Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study.
Adult
Aged
Communication
Female
Humans
Interprofessional Relations
Male
Middle Aged
Multitasking Behavior
Nurse Anesthetists
/ psychology
Nursing Staff
/ psychology
Operating Rooms
Patient Safety
Prospective Studies
Surgeons
/ psychology
Sweden
Time and Motion Studies
Workflow
Workload
/ psychology
Workplace
complexity
interruptions
multitasking
operating room
patient safety
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
15 05 2019
15 05 2019
Historique:
entrez:
18
5
2019
pubmed:
18
5
2019
medline:
5
6
2020
Statut:
epublish
Résumé
The work context of the operating room (OR) is considered complex and dynamic with high cognitive demands. A multidimensional view of the complete preoperative and intraoperative work process of the surgical team in the OR has been sparsely described. The aim of this study was to describe the type and frequency of tasks, multitasking, interruptions and their causes during surgical procedures from a multidimensional perspective on the surgical team in the OR. Prospective observational study using the Work Observation Method By Activity Timing tool. An OR department at a county hospital in Sweden. OR nurses (ORNs) (n=10), registered nurse anaesthetists (RNAs) (n=8) and surgeons (n=9). The type, frequency and time spent on specific tasks, multitasking and interruptions were measured. From a multidimensional view, the surgical team performed 64 tasks per hour. Communication represented almost half (45.7%) of all observed tasks. Concerning task time, direct care dominated the surgeons' and ORNs' intraoperative time, while in RNAs' work, it was intra-indirect care. In total, 48.2% of time was spent in multitasking and was most often observed in ORNs' and surgeons' work during communication. Interruptions occurred 3.0 per hour, and the largest proportion, 26.7%, was related to equipment. Interruptions were most commonly followed by professional communication. The surgical team constantly dealt with multitasking and interruptions, both with potential impact on workflow and patient safety. Interruptions were commonly followed by professional communication, which may reflect the interactions and constant adaptations in a complex adaptive system. Future research should focus on understanding the complexity within the system, on the design of different work processes and on how teams meet the challenges of a complex adaptive system. 2016/264.
Identifiants
pubmed: 31097486
pii: bmjopen-2018-026410
doi: 10.1136/bmjopen-2018-026410
pmc: PMC6530509
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e026410Informations de copyright
© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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