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Examining workload variations among different surgical team roles, specialties, and techniques: a multicenter
Sepideh Totonchilar1, Akram Aarabi2,3, Naeimeh Eftekhari4
1Ardabil University of Medical Science, Ardabil, Iran.
Perioperative Medicine (London, England)
|January 3, 2024
Summary
High surgical workload impacts patient safety. This study measured surgical team workload across roles, specialties, and techniques, finding significant variations and identifying key factors influencing task load for optimization.
Area of Science:
- Surgical safety and performance
- Occupational health in medicine
Background:
- High workload in surgical teams can compromise performance and patient safety.
- Understanding workload distribution is crucial for optimizing surgical team efficiency.
Purpose of the Study:
- To quantify surgical team workload across various roles, specialties, and techniques.
- To identify factors contributing to workload variations within surgical settings.
Main Methods:
- Cross-sectional, multicenter study in 8 teaching hospitals.
- Utilized the Surgery Task Load Index (SURG-TLX) questionnaire post-procedure.
- Employed descriptive statistics, ANOVA, and Pearson correlations for analysis.
Main Results:
- Total workload averaged 32.41 ± 17.21 across 346 surgical team members.
- Surgical complexity, physical, and mental demands were highest workload subscales.
- Cardiovascular specialty, open techniques, and surgical technologists (circulating & scrub nurse roles) reported higher workloads.
Conclusions:
- Surgical team workload is disproportionately high for certain members and influenced by specialty, technique, role, and duration.
- Identifying workload distribution enables targeted interventions for optimization.
- Findings support strategies to improve surgical team well-being and patient safety.

