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Mcmullan RD, Urwin R, Gates PJ, et al. Int J Qual Health Care. 2021;33:mzab068.
Distractions in the operating room are common and can lead to errors. This systematic review including 27 studies found that distractions, interruptions, and disruptions in the operating room are associated with a range of negative outcomes. These include longer operative duration, impaired team performance, self-reported errors by colleagues, surgical errors, surgical site infections, and fewer patient safety checks.
Koch A, Burns J, Catchpole K, et al. BMJ Qual Saf. 2020;29:1033-1045.
This systematic review evaluated the relationships between intraoperative flow disruptions (eg, interruptions, equipment malfunctions, unexpected patient conditions) and provider, surgical process, and patient outcomes. On average, 20.5% of operating time was attributed to flow disruptions and these disruptions were either negatively or not substantially associated with surgical outcomes. The authors observed substantial heterogeneity of the evidence base and provided recommendations for future research on the effects of flow disruptions in surgery.