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Identifying workflow disruptions in the cardiovascular operating room
Author(s) -
Cohen T. N.,
Cabrera J. S.,
Sisk O. D.,
Welsh K. L.,
Abernathy J. H.,
Reeves S. T.,
Wiegmann D. A.,
Shappell S. A.,
Boquet A. J.
Publication year - 2016
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.13521
Subject(s) - medicine , psychological intervention , workflow , intensive care medicine , nursing , management , economics
Summary The objectives of this study were to identify the frequency and nature of flow disruptions in the operating room with respect to three cardiac surgical team members: anaesthetists; circulating nurses; and perfusionists. Data collected from 15 cases and coded using a human factors taxonomy identified 878 disruptions. Significant differences were identified in frequency relative to discipline type. Circulating nurses experienced more coordination disruptions (χ 2 (2, N = 110) = 7.136, p < 0.028) and interruptions (χ 2 (2, N = 427) = 29.743, p = 0.001) than anaesthetists and perfusionists, whereas anaesthetists and perfusionists experienced more layout issues than circulating nurses (χ 2 (2, N = 153) = 48.558, p = 0.001). Time to resolve disruptions also varied among disciplines (λ (12, 878) = 5.186, p = 0.000). Although most investigations take a one‐size fits all approach in addressing disruptions to flow, this study demonstrates that targeted interventions must focus on differences with respect to individual role.