View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
THURSDAY, Dec. 6 (HealthDay News) -- Typical operating room distractions and interruptions (ORDIs) potentially increase the likelihood of surgical errors among surgical trainees, according to a study published in the November issue of the Archives of Surgery.
Robin L. Feuerbacher, Ph.D., from Oregon State University in Corvallis, and colleagues assessed whether realistic ORDIs induce errors in a simulated surgical procedure performed by 18 second-year, third-year, and research-year surgical residents. During the critical stages of a simulated laparoscopic cholecystectomy, four distractions and two interruptions were simulated, based on nine months of observations. The participants were assigned a prospective memory task prior to the simulated procedure.
The researchers found that major surgical errors were committed in 44 percent of simulated procedures with ORDIs (all of which occurred after 1 p.m.) and 6 percent of procedures without ORDIs (P = 0.02), with the most errors caused by interrupting questions, followed by sidebar conversations. Fifty-six percent of those with ORDIs forgot the prospective memory task, compared with 22 percent of those without ORDIs (P = 0.04).
"This study provided statistically significant evidence to support the hypothesis that realistic ORDIs increase the likelihood of errors in a simulated laboratory setting with novice surgeons," the authors write.
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top