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Communication delay increases procedure time and instructor task load during simulated suturing by novices
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DOI：10.1038/s41526-026-00610-3.png)
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Abstract
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Communication delay during remote instruction of simple interrupted suturing was evaluated by randomizing participants to near real-time or 4-second delayed communication conditions. The delay group required more time to complete five sutures, with diminishing effect by the fifth suture. Instructor-reported cognitive workload was higher under delayed conditions, but suturing quality did not differ between groups. These findings suggest remote guidance is operationally feasible for non-medically trained individuals performing uncomplicated interventions.
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