解放军医学院学报2025，Vol.46Issue(8)：748-753,6.DOI:10.12435/j.issn.2095-5227.24121201
基于SHEL模型的智慧骨科机器人术中突发不良事件核查清单的研究
Constructing a introperative emergency checklist for intelligent orthopedic robot surgery based on SHEL Model
摘要
Abstract
Background Although intelligent orthopedic robotic surgery can enhance precision and safety,intraoperative emergencies may arise due to algorithm errors,mechanical failures,or human operational mistakes.However,existing guidelines lack systematic emergency response strategies.Objective To develop an intraoperative emergency checklist for intelligent orthopedic robots.Methods Based on the SHEL model,a preliminary framework for the emergency checklist system during surgeries with intelligent orthopedic robots was established through literature review and theoretical analysis.The expert consultation method was employed,involving two rounds of Delphi surveys conducted with 17 experts in relevant fields to finalize the checklist.Results Following the SHEL model,the risk points for intraoperative emergencies were categorized into five dimensions:software-related incidents,hardware-related incidents,environment-related incidents,personnel-related incidents,and interaction-related incidents.Ultimately,a checklist for intelligent orthopedic robot emergencies was constructed,consisting of 5 primary items,15 secondary items,and 35 tertiary items.Conclusion The intraoperative emergency checklist for intelligent orthopedic robots has been constructed based on the SHEL model.With its comprehensiveness,scientific rigor,practicality,and feasibility,the checklist aims to enhance the management of intelligent orthopedic robot surgeries,reduce emergency incidence rates,and ensure surgical quality and patient safety.关键词
机器人外科手术/SHEL模型/智慧机器人/骨科手术/不良事件/核查清单Key words
robotic surgical procedures/SHEL model/intelligent robots/orthopedic surgery/emergencies/checklist分类
医药卫生引用本文复制引用
刘佳佳,周武红,邱晨,胡星星,张乐..基于SHEL模型的智慧骨科机器人术中突发不良事件核查清单的研究[J].解放军医学院学报,2025,46(8):748-753,6.基金项目
护理创新与培育专项计划(培育)项目(2021HL075) （培育）
