198 Chapter 7 The focus of the OTAS assessment method lies on the following aspects of Non-Technical Skills: - communication - coordination - cooperation and back up behaviour - leadership - team monitoring and situational awareness 4. ICARS: non-technical skills evaluation in robotic surgery.17 The focus of the ICARS assessment method lies on the following aspects of Non-Technical Skills: - checklist and equipment - interpersonal skills (communication and team skills & leadership) - cognitive skills (decision-making & situational awareness) - resource skills (stress and distractors) 5. Human factors analysis.21 Human factors analysis consists of 4 levels of system failure: unsafe acts, preconditions for unsafe acts, unsafe supervision, and organizational influences. 6. Peri-operative events (i.e. people entering or leaving the OR, phone calls, etc.) Technical skills in Robot Assisted Radical Cystectomy will be analysed using two different methods: 1. GEARS: Global Evaluative Assessment of Robotic Skill.7 The focus of the GEARS assessment method lies on general robot surgical principals, i.e. Depth perception, bi-manual dexterity, efficiency, force sensitivity, autonomy, and robotic control 2. GERT: Generic Error Rating Tool.5 The focus of the GERT assessment method lies on the capture and analysis of technical errors and resulting events during laparoscopic procedures. Secondary outcome measurements Age, WHO performance status, Charlson comorbidity index, neoadjuvant chemother-
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