Quantifying distraction and interruption in urological surgery
Quantifying distraction and interruption in urological surgery
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DOI：
10.1136/qshc.2006.019711
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发表时间：
2007-04-01
影响因子：
--
通讯作者：
Koutantji, M.
中科院分区：
文献类型：
--
作者：
Healey, A. N.;Primus, C. P.;Koutantji, M.
背景：为了提高手术安全性，有必要开发各种工具来测量和评估工作系统。在任何高风险工作中，安全的一个重要考虑因素是分心和干扰的频率和影响。目的：量化泌尿外科无菌手术团队的分心和干扰。方法：观察手术团队的行为及其任务活动，确定记录的分心和干扰。使用序数量表，观察者对观察到的与团队参与相关的每个显着干扰或干扰进行评分。结果：事件发生的频率及其附加评级很高，源于不同程度的设备、程序和环境问题、电话、传呼机和对话。讨论：通过进一步完善和测试，该方法可能有助于区分手术中工作干扰的序数级别，并有助于提高术后手术团队汇报中对其根源的认识。
Background: To enhance safety in surgery, it is necessary to develop a variety of tools for measuring and evaluating the system of work. One important consideration for safety in any high-risk work is the frequency and effect of distraction and interruption.Aim: To quantify distraction and interruption to the sterile surgical team in urology.Methods: Observation of the behaviour of the surgical team and their task activity determined distraction and interruption recorded. Using an ordinal scale, an observer rated each salient distraction or interruption observed in relation to the team's involvement.Results: The frequency of events and their attached ratings were high, deriving from varying degrees of equipment, procedure and environment problems, telephones, bleepers and conversations.Discussion: With further refinement and testing, this method may be useful for distinguishing ordinal levels of work interference in surgery and helpful in raising awareness of its origin for postoperative surgical team debriefing.