Although the team tried to make minor adjustments to the adjacent arm, it did not prevent further arm collisions from occurring.Complexity / steps of troubleshooting setup post- docking – The system prevents use of the Position and Elbow Buttons to reposition an arm while that instrument’s arm is inserted.To make minor arm position adjustments, bedside staff must interrupt the surgery and withdraw the instrument.Time pressure and hierarchy dynamics in the OR may discourage bedside staff from taking proactive troubleshooting steps (T3).