NASA-task load index (NASA-TLX) 20 years later. The impact of operating room distractions on stress, workload, and teamwork. Wheelock A, Suliman A, Wharton R, Babu ED, Hull L, Vincent C, et al. Distraction and interruption in anaesthetic practice. Measuring the workload of the anesthesiologist. A time and motion study of the anaesthetist’s intraoperative time. A second time-study of the anaesthetist’s intraoperative period. McDonald JS, Dzwonczyk R, Gupta B, Dahl M. In this reference, the authors performed novel analyses of the Anesthesia Closed Claims Project database and found that situational awareness errors contributed to catastrophic outcomes in 75% of recent malpractice claims. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Schulz CM, Burden A, Posner KL, Mincer SL, Steadman R, Wagner KJ, et al.Incidence and impact of distracting events during induction of general anaesthesia for urgent surgical cases. Savoldelli GL, Thieblemont J, Clergue F, Waeber JL, Forster A, Garnerin P. Human factors in pediatric anesthesia incidents. Internet use during anesthesia care: does it matter? Anesthesiology. Accessed Jul 29, 2020.ĭomino KB, Sessler DI.

American Society of Anesthesiologists, ASA Website. In: Committee on Quality Management and Departmental Administration. Papers of particular interest, published recently, have been highlighted as: Īmerican Society of Anesthesiologists. Additional research in this field is necessary to determine the etiology of patient harm and to guide development of procedures and protocols to reduce OR distractions.

Implementation of aviation-style distraction mitigation strategies has been proposed though there is limited research to support their efficacy. OR distractions continue to be problematic for the anesthesia providers and patients alike. Lack of attention has been shown to contribute disproportionately to poor outcomes due to inadequate respiratory monitoring. Studies show that at least 5% of human factor errors in the OR are due to distractions. Recent FindingsĮtiology of distractions may be classified as patient care related, due to technology, noise, and alarms, from interpersonal dynamics or personally driven. Additionally, the concept of the “sterile cockpit” is discussed as well as the science of attention span in humans. The goal of this review is to investigate current research in the area of operating room (OR) distractions, in particular, from the perspective of the anesthesia provider.

Sterile cockpit rule