The impact of distractions and interruptions in the operating room on patient safety and the operating room team: An integrative review

Robotic surgery has the potential to revolutionize the field of surgery and improve patient safety. However, despite the advantages robotic surgery can offer, there are multiple human factors-related issues that may prevent these systems from realizing their full benefit. This study identified some of the salient human factors issues and considerations that need to be addressed for integration of new technologies such as robotic systems into the Operating Room of the future. We conducted in-depth interviews with operating team members and other stakeholders who have experience with robotic surgery to identify workflow, teamwork, training, and other clinical acceptance issues. Addressing these and other human factors issues will help the integration of surgical robotic systems into use for the ultimate goal of improving patient safety and healthcare quality.

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Interrupções no trabalho do enfermeiro e na segurança do paciente

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240082 ◽

2019 ◽

Vol 13 ◽

Author(s):

Ana Carolina De Oliveira Paiva ◽

Dianna Silva De Oliveira ◽

Marina Aparecida Chrispim Silva ◽

Mariana Almeida Maia ◽

Marilia Alves

Keyword(s):

Patient Safety ◽

Nursing Care ◽

Web Of Science ◽

Negative Relationship ◽

Integrative Review ◽

Review Of Literature ◽

Work Routine ◽

The Impact ◽

Broad Understanding

Objetivo: identificar os efeitos das interrupções na rotina de trabalho do enfermeiro e na segurança do paciente. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa de literatura, com a coleta de dados nas bases de dados MEDLINE, CINAHL, Web of Science e LILACS, em artigos indexados de 2013 a 2017, analisando-os de forma descritva, após a apresentação em figuras. Resultados: encontraram-se 17 artigos e se percebeu que revelaram aspectos negativos em relação à interrupção na rotina de trabalho do enfermeiro e na segurança do paciente e 76,5% mostraram, também, pontos positivos. Salienta-se que os resultados analisados não apoiaram consistentemente a relação negativa entre as interrupções e as suas implicações na rotina de trabalho do enfermeiro e na segurança do paciente. Conclusão: evidenciaram-se aspectos que favorecem a ocorrência de interrupções na prática do enfermeiro, entretanto, há poucos estudos que descrevem o impacto das interrupções na prática e na segurança do paciente. Faz-se necessária uma ampla compreensão dos fatores que ocasionam as interrupções e colocam em risco a segurança do paciente. Descritores: Enfermagem; Segurança do Paciente; Interrupção; Fluxo de Trabalho; Cuidados de Enfermagem; Gerenciamento do Tempo.ABSTRACTObjective: to identify the effects of disruptions on the nurse's work routine and patient safety. Method: this is a bibliographical, descriptive, type-integrative review of literature, with the collection of data in the MEDLINE, CINAHL, Web of Science and LILACS databases, in indexed articles from 2013 to 2017, analyzing them in a descriptive way, after the presentation in figures. Results: 17 articles were found and it was noticed that they revealed negative aspects regarding interruption in the nurse's work routine and patient safety, and 76.5% also showed positive points. It should be noted that the results analyzed did not consistently support the negative relationship between the interruptions and their implications in the nurse's work routine and patient safety. Conclusion: aspects that favor the occurrence of interruptions in nurses' practice were evidenced, however, there are few studies that describe the impact of interruptions on the practice and safety of the patient. There is a need for a broad understanding of the factors that cause disruption and jeopardize patient safety. Descriptors: Nursing; Patient Safety; Interruption; Workflow; Nursing Care; Time Management.RESUMENObjetivo: identificar los efectos de las interrupciones en la rutina de trabajo del enfermero y en la seguridad del paciente. Método: se trata de un estudio bibliográfico, descriptivo, tipo revisión integradora de literatura, con la recolección de datos en las bases de datos MEDLINE, CINAHL, Web of Science y LILACS, en artículos indexados de 2013 a 2017, analizándolos de manera descriptiva, después de la presentación en figuras. Resultados: se encontraron 17 artículos y se observó que revelaron aspectos negativos relacionados con la interrupción en la rutina de trabajo del enfermero y en la seguridad del paciente, y el 76.5% mostraron también puntos positivos. Cabe señalar que los resultados analizados no apoyaron de manera consistente la relación negativa entre las interrupciones y sus implicaciones en la rutina de trabajo del enfermero y en la seguridad del paciente. Conclusión: se evidenciaron aspectos que favorecen la ocurrencia de interrupciones en la práctica del enfermero, sin embargo, existen pocos estudios que describan el impacto de las interrupciones en la práctica y en la seguridad del paciente. Se hace necesaria una amplia comprensión de los factores que causan las interrupciones y ponen en riesgo la seguridad del paciente. Descriptores: Enfermería; Seguridad del Paciente; Interrupción; Flujo de Trabajo; Atención de Enfermería; Administración del Tiempo.

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Impact of Locally Adopted Simulation-Based Crew Resource Management Training on Patient Safety Culture: Comparison Between Operating Room Personnel and General Health Care Populations Pre and Post Course

American Journal of Medical Quality ◽

10.1177/1062860618824863 ◽

2019 ◽

Vol 35 (1) ◽

pp. 79-88 ◽

Cited By ~ 2

Author(s):

Adeline P. N. Man ◽

Carmen K. M. Lam ◽

Benny C. P. Cheng ◽

Kam-Shing Tang ◽

Pui-Fun Tang

Keyword(s):

Patient Safety ◽

Resource Management ◽

Operating Room ◽

Learning Experience ◽

Crew Resource Management ◽

Management Training ◽

Patient Safety Culture ◽

Operating Room Personnel ◽

Simulation Based ◽

The Impact

Crew resource management (CRM) was introduced to enhance patient safety and reduce medical errors through multidisciplinary learning experience. This study investigates the impact of locally adopted simulation-based CRM training on participants’ perceptions and knowledge. A 32-item web-based questionnaire was administered pre course, 1 month, and 1 year post course to assess changes in perceptions and knowledge. Another 12-item paper-based questionnaire was administered immediately post course to assess reactions. Among 712 participants analyzed, 165 were operating room staff. The majority agreed that the training is useful and relevant in daily practice. All participants showed significant improvements in perception and knowledge 1 month post course; however, these improvements declined 1 year post course. The CRM course is associated with satisfactory reaction (Kirkpatrick level 1) and improvement in attitude and knowledge (level 2) toward patient safety. However, the effect may be short-lived and regular refresher courses should be mandatory to sustain momentum of ongoing change.

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Non-technical skills in operating room nursing: Ethical aspects

Nursing Ethics ◽

10.1177/0969733020914376 ◽

2020 ◽

Vol 27 (5) ◽

pp. 1364-1372

Author(s):

Ingrid Hanssen ◽

Inger Lise Smith Jacobsen ◽

Sisilie Havnås Skråmm

Keyword(s):

Patient Safety ◽

Operating Room ◽

Ethical Issues ◽

Technical Skills ◽

University Hospital ◽

Science Data ◽

Good Communication ◽

Operating Room Nurses ◽

Operating Room Team ◽

Room Nursing

Background Non-technical skills are cognitive and interpersonal skills underpinning technical proficiency. Ethical values and respect for human dignity make operating room nurses responsible for nursing decisions that are clinically and technically sound and morally appropriate. Aim To learn what ethical issues operating room nurses perceive as important regarding non-technical skills. Research design Qualitative individual in-depth interviews were conducted. The interviews were analysed using Braun and Clarke’s six phases for thematic analysis. Participants and research context Eleven experienced perioperative/operating room nurses working in an operating unit at a Norwegian university hospital. Ethical considerations Approval was given by The Norwegian Social Science Data Service in care of the hospital’s Data Protection Officer. Findings Three main themes were found: respect and care for the patient, making the patient feel safe, and respect within the perioperative team. These features or themes, which incorporate collaboration and communication, are closely connected to patient safety. Discussion Defending the patient’s dignity is part of caring for and respecting the patient. The manner in which the operating room team collaborates is important for the patient to feel safe and secure. Poor teamwork may have dire consequences. Reciprocal respect within the team includes respect for each other’s tasks and responsibilities and to talk to one another in a friendly manner. Conclusion Being respectful and contributing to a caring atmosphere are central ethical skills in the operating room. To patients, harmonious teamwork translates into a feeling of safety and being cared for. The nurses see respect and patient safety, and respect and reciprocal politeness among the members of the perioperative team as central ethical non-technical skills. Lack of respect influences the team negatively and is detrimental for patient safety. Good communication is an important safety measure during surgery and creates a feeling of good ‘flow’ within the operating room team.

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Pengetahuan Dan Motivasi Tim Kamar Bedah Dengan Kepatuhan Pengisian Surgical Safety Checklist

Adi Husada Nursing Journal ◽

10.37036/ahnj.v7i1.184 ◽

2021 ◽

Vol 7 (1) ◽

pp. 21

Author(s):

Setyajid Joko Muara ◽

Mustiah Yustiani

Keyword(s):

Patient Safety ◽

Operating Room ◽

Statistical Tests ◽

Care Patient ◽

P Value ◽

Cross Sectional ◽

Surgical Safety Checklist ◽

Surgical Safety ◽

Operating Room Team ◽

Relationship Of

Patient safety is one of the efforts in improving the quality of service in the provision of nursing care. Patient safety in the surgical room is carried out using the Surgical Safety Checklist. The goal of this study was to identify the knowledge and motivation relationship of the surgical room team with surgical safety filling compliance with checklist in Central Surgical Installation RSUD Banyumas. Analytical survey research method with cross sectional design with point time approach. The population of all the operating teams in the Central Surgical Installation room of Banyumas Hospital is 45 people with a sample of doctors in charge of 15, anesthesiologists 3, instrument nurses 16, anaesthetization nurses as many as 11. Knowledge research instruments, motivation is a questionnaire and surgical safety checklist. Statistical tests used spearman rank. The results of the study obtained by the banyumas hospital operating room team had a sufficient level of knowledge as much as 46.7%, high motivation as much as 66.7% and the majority obeyed in filling surgical safety checklist as much as 73.3%. There is a knowledge level relationship with the compliance of the operating room team p value =0.039 while the motivation level with the compliance of the operating room team p value = 0.032. Research shows that there is a relationship of motivation levels with the compliance of the operating room team at the Central Surgical Installation of Banyumas Hospital. Keywords: knowledge, motivation, compliance, surgical safety checklist

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Explaining The Impact of Surgical Team Communication Skills On Patient Safety In The Operating Room: A Qualitative Study

10.21203/rs.3.rs-1082850/v1 ◽

2021 ◽

Author(s):

Behzad Imani ◽

Shima Bahrami Jalal

Keyword(s):

Patient Safety ◽

Qualitative Study ◽

Operating Room ◽

Communication Skills ◽

Improve Patient Safety ◽

Theory Approach ◽

Surgical Team ◽

Structured Interviews ◽

Factors Affecting ◽

The Impact

Abstract Aim: The aim of this study was to explain the causes and attributes of communication skill of the surgical team and patient safety in the operating room.Background: Communication skills and how to work in a team is one of the effective factors on the incidence of error and patient safety in the operating room. However, the quality of this communication and how communication skills increase the patient's safety in the operating room is not entirely clear. The aim of this study was to find out the relationship between communication skills and patient safety in the operating room.Methods: This qualitative study was performed based on grounded theory approach. In this study, data collection was performed by conducting semi-structured interviews. Eight interviews were conducted with members of the surgical team including surgeons, operating room and anesthesia experts, and the samples were selected purposefully. The obtained data were analyzed by Strauss and Corbin’s approach.Results: In data analysis, two main categories were extracted: Factors affecting patient safety before surgery and Factors affecting patient safety during surgery. Consequently, eight sub-themes were classified.Conclusion: The results of the present study show that working in the operating room is a teamwork that requires cooperation and communication. In addition, the formation of proper communication between members of the surgical team has a significant impact on patient safety in the operating room.Relevance to clinical practice: Since the formation of proper communication between members of the surgical team can affect patient safety in the operating room, improving the communication skills of surgical team members can improve patient safety in the operating room.

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Assessing the similarity of mental models of operating room team members and implications for patient safety: a prospective, replicated study

BMC Medical Education ◽

10.1186/s12909-016-0752-8 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 14

Author(s):

Ivana Nakarada-Kordic ◽

Jennifer M. Weller ◽

Craig S. Webster ◽

David Cumin ◽

Christopher Frampton ◽

...

Keyword(s):

Patient Safety ◽

Mental Models ◽

Operating Room ◽

Team Members ◽

Operating Room Team

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The Impact of Extubation Setting on Operating Room Efficiency, Hospital Costs, and Patient Safety in a Children's Hospital

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2021.07.366 ◽

2021 ◽

Vol 233 (5) ◽

pp. S181-S182

Author(s):

Parisa Oviedo ◽

Branden M. Engorn ◽

Daniela Carvalho ◽

Justin Hamrick ◽

Gerald Gollin

Keyword(s):

Patient Safety ◽

Operating Room ◽

Hospital Costs ◽

Operating Room Efficiency ◽

Children's Hospital ◽

Children’S Hospital ◽

The Impact

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Analisis Faktor Yang Berhubungan Dengan Penerapan Surgical Safety Checklist Di Kamar Operasi Rumah Sakit Kota Batam

Jurnal Endurance ◽

10.22216/jen.v4i3.4501 ◽

2019 ◽

Vol 4 (3) ◽

pp. 456

Author(s):

Endang Yuliati ◽

Hema Malini ◽

Sri Muharni

Keyword(s):

Patient Safety ◽

Operating Room ◽

Work Experience ◽

Improve Patient Safety ◽

Standard Procedure ◽

City Hospital ◽

Chi Square ◽

Cross Sectional ◽

Surgical Safety Checklist ◽

Surgical Safety

The use of the Surgical Safety Checklist (SSC) is associated with improving patient care according to nursing process standards includes the quality of work of the operating room nurse team. The form of professionalism in the operating room is how the application of a surgical safety checklist as the standard procedure for patient safety in the operating room. This study aims to determine the relationship of characteristics, knowledge, and motivation of nurses in the application of the surgical safety checklist in the operating room of a Batam city hospital. This research is quantitative using an observational analytic research design. This study was conducted on 67 nurses who were taken by total sampling. This research was conducted in three Batam City Hospitals, with hospital accreditation at the same level. Data were analysed by univariate and bivariate using the chi-square test. The results of the study found that most nurses had education at diploma level, with a working period experiences of > 6 months (82%); good knowledge (53.7%) with low motivation (57.7%). There is a relationship between education (p = 0.042); length of work experience (p = 0.010); knowledge (p = 0.002); and motivation (p = 0.05) with the application of SSC. It is expected that health services carry out SSC following the applicable SOPs in the Hospital so that it can reduce work accident rates and improve patient safety. Penerapan Surgical Safety Checklist (SSC) berhubungan langsung dengan kualitas asuhan keperawatan yang termasuk adalah bagaimana perawat menerapkan fungsi sebagai bagian dari kamar operasi. Bentuk profesionalisme ini menjadi standar bagaimana kemampuan perawat menerapakan SSC. Tujuan penelitian adalah mengetahui hubungan karakteristik perawat, pengetahuan dan motivasi dengan penerapan SSC di kamar operasi. Penelitian ini menggunakan desain kuantitatif Cross Sectional dengan jumlah sampel 67 orang perawat kamar operasi. Data dianalisa dengan distribusi frekuensi dan uji hubungan bivariat. Didapatkan penerapan SSC perawat kota Batam masih kurang baik, dengan faktor yang mempunyai hubungan adalah Pendidikan, pelatihan dan pengetahuan. Diharapkan perawat mampu menerapkan SSC sesuai dengan Standar pelaksanaan fungsi perawat dikamar operasi.

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