Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room

BMJ Quality & Safety
Anjali JosephRIPCHD.OR study group

Abstract

Studies in operating rooms (OR) show that minor disruptions tend to group together to result in serious adverse events such as surgical errors. Understanding the characteristics of these minor flow disruptions (FD) that impact major events is important in order to proactively design safer systems OBJECTIVE: The purpose of this study is to use a systems approach to investigate the aetiology of minor and major FDs in ORs in terms of the people involved, tasks performed and OR traffic, as well as the location of FDs and other environmental characteristics of the OR that may contribute to these disruptions. Using direct observation and classification of FDs via video recordings of 28 surgical procedures, this study modelled the impact of a range of system factors-location of minor FDs, roles of staff members involved in FDs, type of staff activities as well as OR traffic-related factors-on major FDs in the OR. The rate of major FDs increases as the rate of minor FDs increases, especially in the context of equipment-related FDs, and specific physical locations in the OR. Circulating nurse-related minor FDs and minor FDs that took place in the transitional zone 2, near the foot of the surgical table, were also related to an increase ...Continue Reading

References

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Citations

Jan 27, 2019·BMJ Quality & Safety·Douglas A Wiegmann, Thoralf M Sundt
Jul 4, 2020·BMC Medical Informatics and Decision Making·Juliane NeumannThomas Neumuth
Jan 8, 2021·Applied Ergonomics·Sara Bayramzadeh, Parsa Aghaei
Feb 2, 2021·The Bone & Joint Journal·Eli M CahanDerek F Amanatullah
Mar 21, 2020·Resuscitation·Heidi M HerrickElizabeth E Foglia
Apr 4, 2021·Tropical Medicine and Infectious Disease·Verónica MontielJoan Carles Monllau
Aug 8, 2021·International Journal of Environmental Research and Public Health·Anjali JosephScott Reeves
Oct 30, 2021·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Sara BayramzadehKayla O'Donnell

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Methods Mentioned

BETA
gastric bypass

Software Mentioned

Noldus Observer XT

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