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Surgical counting interruptions in operating rooms.

Zhi Lujun1, Gao Yuan2, Wang Wei3

  • 1Anesthesia&Operation Center, West China Hospital, Sichuan University, Chengdu, China.

BMC Nursing
|April 10, 2024
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Summary

Surgical counting interruptions are frequent in operating rooms, often caused by instruments. These disruptions negatively impact nurses, necessitating targeted interventions for different surgical roles.

Keywords:
Hospital nursing staffInterruptionOperating room nursingSurgical count

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Area of Science:

  • Healthcare Operations
  • Patient Safety
  • Surgical Nursing

Background:

  • Operating rooms (ORs) are demanding environments with high cognitive load.
  • The first surgical count is a critical preoperative phase prone to frequent interruptions.
  • Understanding the nature of these interruptions is crucial for improving OR workflow.

Purpose of the Study:

  • To analyze the sources, outcomes, frequency, and responses to interruptions during the first surgical count.
  • To identify the most common causes and affected personnel during these critical events.

Main Methods:

  • A retrospective observational study was conducted over two months (August-September 2023).
  • Data were collected using a researcher-developed "Surgical Counting Interruption Event Form."
  • Observed 66 circulating nurses (CNs) and scrub nurses (SNs) across 1015 surgeries.

Main Results:

  • A total of 697 interruptions occurred during surgical counts, averaging 8.7 per hour.
  • Instruments were the most frequent source of interruption (20.7%).
  • Circulating nurses were most affected (48.2%), with most interruptions having negative outcomes.

Conclusions:

  • The frequency of first surgical count interruptions is high, posing a risk to OR efficiency.
  • Intervention strategies should be tailored to specific surgical specialties and nursing roles.
  • Addressing these interruptions is vital for enhancing patient safety and OR workflow.