Obstacles to research on the effects of interruptions in healthcare.

Tobias Grundgeiger; Sidney W A Dekker; Penelope Sanderson; Birgit Brecknell; David Liu; Leanne M Aitken

Commentary

Obstacles to research on the effects of interruptions in healthcare.

February 10, 2016

Grundgeiger T, Dekker SWA, Sanderson P, et al. BMJ Qual Saf. 2016;25(6):392-5.

View more articles from the same authors.

Interruptions are a common occurrence in health care. This commentary suggests that research about interruptions clearly determine definitions, data collection methods, and processes that are affected to enhance understanding regarding the impact of disruptions on patient safety.

PubMed citation

Available at

Related Resources From the Same Author(s)

Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare.

April 19, 2017

Traditions of research into interruptions in healthcare: a conceptual review.

January 11, 2017

Interruptions in healthcare: theoretical views.

February 18, 2009

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

February 4, 2009

The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.

March 4, 2015

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

November 10, 2010

Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery.

October 3, 2007

Doctors are more dangerous than gun owners: a rejoinder to error counting.

April 4, 2007

Criminalization of medical error: who draws the line?

September 19, 2007

A just culture after Mid Staffordshire.

March 26, 2014

The systems approach to medicine: controversy and misconceptions.

September 3, 2014

Laparoscopic bile duct injury: understanding the psychology and heuristics of the error.

February 11, 2009

Benefactor or burden: exploring the professional identity of safety professionals.

October 24, 2018

Just culture: who gets to draw the line?

October 14, 2009

Intervening in interruptions: what exactly is the risk we are trying to manage?

October 11, 2017

Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist.

June 25, 2008

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation.

May 15, 2013

Why and how to approach user experience in safety-critical domains: the example of health care.

September 8, 2021

'Just culture': improving safety by achieving substantive, procedural and restorative justice.

May 25, 2016

Barriers to adverse event and error reporting in anesthesia.

August 24, 2011

A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center.

May 20, 2009

A qualitative survey of factors shaping the role of a safety professional.

October 19, 2022

‘Ladder’-based safety culture assessments inversely predict safety outcomes.

February 8, 2023

Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect?

February 7, 2018

Surgical simulation: a systematic review.

March 8, 2006

Nursing home safety: does financial performance matter?

May 18, 2011

Infection control hazards and near misses reported by nursing students.

January 5, 2011

Potentially inappropriate medication use in hospitalized elders.

May 14, 2008

Clinical cognition and biomedical informatics: issues of patient safety.

August 24, 2005

Communication of vital signs at emergency department handoff: opportunities for improvement.

April 22, 2015

Does applying technology throughout the medication use process improve patient safety with antineoplastics?

February 5, 2014

Nursing resources and patient outcomes in intensive care: a systematic review of the literature.

November 14, 2007

To catch a killer: electronic sepsis alert tools reaching a fever pitch?

August 28, 2019

Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.

October 11, 2017

Rate of occult specimen provenance complications in routine clinical practice.

February 27, 2013

Second Victim: Error, Guilt, Trauma, and Resilience.

May 22, 2013

Patient Safety: A Human Factors Approach.

October 5, 2011

Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition.

March 5, 2017

The Field Guide to Human Error Investigations, Third Edition.

August 24, 2017

Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals.

October 25, 2017

Medication reconciliation to facilitate transitions of care after hospitalization.

June 10, 2015

Understanding medication safety in healthcare settings: a critical review of conceptual models.

November 23, 2011

The effects of physical environments in medical wards on medication communication processes affecting patient safety.

February 26, 2014

What is driving hospitals' patient-safety efforts?

March 6, 2005

Emergency department crowding and risk of preventable medical errors.

May 16, 2012

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals.

July 10, 2019

How we cut drug errors.

September 13, 2006

Planning an MR suite: what can be done to enhance safety?

May 6, 2015

Nurses' use of computerized clinical guidelines to improve patient safety in hospitals.

May 6, 2015

Nurses discuss bedside handover and using written handover sheets.

February 13, 2013

Financial incentives to reduce hospital-acquired infections under alternative payment arrangements.

March 28, 2018

Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers.

February 10, 2016

Teamwork and Teamwork Training in Healthcare.

July 25, 2018

The association between sepsis and potential medical injury among hospitalized patients.

September 19, 2012

Rates and types of events reported to established incident reporting systems in two US hospitals.

June 20, 2007

How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.

September 17, 2014

A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.

April 8, 2009

Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children.

December 19, 2018

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

February 8, 2012

Efficiency and safety of speech recognition for documentation in the electronic health record.

November 8, 2017

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

February 25, 2009

Behind Human Error, Second Edition.

November 10, 2017

The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services.

May 6, 2015

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

Medication reconciliation improvement utilizing process redesign and clinical decision support.

January 29, 2020

Potentially inappropriate prescribing for elderly patients in 2 outpatient settings.

June 14, 2006

Taking risky business out of the MRI suite.

February 15, 2006

Quantification of surgical resident stress "on call".

November 30, 2005

Physician characteristics, attitudes, and use of computerized order entry.

August 23, 2006

Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy.

June 19, 2019

Association of registered nurse and nursing support staffing with inpatient hospital mortality.

September 25, 2019

Elucidating reasons for resident underutilization of electronic adverse event reporting.

April 29, 2015

Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.

May 16, 2007

Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients.

June 15, 2005

Hospital deaths in patients with sepsis from 2 independent cohorts.

June 4, 2014

Measuring and comparing safety climate in intensive care units.

March 17, 2010

Compensation of chief executive officers at nonprofit US hospitals.

October 30, 2013

Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study.

April 5, 2017

Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.

January 26, 2022

Fighting against COVID-19: innovative strategies for clinical pharmacists.

May 6, 2020

Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands.

August 12, 2015

Crisis resource management: evaluating outcomes of a multidisciplinary team.

August 1, 2007

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.

July 31, 2019

Patient safety culture: factors that influence clinician involvement in patient safety behaviours.

January 12, 2011

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.

February 6, 2008

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic.

October 7, 2020

Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.

December 12, 2012

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).

November 6, 2013

It is time to define antimicrobial never events.

February 27, 2019

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.

February 27, 2019

Automated detection of look-alike/sound-alike medication errors.

April 12, 2017

System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy.

July 11, 2007

Potentially inappropriate medications and their effect on falls during hospital admission.

March 23, 2022

A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery.

October 6, 2021

Near miss research in the healthcare system: a scoping review.

May 25, 2022

Safer prescribing—a trial of education, informatics, and financial incentives.

March 30, 2016

How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience?

September 28, 2022

What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness.

March 2, 2022

Decimal numbers and safe interpretation of clinical pathology results.

April 16, 2014

Related Resources

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Understanding complexity in a safety critical setting: a systems approach to medication administration.

April 26, 2023

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

On Patient Safety.

January 28, 2023

From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?

July 27, 2022

Safety-II and the study of healthcare safety routines: two paths forward for research.

July 13, 2022

Embracing multiple aims in healthcare improvement and innovation.

March 23, 2022

Conflict resolution: applying aviation crew resource management in healthcare.

November 10, 2021

Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.

October 13, 2021

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.

June 9, 2021

Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.

May 19, 2021

The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.

April 7, 2021

Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.

February 24, 2021

Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning.

January 27, 2021

Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.

December 23, 2020

Painting a picture of nurse presenteeism: a multi-country integrative review.

July 22, 2020

Human factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey study.

July 1, 2020

The patient died: what about involvement in the investigation process?

June 24, 2020

Emergency intubation of children outside of the operating room.

February 26, 2020

Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care.

August 21, 2019

Blind spots in the science of safety.

May 8, 2019

The wicked problem of patient misidentification: how could the technological revolution help address patient safety?

May 1, 2019

Reclaiming the systems approach to paediatric safety.

April 10, 2019

Medication handling: towards a practical, human-centred approach.

April 3, 2019

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.

January 23, 2019

January 9, 2019

The effect of cognitive load and task complexity on automation bias in electronic prescribing.

January 9, 2019

Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.

October 24, 2018

Effective approaches to control non-actionable alarms and alarm fatigue.

September 12, 2018

See More About The Topic

Hospitals

Medicine

Interruptions and distractions

Epidemiology of Errors and Adverse Events

Human Factors Engineering

Obstacles to research on the effects of interruptions in healthcare.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Obstacles to research on the effects of interruptions in healthcare.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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