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Approach to Improving Safety
Safety Target
- Discontinuities, Gaps, and Hand-Off Problems 5
- Interruptions and distractions
- Medication Safety 6
- Psychological and Social Complications 1
- Surgical Complications 2
Clinical Area
Search results for "Interruptions and distractions"
- Commentary
- Interruptions and distractions
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Journal Article > Commentary
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
van Pelt M, Weinger MB. Anesth Analg. 2017 Jun 9; [Epub ahead of print].
Distractions and interruptions are prevalent in health care delivery. This conference report reviews types of distractions in anesthesiology, their likelihood to introduce significant risks into care processes, and strategies to help manage distractions.
Journal Article > Commentary
Implementing No Interruption Zones in the perioperative environment.
Wright MI. AORN J. 2016;104:536-540.
Noise in the operating room can contribute to miscommunication, stress, and fatigue. This commentary describes a project that established a designated quiet space in an outpatient surgical setting to decrease opportunities for distraction in perioperative care and provided education regarding the importance of noise reduction.
Journal Article > Commentary
Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare.
McCurdie T, Sanderson P, Aitken LM, Liu D. Appl Ergon. 2017;58:102-109.
Interruptions are common in care settings and can introduce safety hazards into health care processes. This commentary describes an observational method to explore factors that contribute to interruptions from various perspectives to better understand the reasons for interruptions and design strategies to manage them. A past PSNet perspective discussed an approach to reduce interruptions.
Journal Article > Commentary
Obstacles to research on the effects of interruptions in healthcare.
Grundgeiger T, Dekker S, Sanderson P, Brecknell B, Liu D, Aitken LM. BMJ Qual Saf. 2016;25:392-395.
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.
Journal Article > Commentary
Creating a distraction simulation for safe medication administration.
Thomas CM, McIntosh CE, Allen R. Clin Simul Nurs. 2014;10:406-411.
Nursing students and new registered nurses are more likely to make mistakes during medication administration due to lack of experience and insufficient knowledge. This commentary describes the development and implementation of a simulation program to help students experience the various interruptions and distractions that occur in the hospital environment while preparing medications to understand how they can contribute to errors and learn about risks associated with multitasking.
Journal Article > Commentary
Interruptions and multi-tasking: moving the research agenda in new directions.
Westbrook JI. BMJ Qual Saf. 2014;23:877-879.
Exploring the existing evidence on interruptions in health care, this commentary reveals that most studies focus on the rate of interruptions rather than the relationship between interruptions and errors. The author calls for research to evaluate how use of multitasking behaviors to manage interruptions and to differentiate between appropriate interruptions that prevent errors and those that contribute to preventable harm.
Journal Article > Commentary
The sterile cockpit: an effective approach to reducing medication errors?
Federwisch M, Ramos H, Adams SC. Am J Nurs. 2014;114:47-55.
Aviation strategies often guide patient safety improvement discussions. This commentary describes how a team of nurses applied the sterile cockpit concept in their unit to decrease interruptions during medication administration. The authors relate lessons learned from their experience.
Journal Article > Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Lewis TP, Smith CB, Williams-Jones P. Nursing. 2012;42:65-67.
This commentary discusses how interruptions can affect medication safety and outlines a five-step guide to help clinicians determine if and when they should interrupt.
Journal Article > Commentary
Physical environments that promote safe medication use.
Grissinger M. P T. 2012;37:377-378.
This commentary discusses standards related to workspace design that can help address interruptions, noise, and other distractions to prevent medication errors.
Journal Article > Commentary
The science of interruption.
Coiera E. BMJ Qual Saf. 2012;21:357-360.
This commentary discusses interruption research in health care, challenges to understanding its impact, and approaches to reducing interruptions in care delivery.
Journal Article > Commentary
Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department.
Bradley Morrison J, Rudolph JW. Acad Emerg Med. 2011;18:1246-1254.
This commentary explores how interruptions can affect safety in the emergency department.
Journal Article > Commentary
Interruptions and medication errors: part I.
Flanders S, Clark AP. Clin Nurse Spec. 2010;24:281-285.
This commentary discusses preventable medication errors and describes how reducing interruptions can improve safety in nursing practice.
Journal Article > Commentary
Medication room madness: calming the chaos.
Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.
Through space and process design improvements, a medication safety project increased use of double-check procedures and reduced interruptions and distractions.
Journal Article > Commentary
Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies.
Boehm-Davis DA, Remington R. Accid Anal Prev. 2009;41:1124-1129.
This article explains how interruptions affect cognition and how disruption may lead to errors.
Journal Article > Commentary
Noise: a distraction, interruption, and safety hazard.
Beyea SC. AORN J. 2007;86:281, 283-285.
The author discusses how excessive noise affects the safety of care delivery and provides strategies to lessen its impact.
Journal Article > Commentary
Distractions, interruptions, and patient safety.
Beyea SC. AORN J. 2007;86:109-112.
The author discusses some of the research on interruptions and distractions in the nursing environment.
Journal Article
On Patient Safety.
Lee MJ. Clin Orthop Relat Res. 2013-2017.
This quarterly commentary explores a wide range of subjects associated with patient safety, such as the impact of disruptive behavior on teams, the value of apologies, and work hour reforms. Older materials are available online for free.
Journal Article > Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
Landers R. AORN J. 2015;101:657-665.
Errors in surgical care are often associated with human factors, interruptions, and staffing issues. This commentary describes a program to augment safety in ambulatory surgery centers, which includes a surgical checklist, change management, and teamwork.
Journal Article > Commentary
Verbal medication orders in the OR.
Hendrickson T. AORN J. 2007;86:626-629.
This article describes the causes of medication errors in the operating room and discusses prevention strategies, including using read-back techniques and reducing interruptions.
