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Related Experiment Video

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A Cognitive Paradigm to Investigate Interference in Working Memory by Distractions and Interruptions
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The Stay S.A.F.E. Strategy for Managing Interruptions Reduces Distraction Time in the Simulated Clinical Setting.

Elizabeth A Henneman1, Jenna L Marquard, Cheryl Nicholas

  • 1College of Nursing (Dr E. Henneman and Ms Scott), and Department of Mechanical and Industrial Engineering, College of Engineering (Drs Marquard and Nicholas and Mss Martinez and DeSotto), University of Massachusetts Amherst; Department of Nursing, Westfield State University, Westfield, Massachusetts (Ms Scott); and Department of Emergency Medicine, Baystate Medical Center, Springfield, Massachusetts (Drs Soares and P. Henneman).

Critical Care Nursing Quarterly
|March 2, 2018
PubMed
Summary

The Stay S.A.F.E. strategy significantly reduced distraction time for nurses after interruptions in a simulated clinical setting. This patient safety intervention proved effective in minimizing task disruption.

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Area of Science:

  • Healthcare delivery
  • Patient safety
  • Nursing practice

Background:

  • Interruptions are frequent in healthcare and pose a significant risk to patient safety.
  • Effective strategies are needed to mitigate the negative impacts of interruptions on clinical workflows.

Purpose of the Study:

  • To evaluate the efficacy of the Stay S.A.F.E. strategy for managing interruptions.
  • To determine if the Stay S.A.F.E. strategy reduces distraction time following an interruption.

Main Methods:

  • A pretest, posttest quasi-experimental design was employed.
  • Twenty nurses participated in the pilot study.
  • Distraction time from a primary task was measured before and after implementing the Stay S.A.F.E. strategy.

Main Results:

  • A statistically significant decrease in distraction time was observed between pretest (134.47 seconds) and posttest (6.08 seconds) periods (P = .0004).
  • The Stay S.A.F.E. strategy effectively reduced the duration of distraction from primary tasks.

Conclusions:

  • The Stay S.A.F.E. interruption management strategy is effective in reducing distraction time in simulated clinical environments.
  • Nurses perceive interruptions as frequent, dangerous, and error-inducing, highlighting the need for such management strategies.