Date | May 2022 | Marks available | 12 | Reference code | 22M.1.HL.TZ0.6 |
Level | HL | Paper | 1 | Time zone | no time zone |
Command term | Discuss | Question number | 6 | Adapted from | N/A |
Question
Robotic Surgery
Sandy Parkar, the manager of a large hospital, is considering using robots controlled by surgeons to carry out surgical procedures. The surgeon uses a computer console to control the robot (see Figure 5).
Figure 5: Robotic surgery
[Source: mathisworks / iStock.]
All the robot’s movements, and the surgical procedure, are recorded. This allows information to be collected about each procedure.
In 2022, a patient died while undergoing a surgical procedure in which a surgical robot was used. Sandy claims the manufacturer of the robot should be accountable. This was contested by the manufacturer, and a court case followed to determine who was accountable.
Discuss whether the surgeon, the manufacturer of the surgical robot, or the hospital manager should be held accountable.
Markscheme
Answers may include:
The surgeon is accountable if:
- it can be proved that they did not use the robotic tools appropriately (values)
- they conducted the operation without having completed the required training courses
- they didn’t have enough experience with the robotic equipment (values).
The manufacturer of the surgical robot is accountable if:
- it can be proved that the robot has failed/is unreliable (i.e., been unable to complete the task that the manufacturer has claimed it is able to do).
- the robot has been sold to the hospital with claims that it is able to carry out tasks it cannot perform (values).
- parts in the robot have not functioned properly (systems).
- there are errors in the software that created the problem (systems).
- a component of the robot was deemed defective but was not recalled (systems).
- the robot itself has caused an injury, e.g. unintended cauterizing burns from the robot’s cauterizing tool (systems).
The hospital manager is accountable if:
- the surgeon has not been given sufficient training to be able to competently use the robot (values).
- the robot has been purchased and used in the hospital without due diligence (values).
- the system has not been properly maintained (values).
- data that was critical to the operation of the system was not in the patient’s medical record at the hospital (values).
- the nurse physically in the operating room when the surgical robot was used was not qualified (i.e., lack of training, lack of experience).
In this question it is expected there will be a balance between the terminology related to digital systems and the terminology related to social and ethical impacts.
Keywords: health, training, data, cost, reliability, accountability, privacy, change, power, systems, values, ethics
Refer to HL paper 1 Section B markbands when awarding marks. These can be found under the "Your tests" tab > supplemental materials > Digital society markbands and guidance document.