooke,et al.  Advances in Human Performance and Cognitive Engineering Research , 2002 .

[5]  Tom Rodden,et al.  The role of ethnography in interactive systems design , 1995, INTR.

[6]  E. Schein.  Organizational Culture and Leadership , 1991 .

[7]  Robin R. Murphy,et al.  Moonlight in Miami: a field study of human-robot interaction in the context of an urban search and rescue disaster response training exercise , 2004 .

[8]  Florian Jentsch,et al.  11. “A FRENCHMAN, A GERMAN, AND AN ENGLISHMAN …”: THE IMPACT OF CULTURAL HETEROGENEITY ON TEAMS , 2004 .

[9]  Richard I. Cook,et al.  SPECIAL SECTION: Adapting to New Technology in the Operating Room , 1996, Hum. Factors.

[10]  B. Mark.  Organizational culture. , 1996, Annual review of nursing research.

[11]  Sexton Jb,et al.  Analyzing cockpit communications: the links between language, performance, error, and workload. , 2000 .

[12]  Julia Neily,et al.  Teamwork and communication in surgical teams: implications for patient safety. , 2008, Journal of the American College of Surgeons.

[13]  G. Hofstede.  Culture′s Consequences: Comparing Values, Behaviors, Institutions and Organizations Across Nations , 2001 .

[14]  Batya Friedman,et al.  Hardware companions?: what online AIBO discussion forums reveal about the human-robotic relationship , 2003, CHI '03.

[15]  E. Ackermann.  The Quality in Australian Health Care Study. , 1996, The Medical journal of Australia.

[16]  Sara Ljungblad,et al.  Where Third Wave HCI Meets HRI: Report from a workshop on user-centred design of robots , 2009, 2009 4th ACM/IEEE International Conference on Human-Robot Interaction (HRI).

[17]  Eduardo Salas,et al.  Improving Teamwork in Organizations : Applications of Resource Management Training , 2001 .

[18]  Karen D Horvath,et al.  Surgeon Information Transfer and Communication: Factors Affecting Quality and Efficiency of Inpatient Care , 2007, Annals of surgery.

[19]  Jie Ren,et al.  Investigations into Performance of Minimally Invasive Telesurgery with Feedback Time Delays , 2000, Presence: Teleoperators & Virtual Environments.

[20]  J. T. Dennerlein,et al.  Ergonomics and human factors in endoscopic surgery: a comparison of manual vs telerobotic simulation systems , 2005, Surgical Endoscopy And Other Interventional Techniques.

[21]  Eduardo Salas,et al.  Analyzing Communication Sequences for Team Training Needs Assessment , 1998, Hum. Factors.

[22]  Caprice K. Christian,et al.  A prospective study of patient safety in the operating room. , 2006, Surgery.

[23]  R. Helmreich,et al.  Culture at Work in Aviation and Medicine: National, Organizational and Professional Influences , 1998 .

[24]  R. Reznick,et al.  Communication failures in the operating room: an observational classification of recurrent types and effects , 2004, Quality and Safety in Health Care.

[25]  Ehud Sharlin,et al.  Evaluating Human-Robot Interaction , 2011, Int. J. Soc. Robotics.

[26]  Aneil K. Mishra,et al.  Toward a theory of organizational culture and effectiveness. , 1995 .

[27]  Sebastian Thrun,et al.  Toward a Framework for Human-Robot Interaction , 2004, Hum. Comput. Interact..

[28]  Kristian Wasen,et al.  Replacement of Highly Educated Surgical Assistants by Robot Technology in Working Life: Paradigm Shift in the Service Sector , 2010, Int. J. Soc. Robotics.

[29]  David T. Bauer,et al.  Crew resource management training for surgeons: feasibility and impact , 2008, Cognition, Technology & Work.

[30]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[31]  Caroline G. L. Cao,et al.  Effects of New Technology on the Operating Room Team , 2004 .

[32]  C. Landrigan,et al.  Temporal trends in rates of patient harm resulting from medical care. , 2010, The New England journal of medicine.

[33]  C. Marano,et al.  To err is human. Building a safer health system , 2005 .

[34]  David M. Gaba,et al.  Simulation-Based Training in Anesthesia Crisis Resource Management (ACRM): A Decade of Experience , 2001 .

[35]  R L Helmreich,et al.  The evolution of Crew Resource Management training in commercial aviation. , 1999, The International journal of aviation psychology.

[36]  A. Gawande,et al.  The incidence and nature of surgical adverse events in Colorado and Utah in 1992. , 1999, Surgery.

[37]  Philippe Palanque,et al.  Human Error, Safety and Systems Development , 2010, Lecture Notes in Computer Science.

[38]  Neville Moray,et al.  2. CULTURE, CONTEXT AND PERFORMANCE , 2004 .

[39]  Roderick M. Kramer,et al.  Swift trust and temporary groups. , 1996 .

[40]  Adelaide Blavier,et al.  Integrating Collective Work Aspects in the Design Process: An Analysis Case Study of the Robotic Surgery Using Communication as a Sign of Fundamental Change , 2009, HESSD.

[41]  Sebastian Thrun.  Toward a framework for human-robot interaction , 2004 .

[42]  Bilge Mutlu,et al.  Robots in organizations: The role of workflow, social, and environmental factors in human-robot interaction , 2008, 2008 3rd ACM/IEEE International Conference on Human-Robot Interaction (HRI).

[43]  Andrew N. Healey,et al.  Teamwork enables remote surgical control and a new model for a surgical system emerges , 2009, Cognition, Technology & Work.

[44]  Manfred Tscheligi,et al.  User experience evaluation with a Wizard of Oz approach: Technical and methodological considerations , 2009, 2009 9th IEEE-RAS International Conference on Humanoid Robots.

[45]  S. Sheps,et al.  The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada , 2004, Canadian Medical Association Journal.

[46]  G. Ballantyne.  Robotic surgery, telerobotic surgery, telepresence, and telementoring , 2002, Surgical Endoscopy And Other Interventional Techniques.

[47]  R. Helmreich,et al.  Culture, error, and crew resource management. , 2001 .

[48]  A. Wall,et al.  Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95 , 2000 .

[49]  Caroline G. L. Cao,et al.  Lowering Communication Barriers in Operating Room Technology , 2006, Hum. Factors.