量化泌尿外科手术中的注意力分散和干扰因素。
Quantifying distraction and interruption in urological surgery.
作者信息
Healey A N, Primus C P, Koutantji M
机构信息
Imperial College, London, UK.
出版信息
Qual Saf Health Care. 2007 Apr;16(2):135-9. doi: 10.1136/qshc.2006.019711.
BACKGROUND
To enhance safety in surgery, it is necessary to develop a variety of tools for measuring and evaluating the system of work. One important consideration for safety in any high-risk work is the frequency and effect of distraction and interruption.
AIM
To quantify distraction and interruption to the sterile surgical team in urology.
METHODS
Observation of the behaviour of the surgical team and their task activity determined distraction and interruption recorded. Using an ordinal scale, an observer rated each salient distraction or interruption observed in relation to the team's involvement.
RESULTS
The frequency of events and their attached ratings were high, deriving from varying degrees of equipment, procedure and environment problems, telephones, bleepers and conversations.
DISCUSSION
With further refinement and testing, this method may be useful for distinguishing ordinal levels of work interference in surgery and helpful in raising awareness of its origin for postoperative surgical team debriefing.
背景
为提高手术安全性，有必要开发多种用于测量和评估工作系统的工具。在任何高风险工作中，安全的一个重要考量因素是分心和干扰的频率及影响。
目的
量化泌尿外科无菌手术团队的分心和干扰情况。
方法
通过观察手术团队的行为及其任务活动来确定并记录分心和干扰情况。一名观察者使用顺序量表对观察到的与团队参与相关的每个显著分心或干扰进行评分。
结果
事件发生频率及其相关评分较高，原因包括不同程度的设备、手术步骤和环境问题、电话、传呼机及对话。
讨论
经过进一步完善和测试，该方法可能有助于区分手术中工作干扰的顺序级别，并有助于提高术后手术团队汇报时对干扰来源的认识。
Zotero 插件