Factors compromising safety in surgery: stressful events in the operating room

American Journal of Surgery
Sonal AroraRoger Kneebone

Abstract

Stressful events occur in the operating room (OR) with potentially severe consequences for patient safety. We recorded the incidence of these events in the OR, assessed the levels of stress that they caused, and investigated their detectability. Stressful incidents in the OR were recorded and rated in real time by an observer in 55 general and orthopedic procedures. Operating surgeons also rated incident stressfulness and their stress (validated State Trait Anxiety Inventory). The total count of stressors/case ranged from 1 to 23.5 (mean, 5.87). Technical, patient, and equipment problems occurred frequently and were most stressful. Frequent but least severe stressors were distractions/interruptions, whereas least frequent/most severe stressors were teamwork problems. These events were associated with an increase in surgeons' self-reported stress. The observer was able to capture surgeons' stress accurately. Systematically occurring stressors in the OR affect surgeons and can be assessed accurately. Further research should investigate the impact of stress on surgical performance.

Associated Clinical Trials

References

Sep 1, 1992·The British Journal of Clinical Psychology·T M Marteau, H Bekker
Jul 8, 1995·BMJ : British Medical Journal·N Mays, C Pope
Aug 1, 1997·Journal of Evaluation in Clinical Practice·L L Leape
May 8, 1995·Quality in Health Care : QHC·J Reason
Mar 17, 2000·BMJ : British Medical Journal·J B SextonR L Helmreich
Jan 10, 2006·American Journal of Surgery·Cordula M WetzelAra Darzi
Apr 4, 2006·Journal of Evaluation in Clinical Practice·Shabnam UndreCharles A Vincent
Sep 20, 2006·World Journal of Surgery·Shabnam UndreCharles A Vincent
May 24, 2007·Journal of Evaluation in Clinical Practice·Nick SevdalisCharles A Vincent
May 24, 2007·Medical Education·Vicki R LeBlanc, Glen W Bandiera
Jul 5, 2007·World Journal of Surgery·Shabnam UndreCharles Vincent
May 21, 2008·World Journal of Surgery·Nick SevdalisCharles Vincent
Nov 6, 2009·American Journal of Surgery·Sonal AroraAra Darzi

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Citations

Feb 22, 2012·Surgical Endoscopy·Neha MalhotraRich S W Masters
Apr 28, 2012·Surgical Endoscopy·Nick SevdalisCharles A Vincent
Dec 26, 2012·Best Practice & Research. Clinical Obstetrics & Gynaecology·Rasiah BharathanAra Darzi
Aug 27, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Sonal AroraNick Sevdalis
May 25, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Dana K Andersen
Jul 4, 2012·Saudi Journal of Anaesthesia·Alnassar SamiIsnani Arthur
Jan 9, 2014·Surgical Endoscopy·Jon R PluyterJack J Jakimowicz
Jul 28, 2012·Gynecological Surgery·Sharon P RodriguesFrank W Jansen
Jul 11, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hannes PrescherAllan J Hamilton
Oct 5, 2014·Academic Radiology·Brad J BalintRichard B Gunderman
Jan 11, 2014·The Journal of Surgical Research·Sophia AntoniadisMatthias Weigl
Aug 13, 2013·Journal of Minimally Invasive Gynecology·Rasiah BharathanRajesh Aggarwal
Jul 28, 2013·BMJ Quality & Safety·Ruwan A WeerakkodyColin D Bicknell
Mar 20, 2010·World Journal of Surgery·Sonal Arora, Nick Sevdalis
Oct 2, 2015·BMJ Quality & Safety·Arianna F YanesDaniela P Ladner
Apr 30, 2014·Journal of the American College of Radiology : JACR·John-Paul J YuJohn Mongan
Jan 22, 2013·American Journal of Surgery·Zoë MaherAmy J Goldberg
May 16, 2012·Surgical Oncology Clinics of North America·Yue-Yung Hu, Caprice C Greenberg
Mar 28, 2012·American Journal of Surgery·Maria AhmedSonal Arora
Dec 21, 2010·American Journal of Surgery·Louise HullNick Sevdalis
Jan 5, 2011·AORN Journal·Sharon A McNamara
Feb 1, 2011·Journal of the American College of Surgeons·Sonal AroraNick Sevdalis
Mar 12, 2016·Journal of Neurosurgery·Khalid BajunaidRolando F Del Maestro
Sep 20, 2012·ANZ Journal of Surgery·Clare Faurie, Mohammed Khadra
Dec 1, 2010·ANZ Journal of Surgery·Shing W WongPhil Crowe
Jun 25, 2015·American Journal of Surgery·Nicholas E AntonDimitrios Stefanidis
Oct 12, 2014·Surgical Endoscopy·Annika RiegerRegina Stoll
Apr 27, 2016·Journal of Nursing Management·Suvi EskolaTarja Suominen
Oct 22, 2015·Surgical Endoscopy·Annetje C P GuédonJohn J van den Dobbelsteen
Oct 16, 2016·Journal of Medical Systems·Annetje C P GuédonJ J van den Dobbelsteen
May 20, 2017·Medical Teacher·B G Baker, J P Williams
Sep 25, 2017·Scandinavian Journal of Caring Sciences·Eydis Ingvarsdottir, Sigridur Halldorsdottir
Aug 7, 2013·Circulation·Joyce A WahrUNKNOWN American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Cardiovascular and Stroke Nursing, a
Nov 23, 2013·Annals of Surgery·Alexander F ArriagaUNKNOWN Harvard Surgical Safety Collaborative
Aug 21, 2015·Annals of Surgery·Ana WheelockSonal Arora
Aug 29, 2019·Surgical Endoscopy·James J JungTeodor Grantcharov
Dec 21, 2019·European Journal of Pediatrics·Matthias WeiglFlorian Hoffmann
Oct 23, 2019·BMJ Open Quality·Shyam SabatEinat Slonimsky
Jul 1, 2014·Quality Management in Health Care·Richard M ShewchukHaiyan Qu
Feb 19, 2019·Annals of the Royal College of Surgeons of England·Dsg ScrimgeourP A Brennan

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