The impact of intra-operative interruptions on surgeons’ perceived workload: an observational study in elective general and orthopedic surgery

Surgical Endoscopy

Volumn 29, Issue 1, 2015, Pages 145-153

  Weigl, Matthias ^a   Antoniadis, Sophia ^a   Chiapponi, Costanza ^b   Bruns, Christiane ^b   Sevdalis, Nick ^c  

^a LUDWIG MAXIMILIANS UNIVERSITY   (Germany)

^b OTTO VON GUERICKE UNIVERSITY   (Germany)

^c IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

Distractions; Interruptions; Observation; Operating room; Surgery; Workload

Indexed keywords

ANESTHESIST; ARTICLE; ASSESSMENT OF HUMANS; DYSTHYMIA; ELECTIVE SURGERY; GENERAL SURGERY; HUMAN; INTERPERSONAL COMMUNICATION; INTRAOPERATIVE PERIOD; LAPAROSCOPIC SURGERY; NURSE; OBSERVATIONAL STUDY; ORTHOPEDIC SURGERY; PRIORITY JOURNAL; STRESS; SURGEON; SURGERY; SURGERY TASK LOAD INDEX; WORKFLOW; WORKLOAD; CROSS-SECTIONAL STUDY; MENTAL STRESS; OPERATING ROOM; ORTHOPEDICS; PERCEPTION; PSYCHOLOGY; PUBLIC RELATIONS; SELF REPORT; WORKPLACE;

COMMUNICATION; CROSS-SECTIONAL STUDIES; ELECTIVE SURGICAL PROCEDURES; GENERAL SURGERY; HUMANS; INTERPROFESSIONAL RELATIONS; INTRAOPERATIVE PERIOD; OPERATING ROOMS; ORTHOPEDICS; PERCEPTION; SELF REPORT; STRESS, PSYCHOLOGICAL; SURGEONS; WORKFLOW; WORKLOAD; WORKPLACE;

EID: 84927556978     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-014-3668-6     Document Type: Article

References (39)

1. Sevdalis N, Sonal A, Undre S, Vincent CA (2009) Distractions and Interruptions in the Operating Room. In: Flin R, Mitchell L (eds) Safer surgery: distractions and interruptions in the operating room. Ashgate, Farnham, pp 405–419
2. Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC, Sundt TMI (2007) Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery 142(5):658–665
3. Parker SH, Laviana A, Wadhera R, Wiegmann D, Sundt T III (2010) Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. World J Surg 34(2):353–361
4. Healey AN, Sevdalis N, Vincent CA (2006) Measuring intra-operative interference from distraction and interruption observed in the operating theatre. Ergonomics 49(5):589–604
5. Healey AN, Primus CP, Koutantji M (2007) Quantifying distraction and interruption in urological surgery. Qual Saf Health Care 16(2):135–139
6. Zheng B, Martinec DV, Cassera MA, Swanstrom LL (2008) A quantitative study of disruption in the operating room during laparoscopic antireflux surgery. Surg Endosc 22(10):2171–2177
7. Sevdalis N, Undre S, McDermott J, Giddie J, Diner L, Smith G (2013) Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. World J Surg 38(4):751–758
8. Sevdalis N, Healey AN, Vincent CA (2007) Distracting communications in the operating theatre. J Eval Clin Pract 13(3):390–394
9. Wilson MR, Poolton JM, Malhotra N, Ngo K, Bright E, Masters RS (2011) Development and validation of a surgical workload measure: the surgery task load index (SURG-TLX). World J Surg 35(9):1961–1969
10. Hart SG, Staveland LE, Hancock PA, Meshkati N (1988) Development of NASA-TLX (Task Load Index): results of empirical and theoretical research. In: Hancock PA, Meshkati N (eds) Human mental workload. Advances in psychology, vol 52. North-Holland, Oxford England, pp 139–183
11. Zheng B, Cassera MA, Martinec DV, Spaun GO, Swanstrom LL (2010) Measuring mental workload during the performance of advanced laparoscopic tasks. Surg Endosc 24(1):45–50
12. Brixey JJ, Robinson DJ, Johnson CW, Johnson TR, Turley JP, Zhang J (2007) A concept analysis of the phenomenon interruption. ANS Adv Nurs Sci 30(1):E26–E42
13. Monsell S (2003) Task switching. Trends Cogn Sci 7(3):134–140
14. Greiner BA, Ragland DR, Krause N, Syme SL, Fisher JM (1997) Objective measurement of occupational stress factors-an example with San Francisco urban transit operators. J Occup Health Psychol 2(4):325–342
15. Weigl M, Müller A, Vincent C, Angerer P, Sevdalis N (2012) The association of workflow interruptions and hospital doctors’ workload: a prospective observational study. BMJ Qual Saf 21(5):399–407
16. Wetzel CM, Kneebone RL, Woloshynowych M, Nestel D, Moorthy K, Kidd J, Darzi A (2006) The effects of stress on surgical performance. Am J Surg 191(1):5–10
17. Tucker AL, Spear SJ (2006) Operational failures and interruptions in hospital nursing. Health Serv Res 41(3 Pt 1):643–662
18. Montgomery VL (2007) Effect of fatigue, workload, and environment on patient safety in the pediatric intensive care unit. Pediatr Crit Care Med 8(2 Suppl):S11–S16
19. Wetzel CM, Black SA, Hanna GB, Athanasiou T, Kneebone RL, Nestel D, Wolfe JH, Woloshynowych M (2010) The effects of stress and coping on surgical performance during simulations. Ann Surg 251(1):171–176
20. Berg LM, Kallberg AS, Goransson KE, Ostergren J, Florin J, Ehrenberg A (2013) Interruptions in emergency department work: an observational and interview study. BMJ Qual Saf. http://qualitysafety.bmj.com/content/early/2013/04/11/bmjqs-2013-001967.short
21. Sevdalis N, Forrest D, Undre S, Darzi A, Vincent C (2008) Annoyances, disruptions, and interruptions in surgery: the Disruptions in Surgery Index (DiSI). World J Surg 32(8):1643–1650
22. Grundgeiger T, Sanderson P (2009) Interruptions in healthcare: theoretical views. Int J Med Inform 78(5):293–307
23. Rivera-Rodriguez AJ, Karsh BT (2010) Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care 19(4):304–312
24. Hart SG, Staveland LE (1988) Development of NASA-TLX (Task Load Index): Results of empirical and theoretical research. In: Hancock PA, Meshkati N (eds) Human mental workload. North-Holland, Oxford, pp 139–183
25. Levin S, France DJ, Hemphill R, Jones I, Chen KY, Rickard D, Makowski R, Aronsky D (2006) Tracking workload in the emergency department. Hum Factors 48(3):526–539
26. Byrne AJ, Oliver M, Bodger O, Barnett WA, Williams D, Jones H, Murphy A (2010) Novel method of measuring the mental workload of anaesthetists during clinical practice. Br J Anaesth 105(6):767–771
27. Landis JR, Koch GG (1977) Measurement of observer agreement for categorical data. Biometrics 33(1):159–174
28. Coiera E, Tombs V (1998) Communication behaviours in a hospital setting: an observational study. BMJ 316(7132):673–676
29. Andreatta PB, Hillard M, Krain LP (2010) The impact of stress factors in simulation-based laparoscopic training. Surgery 147(5):631–639
30. Allport DA, Antonis B, Reynolds P (1972) On the division of attention: a disproof of the single channel hypothesis. Q J Exp Psychol 24(2):225–235
31. Jett QR, George JM (2003) Work interrupted: a closer look at the role of interruptions in organizational life. Acad Manage Rev 28(3):494–507
32. Morgan L, Robertson E, Hadi M, Catchpole K, Pickering S, New S, Collins G, McCulloch P (2013) Capturing intraoperative process deviations using a direct observational approach: the glitch method. BMJ Open 3(11):e003519
33. Brixey JJ, Robinson DJ, Turley JP, Zhang J (2010) The roles of MDs and RNs as initiators and recipients of interruptions in workflow. Int J Med Inform 79(6):e109–e115
34. Chisholm CD, Collison EK, Nelson DR, Cordell WH (2000) Emergency department workplace interruptions: are emergency physicians “interrupt-driven” and “multitasking”? Acad Emerg Med 7(11):1239–1243
35. Magrabi F, Li SY, Day RO, Coiera E (2010) Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. J Am Med Inform Assoc 17(5):575–583
36. Li SY, Magrabi F, Coiera E (2012) A systematic review of the psychological literature on interruption and its patient safety implications. J Am Med Inform Assoc 19(1):6–12
37. Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G (2011) Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia 66(3):175–179
38. Arora S, Sevdalis N, Nestel D, Woloshynowych M, Darzi A, Kneebone R (2010) The impact of stress on surgical performance: a systematic review of the literature. Surgery 147(3):318–330
39. Coiera E (2012) The science of interruption. BMJ Qual Saf 21(5):357–360