Identification and Classification of Flow Disruptions in the Operating Room during Two Types of General Surgery Procedures
| Autor: | Jason P. Kring, Douglas A. Wiegmann, T. Christopher Windham, Albert Boquet, Sacha Duff, Jennifer D. Schaus, Robert Malony |
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| Rok vydání: | 2010 |
| Předmět: | |
| Zdroj: | Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 54:884-888 |
| ISSN: | 1071-1813 2169-5067 |
| DOI: | 10.1177/154193121005401217 |
| Popis: | The operating room is one of the most complex work environments in healthcare; it is estimated that at least 7% of adverse events due to medical error occur in the operating room. Flow disruptions are events that cause a “break” in the primary surgical task, or the loss of any team member's situational awareness. From the “systems” perspective, flow disruptions are often a symptom of a latent failure somewhere within the system. An empirical link between flow disruptions and surgical errors in the OR has been established; therefore, identifying and classifying the specific flow disruptions present during different types of procedures should facilitate the development of evidence-based interventions. The goal of this study was to identify and classify flow disruptions during laparoscopic cholecystectomy (camera-assisted gallbladder removal) and open inguinal and umbilical hernia repair procedures. Results of this study include revealed seven categories of disruption that emerged inductively from the data collected. These were: communication, coordination, external/extraneous source, training/supervisory, equipment/supplies, patient factors, and environment. |
| Databáze: | OpenAIRE |
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