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" The route to patient safety in robotic surgery / "
Lorenzo Grespan, Paolo Fiorini, Gianluca Colucci.
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BL
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| Record Number
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859942
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| Main Entry
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Grespan, Lorenzo
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| Title & Author
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The route to patient safety in robotic surgery /\ Lorenzo Grespan, Paolo Fiorini, Gianluca Colucci.
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| Publication Statement
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Cham, Switzerland :: Springer,, [2019]
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| Series Statement
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Springer tracts in advanced robotics ;; 126
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1 online resource
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| ISBN
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3030030202
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: 3030030210
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: 9783030030209
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: 9783030030216
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3030030199
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9783030030193
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| Contents
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Intro; Series Foreword; Foreword; Preface; Contents; List of Contributors; Acronyms; 1 Introduction; 1.1 The Project; 1.2 Book Outline; Part I Patient Safety and Robotic Surgery; 2 Patient Safety in Robotic Surgery; 2.1 Introduction; 2.2 Patient Safety; 2.3 Process Engineering in the Medical Application Domain; 2.3.1 Iatrogenesis; 2.3.2 Current Approaches to System Safety; 2.3.3 Innovation Engineering and Healthcare; 2.3.4 Complexity Science and Healthcare; 2.3.5 A Lesson in Foresight; 2.3.6 A First Problem Decomposition; 2.3.7 Conclusions; References; 3 Surgical Robots
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3.1 Patient Safety and Technology3.2 A Brief History of Robotic Surgery; 3.2.1 Limitations of Robotic Surgery; 3.3 Barriers; 3.3.1 Cost; 3.3.2 Regulation; References; 4 Measuring Safety in Robotic Surgery; 4.1 A Method to Improve on Patient Safety; 4.1.1 Technological Insights; 4.2 Safety-Driven Design; References; 5 Research Questions; 5.1 On European Research Projects; 5.2 Hypotheses; 5.3 Medical Imaging; 5.3.1 Segmentation; 5.3.2 Registration; 5.4 Surgical Simulation and Planning; 5.5 Robotic Simulators and Safety in the Operating Room; 5.6 Surgical Interfaces; 5.7 Training
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5.8 Putting It All Together: Patient Safety in Robotic SurgeryReferences; Part II Findings; 6 Risk Analysis; 6.1 Framing the Question; 6.2 Identifying Safety Requirements; 6.2.1 The Methodological Framework for Risk Identification and Mitigation; 6.3 Product Safety Analysis; 6.3.1 Process Safety Analysis; 6.3.2 Addressing Patient Safety at the Organisational Level; 6.4 Human Factors in Robotic Surgery; 6.5 Future Perspectives; References; 7 Medical Imaging and Simulation; 7.1 Introduction; 7.2 Segmentation; 7.2.1 Ground Truth; 7.2.2 Further Details; 7.3 Registration; 7.3.1 Details
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7.3.2 Conclusions7.4 Simulation; 7.4.1 Introduction; 7.4.2 Details; 7.4.3 Relation to Patient Safety; References; 8 Safety in the OR; 8.1 Operating Room Monitoring; 8.1.1 Introduction; 8.2 Technical System Overview; 8.3 Safety Features; 8.4 Dissemination and Future Developments; References; 9 Surgical Robot Simulation and Control; 9.1 Robotic System Simulator (RSS); 9.2 System Setup Strategies; 9.3 Control Algorithms for Haptic Input Devices; 9.4 Simulation of Surgical Robotic Systems; 9.4.1 Experiments; 9.5 Setup Planning for Surgical Robotics
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9.6 Control Algorithms for Haptic Input Devices Within Robotic Surgery9.6.1 Experiments and Results; 9.6.2 Discussion and Conclusion; References; 10 Operator Interfaces for Safe Robotic Surgery; 10.1 Telepresence; 10.1.1 Role of 3D Displays in Patient Safety; 10.1.2 Influence of Visual and Force-Feedback Time Delays on Telepresence and Performance; 10.1.3 Telepresence Assessment with the Da Vinci Surgical System; 10.2 Supervisory Interface; References; 11 Training; 11.1 Training Curriculum; 11.1.1 Details on Work Performed; 11.1.2 Lessons Learned; References; Part III Conclusions
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| Abstract
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The introduction of a new technology in a consolidated field has the potential to disrupt usual practices and create a fertile ground for errors. An example is robotic surgery that is now used in most surgical specialties, pushed by technology developers and enthusiastic surgeons. To analyze the potential impact of robotic surgery on patient safety, a consortium of major European Universities started the project SAFROS whose findings are summarized and further elaborated in the three parts of this book. Part one describes safety in complex systems such as surgery, how this may disrupt the traditional surgical workflow, how safety can be monitored, and the research questions that must be posed. Part two of the book describes the main findings of this research, by identifying the risks of robotic surgery and by describing where its ancillary technologies may fail. This part addresses features and evaluation of anatomic imaging and modeling, actions in the operating room, robot monitoring and control, operator interface, and surgical training. Part three of the book draws the conclusions and offers suggestions on how to limit the risks of medical errors. One possible approach is to use automation to monitor and execute parts of an intervention, thus suggesting that robotics and artificial intelligence will be major elements of the operating room of the future.
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| Subject
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Surgical robots-- Safety measures.
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Robotic Surgical Procedures.
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Surgical robots.
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| Dewey Classification
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617.9/178
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| LC Classification
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RD73.S785G74 2019
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| NLM classification
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WO 505
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| Added Entry
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Colucci, G., (Gianluca)
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Fiorini, Paolo,1953-
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