Distractions and the anaesthetist: a qualitative study of context and direction of distraction

Jothiraj, H.; Howland-Harris, J.; Evley, Rachel; Moppett, I. K.

doi:10.1093/bja/aet108

Cited by 29 publications

(25 citation statements)

References 17 publications

(12 reference statements)

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“…Distractions during critical moments can have very serious consequences. Other anaesthetists and circulating nurses are the most common causes of distractions [46] and distractions are commonest during transfer into theatre and at emergence [2]. In terms of individual conduct, it seemed that haste and a lack of vigilance may be contributory.…”

Section: Summary and Conclusion To Human Factorsmentioning

confidence: 99%

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues

et al. 2014

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The 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland into accidental awareness during general anaesthesia yielded data related to psychological aspects from the patient, and the anaesthetist, perspectives; patients' experiences ranged from isolated auditory or tactile sensations to complete awareness. A striking finding was that 75% of experiences were for < 5 min, yet 51% of patients (95% CI 43-60%) experienced distress and 41% (95% CI 33-50%) suffered longer-term adverse effect. Distress and longer-term harm occurred across the full range of experiences but were particularly likely when the patient experienced paralysis (with or without pain). The patient's interpretation of what is happening at the time of the awareness seemed central to later impact; explanation and reassurance during suspected 1102

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Section: Summary and Conclusion To Human Factorsmentioning

confidence: 99%

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues

et al. 2014

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“…Os indicadores de processo permitem avaliar a forma como um protocolo de cuidados de saúde é realizado ou prestado (5) . Dos artigos analisados são realçados instrumentos relevantes da área dos processos da avaliação da qualidade (11)(12)(13)(14)(15)(16)(17) .…”

Section: Avaliação Do Processounclassified

“…Foram analisadas 32 cirurgias, ao longo das quais foram observados 3557 eventos potencialmente perturbadores, dos quais 1173 (33%) foram considerados por distracção (17) .…”

Section: Avaliação Do Processounclassified

Instrumentos Para Avaliar a Qualidade E Segurança No Bloco Operatório - Revisão Integrativa

Gomes

Martins

Fernandes³

2016

Cogitare Enferm.

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RESUMO: Este estudo teve como objectivo identificar os instrumentos existentes para avaliar a qualidade no bloco operatório. Realizou-se uma revisão integrativa da literatura no período entre 2010 e 2015 com o recurso a motores de busca específicos. Após a análise segundo os critérios de inclusão estabelecidos, foram seleccionados 13 artigos. A análise da evidência científica obtida permitiu organizar os resultados em três áreas temáticas: avaliação da estrutura, avaliação do processo e avaliação do resultado. Os instrumentos analisados são mais frequentes no âmbito do processo e associados à cultura de segurança do doente. INSTRUMENTS TO EVALUATE QUALITY AND SAFETY IN THE SURGICAL CENTER -AN INTEGRATIVE REVIEWABSTRACT: This study aimed to identify the instruments in existence for evaluating quality in the surgical center. An integrative review was undertaken of the literature in the period 2010 -2015 through the use of specific search engines. Following analysis in accordance with the inclusion criteria established, 13 articles were selected. The analysis of the scientific evidence obtained made it possible to organize the results in three thematic areas: evaluation of the structure, evaluation of the process, and evaluation of the result. The instruments analyzed are more frequent in the ambit of the process and associated with the patient safety culture. The results reveal the need for further development at this level specifically through the construction and validation of instruments which are more broad-ranging, integrating the different components of the assessment of quality. DESCRIPTORS: Surgical center; Instruments; Quality of health care. El estudio tuvo como finalidad identificar los instrumentos disponibles para evaluar la cualidad en el bloque operatorio. Se realizó una revisión integrativa de la literatura en el periodo entre 2010 y 2015 con el recurso de los motores de búsqueda específicos. Después del análisis de acuerdo con criterios de inclusión establecidos, fueron seleccionados 13 artículos. El análisis de la evidencia científica obtenida posibilitó organizar los resultados en tres áreas temáticas: evaluación de la estructura, evaluación del proceso y evaluación del resultado. Los instrumentos analizados son más frecuentes en el ámbito del proceso y asociados a la cultura de seguridad del enfermo. Los resultados apuntan la necesidad de más desarrollo en este nivel, específicamente por medio de la construcción y validación de instrumentos de acción más amplia, integrando los distintos componentes de evaluación de la cualidad. DESCRIPTORES: Bloque operatorio; Instrumentos; Cualidad los cuidados.

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“…In their editorial, Martin and Grocott state "there is no discussion about, or reference to, the possible risks of hyperoxaemia in this document, and it is unclear whether such risks have been taken into account in its development". However, the guideline explicitly discusses the possible risks of hyperoxaemia and its as yet unproven clinical significance, and cites publications that were taken into consideration [3,4].…”

Section: Pre-oxygenation Before Extubationmentioning

confidence: 99%

“…In conjuction with their [2] and other groups' [3,4] previous work, it is becoming increasingly, if unsurprisingly, apparent that operating theatres are noisy, distracting places in which to work. This may have both negative and positive effects [5][6][7].…”

mentioning

confidence: 99%

Who is distracting whom?

Moppett

2015

Anaesthesia

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Distractions and the anaesthetist: a qualitative study of context and direction of distraction

Cited by 29 publications

References 17 publications

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues

Instrumentos Para Avaliar a Qualidade E Segurança No Bloco Operatório - Revisão Integrativa

Who is distracting whom?

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