Adverse event analysis: Operating room distractions and interruptions
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Jennifer Lindsey, DNP(c); Maria Ledbetter, DNAP, CRNA
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Distractions and interruptions are an impediment in safe workflow and surgical team performance. Along with human distractions, electronic devices can contribute to failures in communication as well as processes established to improve patient safety. Adverse outcomes in the operating room are not only a result of surgical skill, but a breakdown in systems of communication and teamwork. Distractions affect cognitive clinical decision making. Operating room teams are interrupted or distracted approximately 9.82 times per hour. Staff entering and exiting the room is a primary distractor, followed by telephone calls and beeper pages. There is an average of one communication failure every 7.7 minutes. Breaks in communication are implicated in 88.7% of flow and safety errors.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | N/A |
Keywords | Operating Room; Distraction; Interruption; Communication |
Grantor | Samford University |
Advisor | Ledbetter, Maria; Barnes, Lauren |
Level | DNP |
Year | 2021 |
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