PDF(Pubmed)
Abstract：
Introduction Distractions in operating theatres prevent team members from concentrating on the complex tasks required for a successful operation. This can be a potential hazard to care for, and previously, correlations have been made between increased theatre distractions and adverse events. However, it remains unclear how frequently such events occur during routine care in theatres. The present study aims to quantify distractions and analyse any differences between staff groups, operative stages, and modes of operation. Methods A single-centre prospective study was conducted to assess disruptions in general surgical theatres. Events were recorded using a previously described categorization system on a proforma by a single researcher. The source and severity of distraction were recorded, as well as the mode of operation (elective/emergency), stage of operation, and staff team (scrubbed/floor). Results A total of 4,219 minutes of surgery were observed over four weeks, and 1,095 distraction events were recorded. Of the 14 elective and nine emergency procedures recorded, there was a mean of 54.8 distractions per procedure and a frequency of one distraction every three minutes and 51 seconds (15.6 hr-1). Irrelevant communication relating to the patient\'s case was the most common source, accounting for 24.7% of all distractions. The most frequently disrupted stage of the procedure for scrubbed staff was during anastomosis/resection for both elective and emergency procedures, with 16.9 and 32.6 distractions occurring per hour, respectively. Scrubbed staff were significantly more susceptible to distraction in emergency procedures than the floor staff. Discussion Our study reflects previous assessments with irrelevant communications and emergency procedures yielding the highest prevalence of distraction. This investigation provides novel information about the different stages of general surgery and the frequency of distractions that occur.
摘要：
介绍手术室中的分心会阻止团队成员专注于成功操作所需的复杂任务。这可能是一个潜在的危险，以前,增加的剧院分心和不良事件之间存在相关性。然而,目前尚不清楚此类事件在手术室常规护理期间发生的频率.本研究旨在量化分心，并分析员工群体之间的任何差异，手术阶段，和操作模式。方法进行了一项单中心前瞻性研究，以评估普通手术室的中断情况。由单个研究人员在形式上使用先前描述的分类系统记录事件。记录了分心的来源和严重程度，以及操作模式(选择性/紧急)，操作阶段,和员工团队(擦洗/地板)。结果在4周内共观察到4219分钟的手术,记录了1095个分心事件。在记录的14项选修程序和9项紧急程序中，每个手术平均有54.8次分心,频率为每3分51秒(15.6hr-1)一次分心.与患者病例无关的沟通是最常见的来源，占所有干扰的24.7%。擦洗人员手术最常中断的阶段是择期和急诊手术的吻合/切除期间。每小时发生16.9次和32.6次分心，分别。与地板工作人员相比，被清理的工作人员在紧急程序中更容易分心。讨论我们的研究反映了先前的评估，这些评估与不相关的沟通和紧急程序产生了最高的分心患病率。这项调查提供了有关普外科手术不同阶段和分心发生频率的新信息。
