Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.

Dominique Dorion; Simon Darveau

Study

Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.

August 22, 2012

Dorion D, Darveau S. Ann Surg. 2013;257(2):256-9.

View more articles from the same authors.

Taking micropauses—a 20-second break every 20 minutes during a surgical procedure—was associated with lower levels of fatigue among surgeons.

PubMed citation

Available at

Related Resources From the Same Author(s)

Intensive care medicine in 2050: preventing harm.

May 1, 2019

Stressful intensive care unit medical crises: how individual responses impact on team performance.

April 1, 2009

COVID-19 pandemic: a time for collaboration and a unified global health front.

August 12, 2020

Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study.

February 10, 2021

A call for the application of patient safety culture in medical humanitarian action: a literature review.

May 6, 2020

Iatrogenic events contributing to ICU admission: a prospective study.

March 24, 2010

Seen through the patients' eyes: surgical safety and checklists.

February 21, 2018

Development of the barriers to error disclosure assessment tool.

September 27, 2017

Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute.

April 29, 2015

Human reliability analysis: a critique and review for managers.

July 13, 2011

Exploring and evaluating patient safety culture in a community-based primary care setting.

May 16, 2018

Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence.

August 5, 2015

The threat within: mitigating the risk of medical error.

March 25, 2020

The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes?

June 12, 2019

A factorial survey on safety behavior providing opportunities to improve safety.

December 5, 2018

Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized?

December 10, 2014

Good people who try their best can have problems: recognition of human factors and how to minimise error.

January 27, 2016

Seen through the patients' eyes: safety of chronic illness care.

December 13, 2017

The host hospital 24-hour underreferral rate: an automated measure of call-center safety.

July 18, 2007

The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.

November 7, 2012

Patient safety and professional discourses: implications for interprofessionalism.

May 14, 2014

"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.

September 1, 2010

Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency.

March 11, 2009

The relationship between professional burnout and quality and safety in healthcare: a meta-analysis.

April 19, 2017

Medication discrepancies in integrated electronic health records.

December 12, 2012

Physician autonomy and informed decision making: finding the balance for patient safety and quality.

January 14, 2009

The need for systems integration in health care.

March 9, 2011

Learning from excellence in healthcare: a new approach to incident reporting.

October 19, 2016

Improving the quality and safety of patient care in cardiac anesthesia.

December 10, 2014

Establishing a safe container for learning in simulation: the role of the presimulation briefing.

October 8, 2014

Should health care providers be forced to apologise after things go wrong?

January 28, 2015

Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study.

August 10, 2016

Team communication during patient handover from the operating room: more than facts and figures.

April 24, 2013

A systematic review of the psychological literature on interruption and its patient safety implications.

October 12, 2011

Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls.

February 17, 2016

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?

January 29, 2014

Surgical skill is predicted by the ability to detect errors.

May 25, 2005

Using video recording to identify management errors in pediatric trauma resuscitation.

March 29, 2006

Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic.

August 16, 2023

Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care.

August 19, 2015

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.

October 28, 2020

System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.

May 28, 2014

Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.

April 28, 2021

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

Surgical confusions in ophthalmology.

November 14, 2007

Adoption of order entry with decision support for chronic care by physician organizations.

July 18, 2007

Communicating with patients about medical errors: a review of the literature.

March 6, 2005

Junior doctors' reflections on patient safety.

March 21, 2012

Beyond the team: understanding interprofessional work in two North American ICUs.

August 19, 2015

Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects.

September 22, 2010

Assessing the quality of patient handoffs at care transitions.

January 19, 2011

Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.

May 11, 2011

There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment.

April 12, 2006

The practice of respect in the ICU.

August 1, 2018

Trust and medical AI: the challenges we face and the expertise needed to overcome them.

April 21, 2021

The role of organizational and professional cultures in medication safety: a scoping review of the literature.

January 15, 2020

Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services.

November 19, 2014

Applying ethnography to the study of context in healthcare quality and safety.

January 22, 2014

Interventions targeted at reducing diagnostic error: systematic review.

September 8, 2021

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.

November 18, 2009

E-prescribing, efficiency, quality: lessons from the computerization of UK family practice.

September 20, 2006

Unintended doses in radiotherapy—over, under and outside?

April 18, 2018

Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors.

September 11, 2013

Implementing human factors in clinical practice.

April 9, 2014

Frequency, types, and potential clinical significance of medication-dispensing errors.

February 11, 2009

Interruptions and blood transfusion checks: lessons from the simulated operating room.

February 4, 2009

Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist.

February 1, 2023

Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review.

January 18, 2023

Detecting and assessing suicide ideation during the COVID-19 pandemic.

May 26, 2021

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.

December 1, 2010

Misleading one detail: a preventable mode of diagnostic error?

October 21, 2009

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses.

September 15, 2021

Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review.

October 3, 2018

A framework for operationalizing risk: a practical approach to patient safety.

May 2, 2018

An ethnographic study of health information technology use in three intensive care units.

August 30, 2017

The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study.

October 9, 2013

A study of innovative patient safety education.

February 29, 2012

Rapid learning of adverse medical event disclosure and apology.

April 9, 2014

The impact of introducing medical emergency team system on the documentations of vital signs.

December 17, 2008

The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.

August 5, 2009

Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey of 4075 paediatricians in the UK and Ireland.

July 29, 2020

Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.

April 3, 2013

Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies.

September 4, 2013

The relationship between electronic health records and malpractice claims.

July 11, 2012

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach.

June 15, 2022

Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).

April 28, 2010

Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system.

March 5, 2008

Hand hygiene among physicians: performance, beliefs, and perceptions.

March 27, 2005

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.

June 20, 2018

How to incorporate quality improvement and patient safety projects in your training.

May 23, 2018

Increased mortality associated with weekend hospital admission: a case for expanded seven day services?

September 23, 2015

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

Reviewing methodologically disparate data: a practical guide for the patient safety research field.

September 8, 2010

The objective medical emergency team activation criteria: a case-control study.

February 28, 2007

The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population.

May 23, 2007

Engaging patients in medication reconciliation via a patient portal following hospital discharge.

October 2, 2013

Quality improvement, patient safety, and continuing education: a qualitative study of the current boundaries and opportunities for collaboration between these domains.

April 15, 2015

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

January 27, 2016

Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions.

June 25, 2014

Related Resources

ISMP Survey on High-Alert Medications in Acute Care Settings.

September 11, 2023

National Safety Standards for Invasive Procedures (NatSSIPs2).

February 7, 2023

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.

September 14, 2022

WebM&M Cases

Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy

August 31, 2022

Preventing patient positioning injuries in the nonoperating room setting.

August 24, 2022

WebM&M Cases

Intraosseous Line Extravasation in a Pediatric Trauma Patient

April 27, 2022

Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial.

February 9, 2022

Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review.

May 12, 2021

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.

December 9, 2020

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".

August 5, 2020

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017

June 10, 2020

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

WebM&M Cases

Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression

May 27, 2020

Association of surgical resident wellness with medical errors and patient outcomes.

May 6, 2020

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance

March 4, 2020

When a vital sign leads a country astray—the opioid epidemic.

September 4, 2019

ASHP guidelines on perioperative pharmacy services.

August 28, 2019

Doctors can change opioid prescribing habits, but progress comes in small doses.

August 28, 2019

Surgeons' opioid-prescribing habits are hard to kick.

July 10, 2019

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.

November 28, 2018

Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition.

November 7, 2018

WebM&M Cases

Inadequate Preanesthetic Evaluation, Airway Trouble

November 1, 2018

Identifying what is known about improving operating room to intensive care handovers: a scoping review.

February 28, 2018

Global Guidelines on the Prevention of Surgical Site Infection.

January 3, 2018

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.

May 10, 2017

Statement on the prevention of retained foreign bodies after surgery.

October 1, 2016

Guideline implementation: prevention of retained surgical items.

August 3, 2016

Surgeons must tell patients of double-booked surgeries, new guidelines say.

April 27, 2016

See More About The Topic

Operating Room

Health Care Providers

Surgery

Noncognitive Errors ("Slips and Lapses")

Practice Guidelines

Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site