biostudies-literatureCofran LAgency for Healthcare Research and QualityAHRQ HHS206-215https://www.ebi.ac.uk/biostudies/studies/S-EPMC8286975biostudies-literatureUnknown36(1)<h4>Background</h4>The introduction of new technology into the operating room (OR) can be beneficial for patients, but can also create new problems and complexities for physicians and staff. The observation of flow disruptions (FDs)-small deviations from the optimal course of care-can be used to understand how systems problems manifest. Prior studies showed that the docking process in robotic assisted surgery (RAS), which requires careful management of process, people, technology and working environment, might be a particularly challenging part of the operation. We sought to explore variation across multiple clinical sites and procedures; and to examine the sources of those disruptions.<h4>Methods</h4>Trained observers recorded FDs during 45 procedures across multiple specialties at three Surgical endoscopyBarriers to safety and efficiency in robotic surgery docking.PMC8286975R01 HS026491HS026491-01Alfred MKanji FAnger JCatchpole KCofran LChoi ESavage SCohen TfalseBarriers to safety and efficiency in robotic surgery docking.<h4>Background</h4>The introduction of new technology into the operating room (OR) can be beneficial for patients, but can also create new problems and complexities for physicians and staff. The observation of flow disruptions (FDs)-small deviations from the optimal course of care-can be used to understand how systems problems manifest. Prior studies showed that the docking process in robotic assisted surgery (RAS), which requires careful management of process, people, technology and working environment, might be a particularly challenging part of the operation. We sought to explore variation across multiple clinical sites and procedures; and to examine the sources of those disruptions.<h4>Methods</h4>Trained observers recorded FDs during 45 procedures across multiple specialties at three 2022-01-01T00:00:00Z2022 Jan2025-04-04T01:24:00.718Z2025-04-04T01:24:00.718ZS-EPMC82869753346969510.1007/s00464-020-08258-0