Distraction and interruption in anaesthetic practice

Campbell, G.; Arfanis, Konstantinos; Smith, Andrew F

doi:10.1093/bja/aes219

Cited by 73 publications

(81 citation statements)

References 30 publications

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“…Contributors to distraction and interruption may include unnecessary conversation, music, personal electronic devices, and alarms. 52 The American Association of Nurse Anesthetists, AORN, and the American College of Surgeons all have position statements related to noise and the use of music and personal electronic devices in the perioperative area. [53][54][55] The use of music and electronic devices along with unnecessary conversation in the perioperative area may further increase the number of distractions and alter the provider's ability to maintain focus.…”

Section: Measures To Decrease Wrong Dose Errorsmentioning

confidence: 99%

Factors Contributing to Perioperative Medication Errors: A Systematic Literature Review

Boytim¹,

Ulrich²

2018

AORN Journal

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Section: Measures To Decrease Wrong Dose Errorsmentioning

confidence: 99%

Factors Contributing to Perioperative Medication Errors: A Systematic Literature Review

Boytim¹,

Ulrich²

2018

AORN Journal

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“…Human factors issues previously attributed to guidewire loss include: inexperience with the technique, lack of supervision, tiredness, distractions, task interruptions, and a general lack of awareness of the potential complications in central lines amongst the health professionals. (1,3,(13)(14)(15) These human element issues can contribute to the chances of guidewires being retained but, as described later in this article, they also can offer potential points of intervention to prevent wire loss.…”

Section: Central Venous Catheterizationmentioning

confidence: 99%

A Comparison of the Bow‐Tie and STAMP Approaches to Reduce the Risk of Surgical Instrument Retention

et al. 2017

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Although relatively rare, surgical instrument retention inside a patient following central venous catheterization still presents a significant risk. The research presented here compared two approaches to help reduce retention risk: Bow-Tie Analysis and Systems-Theoretic Accident Model and Processes. Each method was undertaken separately and then the results of the two approaches were compared and combined. Both approaches produced beneficial results that added to existing domain knowledge, and a combination of the two methods was found to be beneficial. For example, the Bow-Tie Analysis gave an overview of which activities keep controls working and who is responsible for each control, and the Systems-Theoretic Accident Model and Processes revealed the safety constraints that were not enforced by the supervisor of the controlled process. Such two-way feedback between both methods is potentially helpful for improving patient safety. Further methodology ideas to minimize surgical instrument retention risks are also described.

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“…Campbell and colleagues [14] observed the entire anaesthetic process, during which 424 distractions were recorded with an overall rate being 0.23 per minute. Their study shows that distractions in theatre are not uncommon and may lead to perioperative critical incidence.…”

Section: Discussionmentioning

confidence: 99%

Medication Errors among Physician-Assistants Anaesthesia

Amponsah

Antwi-Kusi

Addison

et al. 2016

Advances in Anesthesiology

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Background. Safety issues in anaesthesia are currently being discussed widely. Anaesthetists have a unique cross-specialty opportunity to influence the safety and quality of patient care. Anaesthetists administer very potent drugs, in rapid succession, during the course of one anaesthesia event. Methodology. The study was done in April 2013 at the annual refresher course of the Physician-Assistants Anaesthesia using a questionnaire which was completed by the participants on the course. The data was analysed using IBM SPSS Statistics software version 20. Results. There were 164 completed questionnaires, with 92 (62.2%) males and 56 (37.8%) females with a mean age of 32.3 years. The majority of them (66.5%) work in government hospitals. One hundred and seven (65.3%) have had an episode of medication error with 101 (94.4%) experiencing it between 1 and 5 times. The incident occurred in the afternoon or at night in 73 (71.7%) cases. The commonest type of incident was the administration of wrong drug which occurred on 64 (71.9%) occasions resulting in 3 deaths. The contributing factors included distraction, tiredness, and overreliance on vial/ampoule colour. Conclusion. Medication errors among Physician-Assistants Anaesthesia are not uncommon leading to harm and even death of patients. The rate of medication errors can be minimised by addressing some of the contributory factors raised by the respondents.

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Distraction and interruption in anaesthetic practice

Cited by 73 publications

References 30 publications

Factors Contributing to Perioperative Medication Errors: A Systematic Literature Review

Factors Contributing to Perioperative Medication Errors: A Systematic Literature Review

A Comparison of the Bow‐Tie and STAMP Approaches to Reduce the Risk of Surgical Instrument Retention

Medication Errors among Physician-Assistants Anaesthesia

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