Annoyances, Disruptions, and Interruptions in Surgery: The Disruptions in Surgery Index (DiSI)

Abstract

Although operating room professionals acknowledged disruptions and their impact, they attributed disruptions related to individual performance and attitudes more to their colleagues than to themselves. The cross-professional discrepancy in perceived disruptions (surgeons perceiving fewer than the other two groups) suggests that attempts to improve the surgical environment should always start with thorough assessment of the views of all its users. DiSI is useful in that it differentiates between the frequency and the severity of disruptions. Further research should explore correlations of DiSI-assessed perceptions and other observable measures.

Gaze disruptions experienced by the laparoscopic operating surgeon

“…Our findings are in agreement with the categorization and frequency of OR disruptions recently published by Sevdalis et al [13] and very closely mirror those of Geryane et al [14]. Geryane et al applied time motion analysis techniques to LC and presented findings as a percentage of total OR time.…”

“…The safety and reliability of introducing such equipment or live techniques into the operational environment is at best uncertain. In addition, studies that have used an ordinal ranking of OR disruptions have done so retrospectively and are subject to their own biases as a result [12,13].…”

Wrong-Site Procedures: Preventable Never Events that Continue to Happen

“…Available details from the subsequent legal proceedings indicated that during the day of the surgery, local reporters were invited to take photographs and observe the surgery. This may have created an unacceptable level of distraction [23,24]. Additionally, standard pre-procedural safety measures were not utilized, such as a pre-operative checklist and marking of the operative site.…”

Preventable Variation within Operating Rooms: Information Quality Perspective

“…The literature stresses that most process variations within ORs are the result of controllable variables within the system, process and conditions [7][8][9][10][11][12]. Variation resulting from controllable variables is referred to as 'preventive variation'.…”