Workflow Interruptions and Failed Action Regulation in Surgery Personnel

Nützi, Marina; Koch, Patricia Barthalow; Baur, Heiner

doi:10.1016/j.shaw.2013.11.001

Cited by 24 publications

(10 citation statements)

References 17 publications

(19 reference statements)

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“…Another approach lies in stochastic resonance whole body vibration that has been proven to reduce musculoskeletal complaints in different non-nursing occupations [61] , [80] , [81] . Elfering et al [21] examined whether or not a positive effect of such training can be found with OR nurses as well.…”

Section: Discussionmentioning

confidence: 99%

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Work–Family Conflict, Task Interruptions, and Influence at Work Predict Musculoskeletal Pain in Operating Room Nurses

Nützi

Koch

Baur

2015

Safety and Health at Work

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BackgroundThe aim of this study is to examine the prevalence of musculoskeletal complaints in Swiss operating room (OR) nurses, and to investigate how work–family conflict, work interruptions, and influence at work are related to lumbar and cervical back pain.MethodsParticipants in this correlational questionnaire study included 116 OR nurses from eight different hospitals in Switzerland.ResultsWe found that 66% of the OR staff suffered from musculoskeletal problems. The most prevalent musculoskeletal complaints were lumbar (52.7%) and cervical pain (38.4%). Furthermore, 20.5% reported pain in the mid spine region, 20.5% in the knees and legs, and 9.8% in the hands and feet. Multiple linear regression analyses showed that work–family conflict (p < 0.05) and interruptions (p < 0.05) significantly predicted lumbar and cervical pain in OR nurses, while influence at work (p < 0.05) only predicted lumbar pain.ConclusionThese results suggest that reducing the work–family conflict and interruptions at work, as well as offering opportunities to influence one's workplace, help to promote OR nurses' health.

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Section: Discussionmentioning

confidence: 99%

“…Another common stressor in healthcare is interruption at work [20] . According to Elfering et al [21] , interruptions at work may trigger failure in action regulation. Thus, interruptions during an OR nurse's work represent a threat to surgery outcomes and patient safety, and are stressful for OR nurses.…”

Section: Introductionmentioning

confidence: 99%

Work–Family Conflict, Task Interruptions, and Influence at Work Predict Musculoskeletal Pain in Operating Room Nurses

Nützi

Koch

Baur

2015

Safety and Health at Work

Self Cite

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“…53 •2 retrospective observational studies were performed: they described interruptions reported by medical and paramedical staff. 59,60 •One interventional study tested a measure of interruption reduction in the OR. 61 Five phases of risk were defined during a surgical procedure (anesthesia induction, surgical briefing, specimen collection, final surgical counts and debriefing, anesthesia emergence).…”

Section: Studies' Methodologymentioning

confidence: 99%

Interruptions in Surgery: A Comprehensive Review

Bretonnier

Michinov

Morandi

et al. 2020

Journal of Surgical Research

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Background: Recent literature showed that analysis of interruptions can contribute to evaluating the care process in the operating room and thus understanding potential errors which may occur during surgical procedures. The aim of this comprehensive review was to summarize current knowledge on the description and impact of interruptions in surgery. Material and methods: A literature search was conducted according to a set of criteria in the databases MEDLINE, BASE, Cochrane's Library and PsycINFO. Results: 41 articles were included. 2 main methodological approaches were found, observational in the OR, or controlled in an experimental simulated environment. Interruptions in the OR were manifold and several classifications were used. The severity of interruptions differed according to the category of the interruptions. Interruptions were influenced by team familiarity and the expertise of the surgical team; high team familiarity and a high level of expertise decreased the frequency of interruptions. However, our literature search lacked controlled studies carried out in the OR. Interruptions seemed to increase the workload and stress of the surgical team and impair non-technical skills, but no clear evidence of this was advanced. Conclusions: Interruptions are probably risk factors for errors in the operating room. However, there is as yet no clear evidence of the association of interruption frequency with errors in the operating room. There is a need to define and target interruptions which should be reduced, by putting safeguards in place, thereby allowing those which could be beneficial and neglecting those with no potential consequences.

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“…Now, there are signi cant researches on interruptions in the process of health services delivery. Several attempts have been made to conduct observational studies that focus on a speci c department [15,16] or care provider and explore the frequency and effect of interruptions [3,17,18]. Moreover, some studies have just discussed a speci c source of interruption, such as a paging device [14,19], a communication device [20] or electronic medical record [21].…”

Section: Previous Studies Have Compared Work Ow Interruptions Among Different Medical Workplaces[8]mentioning

confidence: 99%

An Observational Study of Physicians' Workflow Interruptions in Outpatient Departments in China

Zhu

Wang

et al. 2021

Preprint

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Background: Workflow interruptions are frequent in hospital outpatient clinics. Eventually, not only reducing the work efficiency and quality, but also further threatening patient safety. Over the last 10–15 years, research on workflow interruptions in inpatient care has increased, but there is a lack of research on the interruptions in outpatient clinics. The present study aimed to study the differences in physicians' workflow interruptions among outpatient departments in the tertiary hospital in China.Methods: In a tertiary hospital, a standardized observational study of 32 doctors' workflow in outpatient department of four typical clinical specialties was conducted. The record of workflow interruptions was based on a self-made observation instrument after verifying its reliability and validity. Linear regression methods were used to assess outpatient characteristics as predictors of the number of interruptions. The Kruskal-Wallis test was used to analyze the difference about the duration of interruptions among specialties, and the Chi-Square Test was used to examine the sources of interruptions among different specialties, to determine whether interruption source is associated with specialty.Results: The number of patients was the significant independent predictor of the number of interruptions(p<0.001). In terms of work tasks being interrupted, the highest interruption rate occurred when physicians were asking health history: 19.95 interruptions per hour. The distribution of interruption sources among the four clinical specialties were statistically different (Χ2 =16.988, p = 0.049). Conclusion: The findings indicate that physicians' workflow interruptions are connected with many contents in the work system. Further emphasis should be placed on the effective application of hospital management measures in an interrupted environment to promote a safe and efficiency outpatient care.

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Workflow Interruptions and Failed Action Regulation in Surgery Personnel

Cited by 24 publications

References 17 publications

Work–Family Conflict, Task Interruptions, and Influence at Work Predict Musculoskeletal Pain in Operating Room Nurses

Work–Family Conflict, Task Interruptions, and Influence at Work Predict Musculoskeletal Pain in Operating Room Nurses

Interruptions in Surgery: A Comprehensive Review

An Observational Study of Physicians' Workflow Interruptions in Outpatient Departments in China

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