J D Luketich1, H C Fernando, P O Buenaventura, N A Christie, S C Grondin, P R Schauer. 1. Minimally Invasive Surgery Center and Division of Thoracic and Foregut Surgery, University of Pittsburgh Medical Center Health System, 200 Lothrop Street Suite C-800, Pittsburgh, PA 15213, USA. luketichjd@msx.upmc.edu
Abstract
BACKGROUND: Speech recognition technology is a recent development in minimally invasive surgery. This study was designed to assess the impact of HERMES on operating room efficiency and user satisfaction. METHODS:Patients undergoing laparoscopic antireflux operations by surgeons experienced in minimally invasive surgery were randomized to HERMES-assisted or standard laparoscopic operations. The variables of interest were circulating nurse's time spent adjusting devices that are voice-controlled by HERMES, number of adjustments to devices requested, and surgeon and nurse satisfaction measured on a scale from 1 (dissatisfied) to 10 (satisfied). RESULTS: A total of 30 cases were studied. In the non-HERMES cases, nurses were interrupted to make device adjustments an average of 15.3 times per case versus 0.33 times per case in the with-HERMES cases (p < 0.01). The interruptions during the non-HERMES cases averaged 4.35 min per case versus 0.16 min per case in the with-HERMES cases (p = 0.03). Average satisfaction scores for HERMES operations as opposed to non-HERMES operations were 9.2 versus 5.3 for nurses (p < 0.01) and 9.0 versus 5.1 for surgeons (p < 0.01). CONCLUSIONS: Physician and nurse acceptance of HERMES was very high because of the smoother interruption-free environment.
RCT Entities:
BACKGROUND: Speech recognition technology is a recent development in minimally invasive surgery. This study was designed to assess the impact of HERMES on operating room efficiency and user satisfaction. METHODS:Patients undergoing laparoscopic antireflux operations by surgeons experienced in minimally invasive surgery were randomized to HERMES-assisted or standard laparoscopic operations. The variables of interest were circulating nurse's time spent adjusting devices that are voice-controlled by HERMES, number of adjustments to devices requested, and surgeon and nurse satisfaction measured on a scale from 1 (dissatisfied) to 10 (satisfied). RESULTS: A total of 30 cases were studied. In the non-HERMES cases, nurses were interrupted to make device adjustments an average of 15.3 times per case versus 0.33 times per case in the with-HERMES cases (p < 0.01). The interruptions during the non-HERMES cases averaged 4.35 min per case versus 0.16 min per case in the with-HERMES cases (p = 0.03). Average satisfaction scores for HERMES operations as opposed to non-HERMES operations were 9.2 versus 5.3 for nurses (p < 0.01) and 9.0 versus 5.1 for surgeons (p < 0.01). CONCLUSIONS: Physician and nurse acceptance of HERMES was very high because of the smoother interruption-free environment.
Authors: J D Luketich; S Raja; H C Fernando; W Campbell; N A Christie; P O Buenaventura; T L Weigel; R J Keenan; P R Schauer Journal: Ann Surg Date: 2000-10 Impact factor: 12.969
Authors: R J Damiano; W J Ehrman; C T Ducko; H A Tabaie; E R Stephenson; C P Kingsley; C E Chambers Journal: J Thorac Cardiovasc Surg Date: 2000-01 Impact factor: 5.209
Authors: J D Luketich; P R Schauer; N A Christie; T L Weigel; S Raja; H C Fernando; R J Keenan; N T Nguyen Journal: Ann Thorac Surg Date: 2000-09 Impact factor: 4.330
Authors: Peter van Dam; Jan Hauspy; Luc Verkinderen; Xuan Bich Trinh; Pieter-Jan van Dam; Luc Van Looy; Luc Dirix Journal: Obstet Gynecol Int Date: 2011-09-18