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Interruptions in Surgery: A Comprehensive Review.

Maxime Bretonnier1, Estelle Michinov2, Xavier Morandi1

  • 1Univ Rennes, INSERM, LTSI - UMR 1099, Rennes, France; Department of Neurosurgery, Pontchaillou University Hospital, Rennes, France.

The Journal of Surgical Research
|November 11, 2019
PubMed
Summary

Interruptions in surgery may increase errors, but direct evidence is lacking. Further research is needed to understand and mitigate surgical interruptions, enhancing patient safety.

Keywords:
DisruptionsInterruptionsSafetySurgery

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Area of Science:

  • Surgical Safety
  • Healthcare Management
  • Human Factors in Medicine

Background:

  • Analysis of interruptions can evaluate the operating room (OR) care process.
  • Understanding surgical interruptions is key to identifying potential errors during procedures.

Purpose of the Study:

  • To comprehensively review current knowledge on the description and impact of surgical interruptions.
  • To synthesize findings on factors influencing interruptions and their effects on surgical teams.

Main Methods:

  • Conducted a literature search in MEDLINE, BASE, Cochrane's Library, and PsycINFO.
  • Included 41 articles employing observational (in OR) or controlled (simulated) methodologies.

Main Results:

  • Interruptions in the OR were diverse, with varying classifications and severity.
  • High team familiarity and expertise reduced interruption frequency.
  • Interruptions appeared to increase workload, stress, and impair nontechnical skills, though evidence was not definitive.

Conclusions:

  • Interruptions are potential risk factors for OR errors, but direct association requires more evidence.
  • There is a need to define, target, and reduce detrimental interruptions while allowing beneficial ones.