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Morgan AA, Abdi J, Syed MAQ, Kohen GE, Barlow P, Vizcaychipi MP. Robots in Healthcare: a Scoping Review. CURRENT ROBOTICS REPORTS 2022; 3:271-280. [PMID: 36311256 PMCID: PMC9589563 DOI: 10.1007/s43154-022-00095-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/19/2022] [Indexed: 11/05/2022]
Abstract
Purpose of Review Robots are increasingly being adopted in healthcare to carry out various tasks that enhance patient care. This scoping review aims to establish the types of robots being used in healthcare and identify where they are deployed.
Recent Findings Technological advancements have enabled robots to conduct increasingly varied and complex roles in healthcare. For instance, precision tasks such as improving dexterity following stroke or assisting with percutaneous coronary intervention. Summary This review found that robots have played 10 main roles across a variety of clinical environments. The two predominant roles were surgical and rehabilitation and mobility. Although robots were mainly studied in the surgical theatre and rehabilitation unit, other settings ranged from the hospital ward to inpatient pharmacy. Healthcare needs are constantly evolving, as demonstrated by COVID-19, and robots may assist in adapting to these changes. The future will involve increased telepresence and infrastructure systems will have to improve to allow for this. Supplementary Information The online version contains supplementary material available at 10.1007/s43154-022-00095-4.
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Affiliation(s)
| | - Jordan Abdi
- Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
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Griggs AC, Fausett CM, Simonson RJ, Williams KN, Bisbey TM, Lazzara EH, Keebler JR, DiazGranados D, Mishra VK, Thomas EJ, Salas E. Telerounding: A scoping review and implications for future healthcare practice. HUMAN FACTORS IN HEALTHCARE 2021; 1:100008. [PMID: 35983374 PMCID: PMC9384964 DOI: 10.1016/j.hfh.2022.100008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Telerounding is slated to become an important avenue for future healthcare practice. As utilization of telerounding is increasing, a review of the literature is necessary to distill themes and identify critical considerations for the implementation of telerounding. We provide evidence of the utility of telerounding and considerations to support its implementation in future healthcare practice based on a scoping review. METHOD We collected articles from nine scientific databases from the earliest dated available articles to August 2020. We identified whether each article centered on telerounding policies, regulations, or practice. We also organized information from each article and sorted themes into four categories: sample characteristics, technology utilized, study constructs, and research outcomes. RESULTS We identified 21 articles related to telerounding that fit our criteria. All articles emphasized telerounding practice. Most articles reported data collected from surgical wards, had adult samples, and utilized robotic telerounding systems. Most articles reported null effects or positive effects on their measured variables. DISCUSSION Providers and patients can benefit from the effective implementation of telerounding. Telerounding can support patient care by reducing travel expenses and opportunities for infection. Evidence suggests that telerounding can reduce patient length of stay. Patients and providers are willing to utilize telerounding, but patient willingness is influenced by age and education. Telerounding does not appear to negatively impact satisfaction or patient care. Organizations seeking to implement telerounding systems must consider education for their providers, logistics associated with hardware and software, scheduling, and characteristics of the organizational context that can support telerounding. Considerations provided in this article can mitigate difficulties associated with the implementation of telerounding.
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Affiliation(s)
- Andrew C Griggs
- Department of Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA
| | - Crystal M Fausett
- Department of Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA
| | - Richard J Simonson
- Department of Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA
| | - Kimberly N Williams
- Department of Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA
| | - Tiffany M Bisbey
- Department of Psychological Sciences, Rice University, Houston, TX, USA
| | - Elizabeth H Lazzara
- Department of Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA
| | - Joseph R Keebler
- Department of Human Factors and Behavioral Neurobiology, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA
| | | | - Vimal K Mishra
- Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA
| | - Eric J Thomas
- Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center Houston, Houston, TX, USA
| | - Eduardo Salas
- Department Chair, Department of Psychological Sciences, Rice University, Houston, TX, USA
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Whelehan DF, Connelly TM, Ridgway PF. COVID-19 and surgery: A thematic analysis of unintended consequences on performance, practice and surgical training. Surgeon 2021; 19:e20-e27. [PMID: 32807661 PMCID: PMC7396881 DOI: 10.1016/j.surge.2020.07.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 07/06/2020] [Accepted: 07/20/2020] [Indexed: 12/21/2022]
Abstract
PURPOSE The shift in the national focus and allocation of resources to the management of COVID19 has led to significant changes to surgical practice including the delay of elective surgery. The aim of this study was to explore the implications of such changes on surgeons. METHOD Using a qualitative study design, semi-structured interviews were conducted with general surgery consultants and non-consultant hospital doctors from a major tertiary hospital in the Dublin region between March-May 2020. Data collection proceeded iteratively using a thematic analysis approach with quality controls such as memoing and collaborative analysis. RESULTS Fourteen surgeons (8 male, 6 female) were interviewed. The majority (n = 11, 78.6%) were NCHDs. Significant themes determined included 'impacts' on a variety of constructs such as performance, self-reported fatigue and wellbeing. Training themes elucidated included the effects of the cancellation of elective admissions on reduced operative exposure for trainees. Senior surgical staff were particularly focused on increased complexity in patient management. New policy requirements such as personal protective equipment use and novel rotas have had implications for aspects of work engagement. The pandemic and subsequent national restrictions imposed has afforded opportunities for improved well-being but also resulted in greater solitude in surgeons. CONCLUSIONS Rhetoric surrounding fatigue management and virus control dominates the conversation on the relationship between COVID-19 and surgery. Tipping the balance back to parity of fatigue management with service delivery in surgery will be key for sustainability of the surgical workforce.
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Affiliation(s)
- Dale F Whelehan
- Discipline of Surgery, School of Medicine, Trinity College Dublin, The University of Dublin; Department of Surgery, Tallaght University Hospital, Ireland.
| | - Tara M Connelly
- Discipline of Surgery, School of Medicine, Trinity College Dublin, The University of Dublin; Department of Surgery, Tallaght University Hospital, Ireland
| | - Paul F Ridgway
- Discipline of Surgery, School of Medicine, Trinity College Dublin, The University of Dublin; Department of Surgery, Tallaght University Hospital, Ireland
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Lombardi JM, Bottiglieri T, Desai N, Riew KD, Boddapati V, Weller M, Bourgois C, McChrystal S, Lehman RA. Addressing a national crisis: the spine hospital and department's response to the COVID-19 pandemic in New York City. Spine J 2020; 20:1367-1378. [PMID: 32492529 PMCID: PMC7261362 DOI: 10.1016/j.spinee.2020.05.539] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 04/29/2020] [Accepted: 05/18/2020] [Indexed: 02/03/2023]
Abstract
In a very brief period, the COVID-19 pandemic has swept across the planet leaving governments, societies, and healthcare systems unprepared and under-resourced. New York City now represents the global viral epicenter with roughly one-third of all mortalities in the United States. To date, our hospital has treated thousands of COVID-19 positive patients and sits at the forefront of the United States response to this pandemic. The goal of this paper is to share the lessons learned by our spine division during a crisis when hospital resources and personnel are stretched thin. Such experiences include management of elective and emergent cases, outpatient clinics, physician redeployment, and general health and wellness. As peak infections spread across the United States, we hope this article will serve as a resource for other spine departments on how to manage patient care and healthcare worker deployment during the COVID-19 crisis.
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Affiliation(s)
- J M Lombardi
- The Och Spine Hospital, Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 5141 Broadway at W 220th Street, New York, NY 10034.
| | - T Bottiglieri
- Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 622 W 168th Street, PH 11-Center, New York, NY 10032
| | - N Desai
- Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 622 W 168th Street, PH 11-Center, New York, NY 10032
| | - K D Riew
- The Och Spine Hospital, Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 5141 Broadway at W 220th Street, New York, NY 10034
| | - V Boddapati
- The Och Spine Hospital, Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 5141 Broadway at W 220th Street, New York, NY 10034
| | - M Weller
- Department of Anesthesiology, Columbia University Medical Center, New York Presbyterian Hospital, 622 W 168th Street, PH 11-Center, New York, NY 10032
| | - C Bourgois
- Department of Anesthesiology, Columbia University Medical Center, New York Presbyterian Hospital, 622 W 168th Street, PH 11-Center, New York, NY 10032
| | - S McChrystal
- The McChrystal Group, 333 N Fairfax Street, Alexandria, VA, 22314
| | - R A Lehman
- The Och Spine Hospital, Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 5141 Broadway at W 220th Street, New York, NY 10034
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Poh AL, Lin W. Role of the pharmacist during the COVID-19 pandemic: a time to rethink strategies. Singapore Med J 2020; 62:315-317. [PMID: 32588584 DOI: 10.11622/smedj.2020098] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Ai-Ling Poh
- Department of Pharmacy, Parkway Hospitals Singapore, Singapore
| | - Weiqin Lin
- Department of Cardiology, National University Heart Centre Singapore, Singapore.,Yong Loo Ling School of Medicine, National University of Singapore, Singapore
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Massey PA, McClary K, Zhang AS, Savoie FH, Barton RS. Orthopaedic Surgical Selection and Inpatient Paradigms During the Coronavirus (COVID-19) Pandemic. J Am Acad Orthop Surg 2020; 28:436-450. [PMID: 32304401 PMCID: PMC7195848 DOI: 10.5435/jaaos-d-20-00360] [Citation(s) in RCA: 86] [Impact Index Per Article: 21.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Indexed: 02/01/2023] Open
Abstract
The novel coronavirus pandemic, also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has placed an immense strain on healthcare systems across the entire world. Consequently, multiple federal and state governments have placed restrictions on hospitals such as limiting "elective surgery" and recommending social or physical distancing. We review the literature on several areas that have been affected including surgical selection, inpatient care, and physician well-being. These areas affecting inpatient paradigms include surgical priority, physical or social distancing, file sharing for online clinical communications, and physician wellness. During this crisis, it is important that orthopaedic departments place an emphasis on personnel safety and slowing the spread of the virus so that the department can still maintain vital functions. Physical distancing and emerging technologies such as inpatient telemedicine and online file sharing applications can enable orthopaedic programs to still function while attempting to protect medical staff and patients from the novel coronavirus spread. This literature review sought to provide evidence-based guidance to orthopaedic departments during an unprecedented time. Orthopaedic surgeons should follow the Centers for Disease Control and Prevention guidelines, wear personal protective equipment (PPE) when appropriate, have teams created using physical distancing, understand the department's policy on elective surgery, and engage in routines which enhance physician wellness.
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Affiliation(s)
- Patrick A Massey
- From the Department of Orthopaedic Surgery, Louisiana State University Health, Shreveport, LA (Dr. Massey, Dr. McClary, Dr. Zhang, and Dr. Barton), and the Department of Orthopaedic Surgery, Tulane Medical Center, New Orleans, LA (Dr. Savoie)
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Scott P. In this issue - Innovation to build learning health systems. JOURNAL OF INNOVATION IN HEALTH INFORMATICS 2018; 25:1073. [PMID: 30398445 DOI: 10.14236/jhi.v25i2.1073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 05/24/2018] [Indexed: 11/18/2022] Open
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De Lusignan S. In this issue - Patient risks are ignored at organisation level. JOURNAL OF INNOVATION IN HEALTH INFORMATICS 2018; 25:1041. [PMID: 29717947 DOI: 10.14236/jhi.v25i1.1041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 03/20/2018] [Indexed: 11/18/2022] Open
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Gatenby PAC. The robot will see you now? BMJ Health Care Inform 2018; 25:1059. [DOI: 10.14236/jhi.v25i2.1059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Accepted: 04/18/2018] [Indexed: 12/21/2022] Open
Abstract
Remote medical videoconferencing and teleconsultations are well-established in modern medical practice with good video and audio quality and data security. Extending this practice to ward rounds requires bringing the communication interface to the ward patient. This was found to be acceptable to patients and technically successful by Croghan et al.
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