Evidence supports premise: OR distractions up surgical errors

December 6, 2012

(HealthDay)—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 . 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 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.

Explore further: Young surgeons face special concerns with operating room distractions

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Young surgeons face special concerns with operating room distractions

November 29, 2012
(Medical Xpress)—A study has found that young, less-experienced surgeons made major surgical mistakes almost half the time during a "simulated" gall bladder removal when they were distracted by noises, questions, conversation ...

Circulating nurses recover errors in cardiovascular operating room

June 5, 2012
(HealthDay) -- Circulating perioperative nurses can help reduce surgical errors and incidents in the cardiovascular operating room (OR) and improve patient safety, especially with regard to surgical prepping and aseptic technique, ...

Surgical residents perform better in OR if they receive structured training in simulated environment

July 5, 2012
New research has shown that surgical residents who received structured training in a simulated environment perform significantly better when they start operating on patients.

Previous-day alcohol consumption appears to affect surgical skills on virtual reality simulator

April 18, 2011
Excessive alcohol consumption appears to be associated with changes in some surgical skills performed on virtual reality simulator testing the following day, according to a report in the April issue of Archives of Surgery, ...

Recommended for you

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

Researchers discover indicator of lung transplant rejection

July 13, 2017
Research by scientists at Dignity Health St. Joseph's Hospital and Medical Center's Norton Thoracic Institute was published in the July 12, 2017 issue of Science Translational Medicine titled "Zbtb7a induction in alveolar ...

New device could make closing surgical incisions a cinch

July 7, 2017
Like many surgeons, Dr. Jason Spector is often faced with the challenge of securely closing the abdominal wall without injuring the intestines. If the process goes awry, there can be serious consequences for patients, including ...

Success with first 20 patients undergoing minimally invasive pancreatic transplant surgery

June 29, 2017
Surgeons at Johns Hopkins Medicine report that their first series of a minimally invasive procedure to treat chronic pancreas disease, known as severe pancreatitis, resulted in shorter hospital stays, less need for opioids ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.