Publication: Examining Interruptions in the Operating Room Using Simulation
Issued Date
2018-11-01
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ISSN
18761399
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2-s2.0-85055093976
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Mahidol University
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SCOPUS
Bibliographic Citation
Clinical Simulation in Nursing. Vol.24, (2018), 14-24
Suggested Citation
Rattima Sirihorachai, Michelle L. Aebersold, Nadine B. Sarter, Marcelline Harris, Valarie Marsh, Richard W. Redman Examining Interruptions in the Operating Room Using Simulation. Clinical Simulation in Nursing. Vol.24, (2018), 14-24. doi:10.1016/j.ecns.2018.08.004 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46096
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Title
Examining Interruptions in the Operating Room Using Simulation
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Abstract
© 2018 International Nursing Association for Clinical Simulation and Learning Background: Several patient safety organizations have acknowledged that interruptions may be a contributing factor in medical error. Studies examining individual cognitive reactions to interruptions are lacking, which hinders the development of effective interventions to reduce interruptions. Methods: A mixed-methods study was conducted including observations (n = 15), participation in high-fidelity simulations (n = 30), and debriefing interviews with participants after completion of the simulation exercise. Results: Experienced nurses more frequently violated policy in terms of allowing interrupting events to continue during time-out procedures (p <.003). Results from debriefing interviews indicated that participants used two cognitive strategies to manage distractions and interruptions. Conclusions: This study showed that there were frequent distractions and interruptions during critical tasks in the operating room. It also supports the use of high-fidelity simulation as a tool to examine circulating nurses' decision-making in management of distractions.