{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T10:11:35Z","timestamp":1780481495088,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The utilisation of transoral robotic surgery (TORS) has grown in popularity over recent years with wide applications for both benign and malignant disease. It is important to recognise that the introduction of robotic surgery inserts a new variable into an already error\u2010prone healthcare service that has a high preventable adverse event rate. Surgical safety checklists (SSC) have been well established in recent years and demonstrated to improve outcomes and reduce complications. This study aims to introduce a novel SSC designed for use specifically in operating theatres for cases using TORS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A modified Delphi process was utilised to define consensus for a proposed TORS specific SSC. An initial iteration was devised using a literature search. Experts with significant TORS experience rated each proposed item for potential inclusion using a Likert scale. The process was repeated until consensus was reached for all items.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two rounds were completed with seven experts agreeing on various items to be included in the TORS specific SSC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This novel surgical safety checklist is the first developed specifically for use with TORS. It has been designed using robust Delphi methodology with several TORS experts from high\u2010volume centres across the UK. The aim of the TORS SSC is to be used alongside the WHO SSC and requires ideally long\u2010term and multi\u2010centre adoption in order to validate its implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70112","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T14:46:00Z","timestamp":1776437160000},"page":"591-599","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Modified Delphi\n                    <scp>UK<\/scp>\n                    Consensus to Develop a Surgical Safety Checklist for Transoral Robotic Surgery"],"prefix":"10.1111","volume":"51","author":[{"given":"Keshav Kumar","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Birmingham Children's Hospital  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Simons","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery Nottingham University Hospitals NHS Trust  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Mortimore","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery University Hospitals of Derby and Burton NHS Foundation Trust  Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery Royal Surrey NHS Foundation Trust  Surrey UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raguwinder Bindy","family":"Sahota","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery University Hospitals of Leicester NHS Trust  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mriganka","family":"De","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asit","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery Guy's and St Thomas' NHS Foundation Trust  London UK"},{"name":"Department of Surgical and Interventional Engineering, School of Biomedical Engineering &amp; Imaging Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7468-3287","authenticated-orcid":false,"given":"George","family":"Garas","sequence":"additional","affiliation":[{"name":"Department of Surgery &amp; Cancer Imperial College London, St. Mary's Hospital  London UK"},{"name":"Department of Otorhinolaryngology and Head &amp; Neck Surgery, Athens Medical Group Athens Medical Center &amp; Psychiko Clinic  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3335-z"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.12207"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0810119"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11321"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0810119"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2012-001797"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-024-15758-z"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108434"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2020.07.017"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2000.t01-1-01567.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.48460"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12010"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2016.05.013"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-014-0482-z"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1754-9493-7-19"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-014-0494-8"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.23363"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02389-z"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000032829"},{"key":"e_1_2_12_21_1","first-page":"564","article-title":"Learning Curve for Transoral Robotic Surgery: A 4\u2010Year Analysis","volume":"139","author":"White H. 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