document

Mapping Discomfort through Patient Input in Robotic Physiotherapy

Ravenberg, Jevon (author)

In this work, we propose a method of processing patient input on discomfort level during robot shoulder physiotherapy into discomfort maps. These maps represent the patient's discomfort distribution throughout the range of motion of the shoulder, interpretable by both physiotherapists and robots. This method consists of three parts: the patient...

master thesis 2024

document

The value of collision feedback in robotic surgical skills training

Postema, R.R. (author), Hardon, Hidde (author), Rahimi, A. Masie (author), Horeman, Roel (author), Nickel, Felix (author), Dankelman, J. (author), Bloemendaal, A.L.A. (author), van der Elst, M. (author), van der Peet, Donald L. (author), Daams, Freek (author), Hardon, S.F. (author), Horeman, T. (author)

Collision feedback about instrument and environment interaction is often lacking in robotic surgery training devices. The PoLaRS virtual reality simulator is a newly developed desk trainer that overcomes drawbacks of existing robot trainers for advanced laparoscopy. This study aimed to assess the effect of haptic and visual feedback during...

journal article 2024

document

Transfer care system performance in relation to resource scarcity: Implications for sustainability of the healthcare system performance

Wagenaar, Britt (author)

The Netherlands is experiencing a significant increase in its aging population. Multi morbidity and a rapidly growing shortage of healthcare personnel are putting pressure on the healthcare system, leading to capacity issues. The capacity problems of care have medical, safety, social, and economic consequences. Policy measures are needed to...

master thesis 2023

document

Design Requirements for Future Technology to Enhance Surgical Instrument Counting: An Observational Study at the Reinier de Graaf Gasthuis

de Rouw, Lieke (author)

INTRODUCTION Surgical counting of instruments forms a crucial part of safety procedures in the operating room (OR). This process has remained primitive without technological support. The manual count process is time-consuming and places heavy cognitive demands on nurses. Current technological approaches fail to detect the exact and detailed...

master thesis 2023

document

A controlled adaptive computational network model of a virtual coach supporting speaking up by healthcare professionals to optimise patient safety

Doornkamp, S.M. (author), Jabeen, F. (author), Treur, J. (author), Rob Taal, H. (author), Roelofsma, Peter (author)

Previous reports show that a substantial proportion of (near) medical errors in the operating theatre is attributable to ineffective communication between healthcare professionals. Speaking up about observed medical errors is a safety behaviour which promotes effective communication between health care professionals, consequently optimising...

journal article 2023

document

Crossover-effects in technical skills between laparoscopy and robot-assisted surgery

Hardon, S.F. (author), Willuth, E. (author), Rahimi, A. Masie (author), Lang, F. (author), Haney, Caelan M. (author), Felinska, Eleni A. (author), Kowalewski, Karl Friedrich (author), Müller-Stich, Beat P. (author), van der Peet, Donald L. (author), Daams, Freek (author), Nickel, F. (author), Horeman, T. (author)

Introduction: Robot-assisted surgery is often performed by experienced laparoscopic surgeons. However, this technique requires a different set of technical skills and surgeons are expected to alternate between these approaches. The aim of this study is to investigate the crossover effects when switching between laparoscopic and robot-assisted...

journal article 2023

document

Introduction of innovations in joint arthroplasty: Recommendations from the ‘EFORT implant and patient safety initiative’

Overgaard, Søren (author), Grupp, Thomas M. (author), Nelissen, R.G.H.H. (author), Cristofolini, Luca (author), Lübbeke, Anne (author), Jäger, Marcus (author), Fink, Matthias (author), Achakri, Hassan (author), Benazzo, Francesco (author), Günther, Klaus-Peter (author)

review 2023

document

How safe is the diagnostic process in healthcare?

Marang-van de Mheen, P.J. (author), Thomas, Eric J. (author), Graber, Mark L. (author)

contribution to periodical 2023

document

How can communication to GPs at hospital discharge be improved? A systems approach

Boddy, Nicholas (author), Barclay, Stephen (author), Bashford, Tom (author), Clarkson, P.J. (author)

Background: Poor communication to GPs at hospital discharge threatens patient safety and continuity of care, with reliance on discharge summaries that are commonly written by the most junior doctors. Previous quality improvement efforts have largely focused on adherence to standardised templates, with limited success. A lack of understanding...

journal article 2022

document

Safe implementation of hand held steerable laparoscopic instruments: a survey among EAES surgeons

Hardon, S.F. (author), Rahimi, A. (author), Postema, R.R. (author), Willuth, E. (author), Mintz, Y. (author), Arezzo, A. (author), Dankelman, J. (author), Nickel, F. (author), Horeman, T. (author), Sanchez Margallo, J.A. (author)

The complexity of handheld steerable laparoscopic instruments (SLI) may impair the learning curve compared to conventional instruments when first utilized. This study aimed to provide the current state of interest in the use of SLI, the current use of these in daily practice and the type of training which is conducted before using SLI in the...

journal article 2022

document

Criteria for recommendations after perioperative sentinel events

Bos, Kelly (author), Dongelmans, Dave A. (author), Groeneweg, J. (author), Legemate, Dink A. (author), Leistikow, Ian P. (author), Van Der Laan, Maarten J. (author)

Background The recurrence of sentinel events (SEs) is a persistent problem worldwide, despite repeated analyses and recommendations formulated to prevent recurrence. Research suggests this is partly attributable to the quality of the recommendations, and determining if a recommendation will be effective is not yet covered by an adequate...

journal article 2021

document

Validation of the portable virtual reality training system for robotic surgery (PoLaRS): a randomized controlled trial

Hardon, S.F. (author), Kooijmans, A.M. (author), Horeman, Roel (author), van der Elst, M. (author), Bloemendaal, Alexander L.A. (author), Horeman, T. (author)

Background: As global use of surgical robotic systems is steadily increasing, surgical simulation can be an excellent way for robotic surgeons to acquire and retain their skills in a safe environment. To address the need for training in less wealthy parts of the world, an affordable surgical robot simulator (PoLaRS) was designed. Methods: The...

journal article 2021

document

Crew Resource Management Training for Surgical Teams, A Fragmented Landscape

van Grevenstein, W. M.U. (author), van der Linde, E. M. (author), Heetman, J. G. (author), Lange, J. F. (author), ten Cate, Th J. (author), Wauben, L.S.G.L. (author), Dekker-van Doorn, C. M. (author)

Objective: Medical Crew Resource Management (CRM) training courses are designed to increase patient safety by reducing the effects of human errors. These training courses are most popular in surgery and a wide range of medical CRM training courses for surgical teams is now available. However, the effects of these CRM training courses on...

journal article 2021

document

Medical Instrument Tray Optimization: Combining Use Rates, Expert Opinions and Risk Analyses

van Trier, Teun (author)

The operating room and central sterile supply department (CSSD) are two<br/>resource-intensive healthcare departments. Reducing the environmental and financial impact of these departments is of great importance in the global debate on sustainability. Removing unnecessary items from instrument trays may provide a partial solution. However,...

master thesis 2019

document

The value of force and torque measurements in transanal total mesorectal excision (TaTME)

Hardon, S.F. (author), van Kasteren, R. J. (author), Dankelman, J. (author), Bonjer, H. J. (author), Tuynman, J. B. (author), Horeman, T. (author)

Background: Transanal total mesorectal excision (TaTME) is associated with a relatively long learning curve. Force, motion, and time parameters are increasingly used for objective assessment of skills to enhance laparoscopic training efficacy. The aim of this study was to identify relevant metrics for accurate skill assessment in more complex...

journal article 2019

document

Surgical phase modelling in minimal invasive surgery

Meeuwsen, F.C. (author), van Luyn, F. (author), Blikkendaal, M. D. (author), Jansen, F.W. (author), van den Dobbelsteen, J.J. (author)

Background: Surgical Process Modelling (SPM) offers the possibility to automatically gain insight in the surgical workflow, with the potential to improve OR logistics and surgical care. Most studies have focussed on phase recognition modelling of the laparoscopic cholecystectomy, because of its standard and frequent execution. To demonstrate...

journal article 2018

document

Electrosurgery: short-circuit between education and practice

Meeuwsen, F.C. (author), Guédon, A.C.P. (author), Klein, J. (author), van der Elst, Maarten (author), Dankelman, J. (author), van den Dobbelsteen, J.J. (author)

Introduction: Electrosurgery is used in 80% of surgical procedures. The technique allows surgeons to skilfully dissect tissues and achieve haemostasis. Since improper use of electrosurgery can lead to serious adverse events, training is required to potentially reduce the number and severity of these events. In this study we evaluate education...

journal article 2018

document

Can doctors identify older patients at risk of medication harm following hospital discharge?: A multicentre prospective study in the UK

Parekh, Nikesh (author), Stevenson, Jennifer M. (author), Schiff, Rebekah (author), Davies, Graham (author), Bremner, Stephen (author), van der Cammen, T.J.M. (author), Harchowal, Jatinder (author), Rajkumar, Chakravarthi (author), Ali, Khalid (author)

Aims: Medication-related harm (MRH) is common in older adults following hospital discharge. In resource-limited health systems, interventions to reduce this risk can be targeted at high-risk patients. This study aims to determine whether (1) doctors can predict which older patients will experience MRH requiring healthcare following hospital...

journal article 2018

document

Surgical flow disturbances in dedicated minimally invasive surgery suites:: An observational study to assess its supposed superiority over conventional suites

Blikkendaal, Mathijs D. (author), Driessen, Sara R C (author), Rodrigues, Sharon P. (author), Rhemrev, Johann P T (author), Smeets, Maddy J G H (author), Dankelman, J. (author), van den Dobbelsteen, J.J. (author), Jansen, F.W. (author)

Background: Minimally invasive surgery (MIS) is frequently compromised by surgical flow disturbances due to technology- and equipment-related failures. Compared with MIS in a conventional cart-based OR, performing MIS in a dedicated integrated operating room (OR) is supposed to be beneficial to patient safety. The aim of this study was to...

journal article 2017

document

Investigation of Olympus TJF‐Q180V Scopes at UMC Utrecht regarding contamination found after cleaning and disinfection: Reporting, Conclusions and Suggestions

Loeve, A.J. (author)

In 2015, a multi-resistant Klebsiella pneumonia bacteria (“MR Klebsiella”) was found in two Olympus video duodenoscopes of the type TJF-Q180V in the Utrecht University Medical Center (“UMC Utrecht”) after the culturing of flush samples (sterile physiological saline), which were sent through the suction and biopsy channels. This report describes...

report 2017